"The payment system penalizes good care"

The incentives are all wrong. More on why physicians don’t email patients:

Patients want access outside of the office and want their physicians to spend time with them when they do come in. How are doctors rewarded for meeting these desires of our patients? Less pay. There will never be widespread adoption of technology when adoption of that technology harms those involved. Not even by physicians like me, who actually like the technology and value patient opinion.

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