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I totally agree with Dr. Stange.
We started doing much of what he proposes at Michigan in 2019 with moving to capitation, looking at social determinants of health, etc. and even starting to study our interventions. Then the pandemic hit, and changed how Michigan Medicine sees this. It's been harder, with more pressure for us (we've been resisting) to expand our panels, etc. And since we're moving to most docs being employed by institutions, we now have to deal with those as we make this happen.
I do think that this is something that will likely require either an institution that is going to experiment and let us try doing this (possible, unlikely) vs. all of us somehow organizing and making change (hard to do, but could really have an impact). Either way, we can't keep going as we have.