From Freakonomics radio.
“Brenner: The major imperative for most organizations in health care is to get bigger and bigger and bigger. And money is like fertilizer. And the way you get bigger is getting more money, more market share, more customers.
DUBNER: Brenner believes that the practice of medicine has been subsumed by the business of medicine. The activities that are incentivized, he believes, aren’t necessarily good medicine; this doesn’t leave much room for doing something as basic, and helpful, as a doctor sitting down and talking with patients.