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The Good, the Bad, and the Probably Unfixable
Published online by Cambridge University Press: 10 March 2022
Health care finance and delivery systems in all of their wonderful complexity exert a significant but often hidden impact on the practice of medicine, including end-of-life care. The US health care finance and delivery system is highly disjunctive and disorganized. In fact, calling it a ‘system’ suggests a level of organization, coordination, and working toward a common purpose that simply doesn’t exist in US health care. Understanding what is going on with end-of-life care in the United States, on both the patient end and the provider side requires a basic grasp of our system of access to health care, payment for care, and regulation of the practice of medicine.
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