“We are working in systems where third parties call the game. This was initiated by Bismarck way back, we still have Bismarckian model which is overbearing in most of Europe. Bismarck is dead now and I think this model will probably die as well. It’s dead in Georgia, and it will die elsewhere. How can you reestablish the direct contract between patients and doctors? That’s one of the keys of achieving self-ownership for patients in so far as they can choose their doctor and also autonomy for doctors who can concentrate their work on their patients without third parties telling them what to do. That’s one way, and there’s several means of doing it.”

http://isil.org/the-battle-for-self-ownership-in-medical-care/

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