@aep528 You can change your expectations without reorganizing. We do it all the time. It's true Berwick is not a "free market absolutist" but there's ample evidence he's right.
Dr. Berwick wants patients empowered to make informed choices, and get the support they need to make the right choices.
The example you cite of someone who is told what to do and what will happen if he doesn't, doesn't do it, and then sues will get laughed out of court. Best of all, with modern health IT the evidence will all be there.
It's still true, by the way, that about half our diabetics don't know they have the condition, which is why they do nothing about it. Change that with primary care and you will make progress for little money.
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