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Wednesday, March 09, 2016

Medicine Moral Ethos

Era 3 for Medicine and Health Care FREE ONLINE FIRST

Donald M. Berwick, MD, MPP1
JAMA. Published online March 03, 2016. doi:10.1001/jama.2016.1509
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Constant conflict roils the health care landscape, including issues related to the Affordable Care Act, electronic health records, payment changes, and consolidation of hospitals and health plans. The morale of physicians and other clinicians is in jeopardy.1
One foundational cause of the discord is an epic collision of 2 eras with incompatible beliefs.


Era 1 is the era of professional dominance. Era 2 is the era of accountability and market theory. Let era 3 be the moral era. Era 1 enthusiasts will find that prescription abrasive. Era 2 devotees will find it naive. But the discord is not helping clinicians, communities, or patients. Without a new moral ethos, there will be no winners.

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