Healthcare in America Has Problems. What’s Wrong and How Can We Change It?

“Achieving the Quadruple Aim of Medicine” considers healthcare reform released from many traditional bonds. Dr. Paxton has navigated the American healthcare system for 44 years as a general internist. This book offers thoughtful and well-founded remedies to four main problems in healthcare: financial failure, physician burnout, patient experience, and our approach to population health. As a centrist, Dr. Paxton finds common ground with both the liberal and conservative perspectives. While physicians do not consider these four aims in their daily clinical practice, our policy makers should consider them as intertwined. The author criticizes our current structure of multiple overlapping hierarchical silos as wasteful, and the incentives as misaligned. By emphasizing financial success, we embarrassingly underperform.