The Evolving Relationships Between Hospital, Physician and Patient in Modern American Healthcare

C B Garner, D McCabe


This article explores the ways in which health care has evolved over the past few years for patients, doctors and hospitals in the United States, and the impact these changes have made on modern American health care. As the amount of money the nation spends on health care continues to increase at alarming rates, patients, doctors, and hospitals all appear to have greater struggles than before.

This inherent disconnection between the changes in American health care system and the satisfaction of patients and providers leaves much to be desired and considered. Before a solution can be found, however, we must first understand the problem.

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Aaron, HJ..,Frakt, AB., PhD. (March 8, 2012). Why Now Is Not the Time for Premium Support, 366 New England Journal of Medicine, 877.

Adler, S.(2011). Sleep Paralysis: Night-mares, Nocebos, and the Mind-Body Connection. Rutgers University Press.

American Cancer Society. (2003). Cancer Facts and Figures. Atlanta: American Cancer Society.

Aziz, N., Rowland, J. (2003). Trends and Advances in Cancer Survivorship Research: Challenge and Opportunity. Seminars in Radiation Oncology 13(3): 248-266.

Berwick, Donald M., M.D. (Mar. 31, 2011). Launching Accountable Care Organizations -- The Proposed Rule for the Medicare Shared Savings Program, New England Journal of Medicine.

Centers for Medicare & Medicaid Services, Center for Strategic Planning. (2011). 2011 CMS Statistics, p. 2.

Centers for Medicare & Medicaid Services, Office of the Actuary. Retrieved from

Colliver, V.(Mar. 31, 2012). Health Insurance Premiums to Rise Soon for Many, San Francisco Gate. Retrieved from

Douglas, V.(Feb. 23, 2012).Independent Living Ctr. of S. Cal., Inc., Nos. 09-958, 09-1158, and 10-283, 565 U.S.

Federal Trade Commission.(2011). Statement of Antitrust Enforcement Policy Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program.

Grann, VR., MD, MPH. (November 22, 2010). High-Deductible Plans: What If You Can’t Afford Your Share? 170 (21) Arch. Intern. Med. 1925.

Greenfield, M.(1966). Health Insurance for the Aged (Institute of Governmental Studies, University ofCalifornia..

Hadley, J. (August 25, 2008). Covering the Uninsured in 2008: Current Costs, Sources of Payment, and Incremental Costs, Health Affairs, Web Exclusive pp. W399–W415.

Hartman, M., Martin, A., Nuccio, O., Catlin, A.(January 2010). Health Spending Growth at a Historic Low in 2008, 29, No. 1 Health Affairs 147.

Henry J. Kaiser Family Foundation. (October 2011). The Uninsured: A Primer.

Henry J. Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2006-2011.

Hsia, RY., M.D. (May 18, 2011). Factors Associated with Closures at Emergency Departments in the United States, 305 (19) JAMA, 1978.

Mayes, Rick. (January 2007). Origins, Development, and Passage of Medicare’s Revolutionary Prospective Payment System, Journal of Medicine and Allied Sciences, Vol. 61, No. 1.

National Federation of Independent Business. v. Sebelius, 132 S. Ct. 2566 (2012).

Pope, GC., Schneider, JE.(1992). Trends in Physician Income, 11 Health Affairs 1, 181, 183.

U.S. Bureau of Labor Statistics, U.S. Department of Labor. (2010). Occupational Employment and Wages.

U.S. Department of Commerce, Bureau of Economic Analysis; Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group. Retrieved from

U.S. Department of Health and Human Services, Office of the Inspector General. (December 2011). Addressing Vulnerabilities Reported by Medicare Benefit Integrity Contractors.

U.S. Department of Health and Human Services, Office of the Inspector General. (January 2012). Hospital Incident Reporting Systems Do Not Capture Most Patient Harm.

U.S. Department of Health and Human Services, Office of the Inspector General. (December 2011). Review of Excluded Providers in the Medicare Part D Program.

U.S. Department of Justice, Office of Public Affairs. (December 19, 2011). Justice Department Recovers $3 Billion in False Claims Act Cases in Fiscal Year 2011.

U.S. General Accounting Office. (1976). History of the Rising Costs of Medicare and Medicaid.

Wilensky, GR.(1985). Center for Health Affairs. The Economics of DRG-Based Physician Reimbursement.



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