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Thanks so much for responding, and for the link! As for my investment, it’s surely within the interest of us as patients to help our health care providers succeed, if we can! As I and so many friends are getting older, this becomes even more important, as our medical needs inevitably grow.

I will read more thoroughly tomorrow, but here’s already something that leapt out at me: “With physician burnout at epidemic levels, we cannot assume that it is merely an individual physician's problem that needs to be remedied on an individual level. System-level changes are also required if we want to reverse this trend.”

Since I wrote earlier today, I have actually found an address at my AMC to which to send concerns about what I believe to be “system failures” of which I’ve become aware. What I find when I write to my electeds is I do best if I can also include sensible approaches to resolve problems I identify. On that score, it’s very hard to tell, from outside the hospital system, what would be most constructive to suggest and, most importantly, would not redound back on the provider or staff, as they are not at fault here. The type of thing I am talking about, as one example, were failures in the referral process for post-surgery PT that look to me as if they could be readily corrected on the admin side. (Whether AI is pertinent here, I don’t really know--I just got that idea from Dr. Wachter’s grand rounds.)

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