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Does the current reimbursement model contribute to low quality in the US healthcare delivery system?

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The Affordable Care and Patient Protection Act of 2010 has three pillars:  Access, Quality and Cost.  What care services should be made available to every person in the United States?
How can all levels of healthcare workers help to reduce inequality and discrimination in the delivery of healthcare services?
Does the lack of an economic model that encourages change inhibit the development of the healthcare system and the medical profession?
Does the current reimbursement model contribute to low quality in the US healthcare delivery system?

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