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I appreciated reading your essays and was very happy to find a peer using critical thinking skills! It is also comforting to find at least one other physician that is paying attention to more than how he/she is going to be able to extract the same coinage from the icd-9 code sitting in the waiting room. The doctor – patient relationship will suffer even more as the autonomous doctor is transformed into the industry whipped, detached, easily dispensable(sham peer review), non-discerning robot technician. Given the overall state of the world and the direction it appears to be headed however leaves me with much less optimism than you in regards to meaningful change. Thanks again for sharing your insights….made my day.
Keven Nevil, MD
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