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U.S. HEALTHCARE REALITIES. Misaligned incentives: Treatment over wellness; “More is better” Affordable Care Act impacts Nationwide Primary Care shortage. U.S. HEALTHCARE REALITIES. 2025: 130,600 U.S. Physician shortage U.S. Population will grow 18-24% - 45% will have chronic disease
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U.S. HEALTHCARE REALITIES • Misaligned incentives: Treatment over wellness; “More is better” • Affordable Care Act impacts • Nationwide Primary Care shortage
U.S. HEALTHCARE REALITIES 2025: 130,600 U.S. Physician shortage U.S. Population will grow 18-24% - 45% will have chronic disease - 60M will have 5+ chronic diseases 52% reduction in physicians choosing primary care • Physician shortages • Increasing costs, declining reimbursement • Potential impacts: Costs, Recruiting, Network robustness
EMPOWERED PATIENTS • The Millenials • The changing Physician-Patient relation • Health care as a commodity: What drives patient choices? • Choice drives cost and health • Health drives individual readiness
What drives healthcare choice….. Choice drives cost…..
TOMORROW • Training: Radical change, many fronts • Increasing dependence on I.T. • Emerging diseases • Theater engagement: The role of medical
Many Changes…On Many FrontsA world different than we envisioned…. "We have slain a large dragon, but we live now in a jungle filled with a bewildering variety of poisonous snakes. And in many ways, the dragon was easier to keep track of.“ James Woolsey
Many Changes…On Many FrontsNot Your Father’s Sick Call From this …..