Given the current state of health care, I have imagined the following hypothetical conversation between a patient and a doctor: Patient: "Doctor, I've come to learn from reading somewhere that the current overarching goal in my care is for the signs and symptoms of my various conditions to be treated, but not the conditions or diseases themselves. Is this true?" Doctor: "Well, you know, I would love to treat those conditions and ...

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The "necessity-burden monster" are words of my own choosing, and does not reflect any authoritatively-stated or generally-accepted health care paradigm.  It is, for me, an apt summation for how the progressive stages of the administrative side of health care have become a degeneration to the original intention of keeping medical records: to assist in patient care. What it has undergone, particularly in the last twenty years or so, and when compared to the ...

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