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A reader writes that defensive medicine now is included in the training doctors receive and is considered the standard of practice, making it difficult to eliminate from the culture of medicine.

A reader writes that the American Board of Medical Specialties is anti-competitive and wields too much power over the medical profession.

An executive with the Commonwealth Fund believes that moving the U.S. healthcare system beyond fee-for-service payments requires three essential elements: the carrot, the stick and the muscle.

Despite complaints about Medicare's shortcomings, the vast majority of office-based physicians continue to accept new patients covered by Medicare. Similarly, most Medicare beneficiaries are satisfied with their access to medical care.

A new policy paper from a research group affiliated with the American Academy of Family Physicians suggests that more NPs and PAs may not be ready to step in for primary care physicians to relieve the shortage. The reason? Just like doctors, NPs and PAs may increasingly be seeking subspecialty careers that come with better pay and less hassle.