"Denn wer erneuert, macht sich alle zum Feind, die aus der alten Ordnung ihre Vorteile zogen. In all jenen aber, denen die neue Ordnung nützen würde, findet er nur lasche Verteidiger."
"In truth, the physician reimbursement system is not meant to be understood by mortal man. And that’s the point. It turns out that this incomprehensible physician reimbursement system was set on its current path by one simple desire: to force doctors to covertly ration healthcare."
"A few years ago I realized that my bonus, based on my "quality" management of diabetes, was compromised by the poor quality of my patients. I then dismissed many of the alcoholics and non-compliant (more correctly, I maneuvered them to dismiss me -- much less hassle); and my bonus scores have greatly improved. I thought I was clever, but I've come to believe that this is exactly what the the network, the insurance companies, and the gov't, wants me to do."