An Attack on the Medical Establishment Buried in an 1,800-Page Regulation

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If approved, a new rule could end the entrenched pay advantages for specialists like surgeons over other doctors.

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Those working in medical specialties that would benefit from the change were also positive. “We’re producing a lot of expensive health care services, and I think we need to try some new ideas to produce health,” said Ann Greiner, the chief executive of the Primary Care Collaborative. “This proposed rule is moving us in that direction.”

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