4sight Health June 17, 2025
David W. Johnson

Author’s note: hfma magazine planned to publish this commentary in its entirety, and subsequently pulled the piece and replaced it with a revised and less-expansive version. Accordingly, 4sight Health is publishing the original article in its entirety below. This commentary is the final installment of a three-part series titled “Consumerism, Revenue Cycle and U.S. Healthcare.” Here is a link to that series.

In April 1999, The Modern Library published its list of the top one hundred nonfiction books of the 20th century. Number one was “The Education of Henry Adams,” an intellectual autobiography written in 1905 by the great grandson and grandson of John Adams and John Quincy Adams, the second and sixth presidents of the United States. [1]

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