How administrative bloat broke American medicine

I trained at Cook County Hospital in Chicago thirty years ago. We did not have RVUs. We did not have prior authorization. We did not have a ratio of ten administrators for every physician. We had patients who came through a door where nobody asked for their insurance card, and we did our best for them. That was the system. It worked.

What replaced it is documented in public data that …

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How administrative bloat broke American medicine