Health Affairs May 10, 2023
By Ezekiel J. Emanuel

In this three-part article, I present nine “megatrends” that I believe will characterize US health over the rest of this decade. They follow on the trends I identified eight years ago in my book Reimagining American Health Care. In Part 1 of this article, I discussed the megatrends I predict related to system and payment reform. Part 2 below covers trends related to system reconfiguration, and Part 3 will focus on patient care trends.

Megatrend 3: Ever More Automation

For the first time in 20 years, burnout and labor shortages have displaced cost control as the number one issue confronting health systems. The health care system faces shortages of not just front-line physicians, nurses, and other members of the direct...

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