While medicine has become more advanced and specialized, it has also become increasingly fragmented. For people is hard-to-diagnose conditions, that's another obstacle to care.
The CAHPS survey is required by the federal government for many health care facilities, and the hospital version of it is required for most acute care hospitals. Low scores can induce financial penalties, and hospitals reap financial rewards for improving scores or exceeding those of their peers.
America has the providers, the science, the drugs, the diagnostics, and the devices needed for outstanding patient care. But the delivery of care is dysfunctional at best and far too expensive.
