The doctor-patient relationship is a one-on-one interaction, and so conflicts of interest are concrete and directly personal. Medical decisions can be swayed by money, even unconsciously, regardless of whether it’s from insurance companies or from industry. But the most basic conflict of interest is that health care access is tied to health insurance. Presence or absence or extent of health insurance is the most powerful influence on how doctors care for patients. More
Getting a primary care doctor is hard these days, and will only get harder as more people get insurance via the ACA. This is a “problem” that we should welcome, since it means that more Americans will have access to care. But it won’t be an easy problem to solve. Here are some ideas that are being discussed. More