The future of health care reform is really that of innovation and health information technology. These changes will impact your health care more than politics, elections, or congress.
It is dynamic, and scales exponentially.
The largest barriers to innovation remain to be organizational structures already in existence. 1. Government 2. Licensing boards 3. Specialty societies. These organizations serve themselves rather than it's constituency/
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Ultimately patient needs and providee direction will create a new health information paradigm.
We are still in the earliest phase of the catalytic changes. Some or most of the preceding changes may become obolete and discarded as health care evolves in the next decade(s).