Need for a new, different Health Care Paradigm and System

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  • 7/30/2019 Need for a new, different Health Care Paradigm and System

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    Rda Iaabelp o iaz oib bgeeapair. aeeafrgua.

    nlij-rapm oib vqvrogio`na

    Daonrd Fopa Xopobgjm oibVwvram

    Ojoxa Elqiborgli $Ojovler'Lfrl`ap 08?0

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    XLGIRV rl flivgbap oib paenafr;

    Il morrap dlz abqforab za moca lqpvanuav rl `a. dlz moiw`llcv za paob. lp dlz xpljpavvgua za mow xplua lqpvanuav.

    iauaprdanavv. za vaa rdor gi rda opao le daonrd oib oja. za vaavlma fnaop vgjiv rdor vlmardgij gv zplij uapw zplij)

    Elp atomxnav;

    Rapmgion % rpaofdaplqv bgvaovav vqfd ov Foifap. Bgo`arav.Daopr Orrofc oib Vrplca lp Fopbgl-Uovfqnop Bgvaovav douaflirgiqab rl ugfrgmg{a xalxna. zgrd xalxna ilr cilzgijdlz rl xpauair lp vxlr rdam gi obuoifa `aelpa grv rll

    nora3 Gi rda xovr. rdava bgvaovav oeengfrab linw rda pgfd oib rda

    lnb3 ilz rdaw doua flma blzi rl ugfrgmg{a rda danxnavvxllp oib ngrrna fdgnbpai `afoqva rda xpofrgfav lp zow le ngeaov zann ov rda ellb le rda pgfd oib xllp. obqnr oib fdgnbpairlbow opa mlpa lp navv ilz vgmgnop. a)j). moba eplm lpnofab zgrd fdamgfonv)

    Rda ovvoqnr rl ngea oib daonrd dov auai flma fnlvap. rdorgv. or rda xpl-fpaorgli oib xpajioifw vrojav. zdapa mlpaoib mlpa mai doua `aflma vrapgna oib zlmai `oppai lpatxapgaifgij mgvfoppgojav3 lp.

    Aqonnw zlpva. fdgnbpai `agij `lpi zgrd moiw vapglqvbaeafrv oib epgjdraigij baelpmgrgav3

    Rda Bgvo`nab Vafrlp rlbow. $zgrd mam`apv ilz ofplvvmoiw oja jplqxv. eplm gieoirv rl wlqrdv rl obqnrv. ilr kqvr

    anbapnw oib ugfrgmv le offgbairv `qr mlpa vl pavqnrgij eplmba`gngrorgij bgvaovav rdor vxopa il lia. xllp lp pgfd. wlqijlp lnb' dov `aflma vlfgarwv `gjjavr vafrlp. zdardaplpjoig{ab lp ilr. `gjjap rdoi Zlmaiv. `gjjap rdoiZlpcapv Ovvlfgorgliv. `gjjap rdoi rda Ovvlfgorgli leVaiglp Fgrg{aiv zdl ilz flmxlva linw o vmonn xopr le rdaBgvo`nab Vafrlp. oib mgib wlq. rdgv Bgvo`nab Vafrlp zdlvaqingvrab mam`apv opa dgbgij or dlmav. gv ilz rda eovravr

    jplzgij vafrlp gi rda flqirpw oib rda zlpnb. `afoqva. elpatomxna. vrorgvrgfv pauaonab rdor vlma ?22 xapvliv`aflma xoponw{ab auapwbow bqa rl Fopbgl-UovfqnopBgvaovav. rdor gv daopr orrofc oib vrplca) Za doua ilrgifnqbab rdlva zdl `aflma mam`apv le rda Bgvo`nabVafrlp bqa rl omxqrorgli bqa rl bgo`arav) Dlz moiw le

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    rdam. auapwbow< Za bl ilr doua rda iqm`ap `qr za douaoi gbao dlz moiw eplm lqp lzi l`vapuorgli) Mam`apvdgxle rda Vaiglp Fgrg{ai zdgfd baxaibv li zdl paofdav rdaoja 58 lp 51 gv vnlz. zdapaov mam`apvdgx le rda Bgvo`nabVafrlp gv uapw eovr `afoqva gr blav ilr ilz baxaib liwaopv. `qr bowv lp dlqpv/ Dlqp `w dlqp. iaz bgvo`nab

    mam`ap flmav lqr eplm rda dlvxgron lp eplm grv mlrdapvzlm`/ Gifpaovgij iqm`apv `aflma xoponw{ab lpomxqrorab lp `lpi zgrd baeafrv. lp opa bgojilvab rl douafoifapv ilz li o xap dlqp `ovgv/

    Foifap . rda noravr iazv vowv. gv ilz ngca eauap `aflmgijflmmli gi rda iagjd`lpdllb/ Rdgv gv o vapglqv eofr rdor zaiaab rl flivgbap rl flifnqba rdor vlmardgij gv zplij uapw zplij)

    Rda iqm`ap le Rapmgion bgvaovav dov gifpaovab ilr linwzgrd OGBV oib VRBv `qr zgrd rda amapjaifa le iazbgvaovav vqfd ov Xopcgivliv oib o dlvr le mairon gnniavvavvqfd ov On{dagmapv oib Oqrgvm)

    Obuoifav gi mabgfon vfgaifa. giuairgliv le iaz aqgxmairbl ilr - doua ilr nab rl rda vrlxxgij lp xpauairgli le rdavabgvaovav3 rdaw linw oib linw - danx gi rda bgojilvgv3

    Rda mabgfon flvr gv vl dgjd rdor gi rda Qigrab Vrorav. elpgivroifa. rda Il) ? foqva le eomgnw `oicpqxrfw gv ilr`qvgiavv. `qr mabgfon atxaivav/

    Offlpbgij rl rda vrqbw le mabgfon paflpbv gi rda Q)V)O).7:! le fdamlrdapoxw dov eognab3 xorgairv bgab oibrdaw bgab egioifgonnw `plca)

    Rda mogiraioifa mabgfgia xplugbab `w `gj Xdopmo elp

    FUBv $Fopbgl-Uovfqnop Bgvaovav'. foifap lp bgo`aravvqeeapapv dov ilr nab rl rda daongij le rda bgvaova lp ornaovr gmxpluamair le daonrd. `qr pordap. rl mapamogiraioifa lp elp moiw. zlpva. rl blzizopb vngbalerairgmav rlzopbv flmxngforgli oib auairqonnw rl baord/

    Gifpaovgij iqm`ap le egibgijv gi rda QVO vdlz rdor rdgvoxxplofd le vgnaifgij $lp rda vdqrrgij qx lp qibapmgigijle' rda vwmxrlmv) Vwmxrlmv opa Jlb-vair `afoqva rdaw

    opa vgjionv lp obuoifab gielpmorgli lp zopigijv rl rdaxorgair oib eomgnw rdor vlmardgij baaxap givgba rda `lbwgv zplij) Jlbv xqpxlva< Vl. `w aopnw orrairgli. za zlireonn girl zlpva flibgrgli) Rdgv zlpnbv vwvram le vwmxrlmcgnngij dov nab rl xorgairv oib rdagp eomgngav ovvqmgij rdoronn gv zann. rdor ilrdgij gv zplij givgba. rdqv. jgugij rda

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    qibapnwgij bgvaova rda fdoifa lp lxxlprqigrw lp rgma rlzlpvai. qx rl. vow. vroja 2. zdai ilrdgij. lp onmlvrilrdgij. foi `a blia oiwmlpa rl daon gr)

    Rdgv do`gr lp xpofrgfa le gjilpgij rda vgjiv lp vwmxrlmvnaobv rl rda zlpvaigij le bgvaovav. rdqv. dov nab rl uapwatxaivgua mabgfon atxaivav. ilr linw eplm dlvxgron `gnnv`qr onvl zdai rda ugfrgm dov `aflma bgvo`nab elp rda pavrle dgv,dap ngea. `aflmgij. $vlppw rl vow. onrdlqjd rdamam`apv bl ilr zgvd rl obmgr gr'. o ngo`gngrw oib `qpbai rlrda eomgnw/

    Rda xalxna doua `aai bafaguab `w rda Xdopmofaqrgfongibqvrpw rdor rda zopigij vgji vwvram givronnab `w Jlbgi rda dqmoi `lbw $zdgfd blfrlpv fonn vwmxrlmv' oib

    zdgfd lerai flmav gi rda elpm le daobofdav. `lbw xogiv.rl danx rda xorgair jar onaprab oib gielpmab gi obuoifa levlma qibapnwgij zplij zgrd lia le dgv `lbw lpjoiv vl dafoi ofr gi obuoifa rlzopbv daongij za doua `aai rpgfcabrl `angaua rdor rdava `lbw onopmv opa rda vgfciavv.rdapaelpa. opa rda liav rl `a rpaorab) Zdor za bgb ilrcilz zov oib gv rdor; rda `lbwv gielpmorgli vwvram ugorda iapulqv vwvram gv vgnaifab vdqr vl rdor. oeraprocgij rda vwirdargf xogi pangauapv. rda `lbw il nlijapeaanv rda xogi. rda xorgair ovvqmav rdor da dov il mlpagnniavv. zdgna rda qibapnwgij bgvaova flirgiqa rl zlpvai.vxpaob qirgn gr paofdav vroja 2. oib gr zgnn `a rgma elpblfrlpv oib rda `gj Xdopmo rl moca dqja mliaw `wvqjjavrgij lxaporgli. a)j). pamluon,paxnofamair le rdaoeeafrab,iajnafrab lpjoiv $rpoivxnoir'. lp fdaml oibpobgorgli or zdgfd vroja gr zlqnb `a lerairgmav rll nora. lprll bgeegfqnr oib atrpamanw rll atxaivgua rl pajogi daonrd

    oib rda xorgair zlqnb auairqonnw bga. naougij dgv,dap eomgnwegioifgonnw `plca/ Mliaw nlvr. ngea nlvr) Rdapa gv il zgvapzow rdoi zdor gv atxpavvab gi rda lnb xpluap`; Oi lqifale xpauairgli gv zlprd o xlqib le fqpa) Rdaw `lbwvzopigij vgjiv $vwmxrlmv' zlpcv zann zgrd rdgv ov grgielpmv rda xapvli aopnw ailqjd `aelpa da `aflmav oxorgair) Ojogi. mow G paxaor o rdlqvoib rgmav; Rdavwmxrlm $daobofda. vrlmofd ofda. rllrdofda. eauap.

    gienommorgli. povdav. zlqib. lp `lbw xogi' gv rdagielpmorgli vair `w rda oeeafrab lpjoi rl grv lziap $rdaxapvli' ugo grv gielpmorgli vwvram. fonnab rda iapulqvvwvram. rl rann rda lziap rdor vlmardgij gv zplij`aiaord oib iaabv egtgij) Ge wlq vdqr qx ge wlq vgnaifa

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    rqpi lee - rdor onopm vwvram `w qvgij `gj Xdopmov xogipangauap. arf). gr gv ngca xqrrgij o roxa li wlqp `o`wv mlqrdvl da zlqnb vrlx. lp zlqnb ilr `a daopb. fpwgij. `qr wlqzlqnb ilr cilz qirgn gr zlqnb `a rll nora) Vwmxrlmrpaormair gv onvl ngca vaagij o vmlca flmgij lqr le wlqp`abpllm oib gjilpgij gr. qirgn wlqp dlqva `qpir) Zdai

    rdapav o vmlca. rdapav o egpa. rda lnb xpluap` vowv) Grfoir `a xpauairab `w gjilpgij) Rda egpa. zdgfd gv rdaqibapnwgij foqva le rda vmlca. mqvr `a xqr lqr oibwlqp dlqva zgnn `a vouab/ Rda Xdopmofaqrgfon-mabgfongibqvrpw dov zlpcab ojogivr rda oja-lnb zgvblm le lqpelpaeordapv atxpavvab gi rda kqvr qlrab xpluap`v) Rda `gjXdopmo gv mocgij qv girl ellnv/ Oib ov ellnv. za douaeonnai baax girl rdagp mliaw rpox/ Rda mabgfgia mocapv

    jlr pgfd. rda blfrlpv jlr pgfd. rda bpqjvrlpa lziapv jlrpgfd. rda lifa daonrd oib ofrgua xalxna `aflma rdagp movvfqvrlmapv oib xorgairv/ Zdor o qigqa zlpnb gr gv zdapaonn xalxna opa fqvrlmapv oib xorgairv/ Gi rdgv vgrqorgli.zdl gv pgjdr. zdl gv zplij< Zdl gv vmoprap< Zdl gvfqiigij oib fpoerw< Zdl gv jqnng`na oib ioua< Wlq `arrapvaa rl gr lp wlq zgnn klgi rda jplzgij iqm`ap le eomgngavzdl opa `aflmgij `lrd vgfc oib `oicpqxr/

    Vobbavr rdgij le onn. RDA AMLRGLION FLVRV OIB RDAOMLQIR LE RAOPV il`lbw dov blia o vrqbw war lpmoba maovqpamair rl gr/ Vl eop)

    Gi rda vxgpgrqon ovxafr. lp flmmoibmair oib zgnn le Jlb.rda elnnlzgij eofrv oib Vfpgxrqpav xplua `awlib blq`r rdorrlbowv Xdopmofaqrgfon Vwvram gv ilr Jlbv vwvram.daifa. vgi;

    l

    Egpvr. rda zlpb xdopmofaqrgfon oib xdopmofwbapgua eplm rda Jpaac pllr zlpb Xdopmocago. oibrdagp bpqj lp mabgfgia xdopmocli) Vaa FlnnajgoraZa`vrap Bgfrgliopw)

    l Vaflibnw. rda zlpb Xdopmocago gv rpoivnorab ovvlpfapw gi rda Lnb Cgij Komav Uapvgli oib mojgfoprv gi rda Iaz Girapiorglion Uapvgli le rda IazRavromairgi rda elnnlzgij uapvav;

    Pau 7;0? Sigu]Ilp bgb rdaw paxair lerdagp mqpbapv. rdagp mojgf oprv

    SJpaacxdopmocago]. rdagp vatqon gmmlpongrw lp rdagp rdaerv)

    Scku]Iagrdap paxairab rdaw lerdagp mqpbapv. ilp lerdagpvlpfapgav SJpaacxdopmocago]. ilp le rdagp elpigforgli. ilp le rdagp rdaerv)

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    Pau ?4;06 $Rdgv gv obbpavvab rl rda @o`wnligoi Vwvram le `qvgiavv oibmabgfgia;'

    Sigu]Rda ngjdr le o nomx zgnn iauap vdgia gi wlq ojogi) Rda ulgfa le`pgbajpllm oib `pgba zgnn iauap `a daopb gi wlq ojogi) Wlqp mapfdoirv zapa

    rda zlpnb*v jpaor mai) @w wlqp mojgf vxann SJpaacxdopmocago] onn rdaiorgliv zapa nab ovrpow)

    Scku]Oib rda ngjdr le o foibna vdonn vdgia il mlpa or onn gi rdaa3oib rda ulgfa le rda `pgbajpllm oib le rda `pgba vdonn `a daopb il mlpa or onn

    gi rdaa; elp rdw mapfdoirv zapa rda jpaor mai le rda aoprd3 elp `w rdwvlpfapgav SJpaacxdopmocago] zapa onn iorgliv bafaguab)

    Pau 0?;? Sigu]Rdai G voz o iaz daouai oib o iaz aoprd. elp rda egpvr

    daouai oib rda egpvr aoprd dob xovvab ozow. oib rdapa zov il nlijap oiw vao)Scku]Oib G voz o iaz daouai oib o iaz aoprd; elp rda egpvr

    daouai oib rda egpvr aoprd zapa xovvab ozow3 oib rdapa zov il mlpa vao)

    Pau 0?;: Sigu]Da zdl luapflmav zgnn gidapgr onn rdgv. oib G zgnn `a dgv Jlboib da zgnn `a mw vli)

    Scku]Da rdor luapflmard vdonn gidapgr onn rdgijv3 oib G zgnn `a dgvJlb. oib da vdonn `a mw vli)

    Pau 0?;4 Sigu]@qr rda flzopbnw. rda qi`angaugij. rda ugna. rda mqpbapapv.

    rda vatqonnw gmmlpon. rdlva zdl xpofrgfa mojgf oprv SJpaacxdopmoclv.

    xdopmocaqv]. rda gblnorapv oib onn ngopv--rdagp xnofa zgnn `a gi rda egapw

    noca le `qpigij vqneqp) Rdgv gv rda vaflib baord)"Scku]@qr rda eaopeqn. oib qi`angaugij. oib rda o`lmgio`na. oib

    mqpbapapv. oib zdlpamlijapv. oib vlpfapapv SJpaacxdopmoclv.

    xdopmocaqv]. oib gblnorapv. oib onn ngopv. vdonn doua rdagp xopr gi rda noca

    zdgfd `qpiard zgrd egpa oib `pgmvrlia; zdgfd gv rda vaflib baord)

    Pau 00;?2 Sigu]"@navvab opa rdlva zdl zovd rdagp pl`av. rdor rdaw mow douarda pgjdr rl rda rpaa le ngea oib mow jl rdplqjd rda jorav girl rda fgrw)

    Scku]@navvab opa rdaw rdor bl dgv flmmoibmairv. rdor rdaw mow

    doua pgjdr rl rda rpaa le ngea. oib mow airap gi rdplqjd rda jorav girl rda fgrw)

    Pau 00;?1 Sigu]Lqrvgba opa rda bljv. rdlva zdl xpofrgfa mojgf oprvSJpaacxdopmoclv. xdopmocaqv]. rda vatqonnw gmmlpon. rda mqpbapapv. rda

    gblnorapv oib auapwlia zdl nluav oib xpofrgfav eonvadllb)

    Scku]Elp zgrdlqr opa bljv. oib vlpfapapv SJpaacxdopmoclv.

    xdopmocaqv]. oib zdlpamlijapv. oib mqpbapapv. oib gblnorapv. oib

    zdlvlauap nluard oib mocard o nga)

    l Rdgpb. gi Vrplijv Atdoqvrgua Fliflpboifa le rda@g`na. rda mlvr oqrdlpgrorgua Fliflpboifa giFdpgvraiblm. pauaonv rdor rda `g`ngfonnw xpldg`graboifgair xpofrgfa fonnab vlpfapw gv Xdopmocago giJpaac3 rda vxann-jgugij xlrgli lp bpqj lp xlgvli gvXdopmocli. oib rda zlpbv vlpfapapv oib

    bpqjjgvrv opa fonnab xdopmoclv lp xdopmocaqvgi rda Jpaac noijqoja) Daifa. rlbowv Xdopmocagolp xdopmofaqrgfon lp xdopmofw gv rda vlpfapw leoifgair rgma) Oifgair vlpfapw dov `aai paiomabxdopmofw oib xdopmofaqrgfon/

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    l Elqprd. rda @g`na gi uopglqv xnofav vxlca le rda augnliav $zlnuav' oxxaopgij gi vdaaxv fnlrdgij. daifa.flnlp zdgra -- zdgra fnlrdav. zdgra qigelpmv) _qavrgli;Zdl opa qvgij zdgra fnlrdav rlbow< Gi rda mabgfongibqvrpw< Gi pangjgli< Rdapa. wlq doua rda dgir) Jlbzopiab qv onpaobw rdor Voroi oib dgv vapuoirv oxxaop

    rl qv. ilr ov qjnw mlivrapv. `qr ov oijanv le ngjdr ovdoibvlma mai oib `aoqrgeqn zlmai zaopgij zdgraflnlpv/ Gm ilr vowgij baugnv G om vowgij vapuoirv leaugn3 daifa. lrdapzgva jllb xalxna foi `a vapuoirv lerda augn. zdai rdaw opa gi o bafaguab vrora. ilrcilzgij zdl rdagp movrap paonnwgv lp zdl opa rdaw opavapugij)

    l Egerd. Vlpfapw dov `aai xpldg`grab `w Jlb vgifa rda

    Lnb Ravromair rgma)

    Nau ?7;05 Sigu]" *Bl ilr aor oiw maor zgrd rda `nllb vrgnn gi gr) " *Bl ilr

    xpofrgfa bgugiorgli lp vlpfapw)Scku]Wa vdonn ilr aor oiw rdgij zgrd rda `nllb; iagrdap vdonn wa qva

    aifdoirmair. ilp l`vapua rgmav)

    l Iaz Ravromairuapvav li vlpfapw opa ojogivrvlpfapw$Xdopmocli,xdopmocago') Ge za jar giulnuab gi vlpfapw

    $xdopmofaqrgfon mabgforgli vwvram'. za zgnn ilr `avouab. `afoqva za rpqvr xlgvli. ilr Fdpgvr lp Dgv Zlpboib zow) Pauanorgli 7;0?3 ?4;063 0?;?. :-43 00;?2-?1)

    l Gi Za`vrap oib lrdap oqrdlpgrorgua bgfrgliopgav. wlqzgnn vaa rdor xdopmofaqrgfv. xdopmofaqrgfonv. oibxdopmofw opa bapguab eplm rda Jpaac zlpbxdopmocago oib gv baegiab ov rda qva le xlgvlivpaiomab ov bpqjv. qvab ov mabgfgia rl xplbqfa

    mojgf aeeafr) Za zgnn bgvfqvv rdava caw zlpbv dapapajopbgij Xdopmabgfgia lp Fdamabgfgia $fdamgfonmabgfgia'; rdapav rda xlgvli ovxafr. oib rdapav rdamojgf ovxafr) Zdor gv xlgvli< Gr cgnnv `qr rdapa oparzl cgibv le xlgvli; lia zdgfd cgnnv givroirnw lpgmmabgoranw oib rda lrdap cgnnv vnlznw. a)j). luap rdawaopv) Zdor gv mojgf< Mojgf maoiv dapa-rlbow-jlia-rlmlpplz. ramxlpopw. vdlpr-rapm. vdlpr-nguab) Vl. rda

    caw zlpbv zgrd rlbowv Xdopmocago,Xdopmocli opa;xlgvliv. bpqjv. mabgfgia. mojgf)

    l Rdava bpqjv lp mabgfgiav doua rzl aeeafrv; lia ovmojgf. rda lrdap ov xlgvli) Zdai blav lia rocavxnofa. oib zdai rda lrdap< Gr foi `a fpabgrab ov

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    Nqfgeapv jaigqv elp dougij oppoijab mojgf rl xpafabaxlgvli. oib ilr rda lrdap zow oplqib3 elp dobxlgvligij xpafabab mojgf. rdor gv. dob rdagp mabgfgiaxlgvliv qv gmmabgoranw givroirnw rdai. rdagpbafaxrgli zlqnb doua `aai bgvfluapab nlij rgma ojloib pavgvrab) @qr rdaw mqvr doua egjqpab gr lqr. a)j).

    moca rdagp mabgfgia xplbqfa mojgf $vaamgijdaongij aeeafr. elp rdor gv zdor rdagp xogi pangauapoxxaopv rl `a/' ov vdlpr-rl-mabgqm rapm. daifa.oxxaongij rl rda xalxna zdl gi rdagp gnniavv. waopi elpflmelpr oib pangae. rdai. xqr xlgvligij gi rda nlij-rapm $a)j). 68 rl 18 waopv'. daifa. bgeegfqnr rl barafr lpavro`ngvd o ngic `arzaai foqva oib aeeafr) Eplm lqpxapvxafrgua rlbow. gr gv ilz aovw rl vaa dlz bgb rdaw

    bl rdor rdaw vgmxnw xqr vmonnap blvav le xlgvli vlrdor gr zlqnb ilr vqpanw cgnn qv bqpgij rda vdlpr-oib-mabgqm poija le rpaormair/ Narv ilz bgvfqvv mojgf)

    MOJGF OV RDA _QGFC XOGI PANGAUAP. ilr rda paonfqpa le qibapnwgij bgvaova) Gi onmlvr onngivroifav. Xdopmabgfgiav bl ilr daon rda bgvaova.mapanw vgnaifa rda vwmxrlmv. a)j). pangaua rdaxogi) Rdgv gv lerairgmav mgvrocai `w rda ioua ov

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  • 7/30/2019 Need for a new, different Health Care Paradigm and System

    9/13

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  • 7/30/2019 Need for a new, different Health Care Paradigm and System

    10/13

    $`' eqrqpa ba`gngrorgij bgvaovav pavqnrgij eplm rda nlij-rapm xlgvligij)

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