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Preface
I remember very clearly, when I became interested in helping physicians
stand up to managed care and the fear of losing their professional autonomy
in favor of “cookbook” medicine written by my buddies down the hall, who
are professional actuaries.
In the 1980s, one of my earliest clients (I started consulting in 1983) came
to me and said, “I want a different kind of practice. I don’t want to be con-
trolled by insurance or Medicare, I want to charge cash and not be bothered
with insurance, rebrand my practice to primary care, nutrition, and a bit of
alternative and complementary medicine services, care for fewer patients, get
to kno ...