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A Piece of My Mind |

Slippery Slopes and Landing on Your Feet

Marco D. Huesch, MBBS, PhD1
[+] Author Affiliations
1USC Sol Price School of Public Policy, Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles; Department of Community and Family Medicine, Duke University School of Medicine, Durham, North Carolina; Health Sector Management Area, Duke Fuqua School of Business, Duke University, Durham, North Carolina
JAMA. 2014;311(12):1203-1204. doi:10.1001/jama.2014.2067.
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Avarice is of course somewhat different from lust, but I have to plead ignorance too. No one had ever said anything to me at all when I first started about either physician incentives or conflicts of interest.

I had studied medicine in the right place. Sydney University in the 1980s graduated physicians with a proud understanding of how Australia’s single-payer system provided essentially free access to high-quality, evidence-based treatment. We prided ourselves on a primary care system that was well remunerated on a fee-for-service basis and provided high-quality prevention and wellness services, specialist gatekeeping, and chronic care management.


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