Stefani Daniels: “Health care reform is a complex issue and the hospital industry an entrenched culture resistant to any major change. Hospital executives and boards of directors are loathe to restrict admitting privileges to any community physician for fear of drying up the referral stream of patients, which is, after all, essential for the hospital’s survival. The hospital is only a structure housing the resources needed to care for the seriously ill patient. It is the people, primarily the physicians, who drive costs and influence the quality.”
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