Working from within or not

[Guest guest]

Give the size of the US and the

numbers of us I believe we can both work from within and without – this reflects

in fact the current reality.

There are tradeoffs either way so I

believe our best chances come from working on all fronts, using a common voice

with a coordinated and sustained effort to reform health care in the US.

Gordon

From: [mailto: ] On Behalf Of chadcostley

Sent: Wednesday, November 19, 2008

2:21 AM

To:

Subject:

Re: Physician's Foundation survey

·

Thanks Gordon. I hesitate somewhat

to throw this out, as I'm aware of the natural tension

between those who believe we can make progress through the steps you outline

within the

framework of the current third-party payer system, and those of us who have

taken the

more blunt approach of launching cash-only practices. However, in the interest

of

discussion, do you believe we in any way enable the current chaos by

participating with

these plans while we advocate for change? It's an old question, not easily

answered, of

whether it's best to work within a system to reform it or attempt to break its

back entirely

so it can be rebuilt.