Cynthia Stamer, JD writes in:
At the heart of this problem is the perception that anyone other than a doctor should be the medical home. All the data and statistics in the world cannot replace the knowledge that comes when a physician knows a patient. The distraction of the patient physician relationship not only is a huge driver in the loss of quality care and increase of cost it is also at the heart of some of the most significant maladies we currently face such as opiate dependence see in mental health challenges. Until we make the doctor the medical home and restore some continuity to the physician patient relationship we will still be playing healthcare Russian roulette.