[icegreentea]

It's worth noting that many developed world's medical systems have a problem with the acute-chronic gap. Remember that pretty much all systems grew out of acute care - as a result, nearly all of them are quite good at it. But one of the problems with increasingly good acute care, as well as general increase in public health is the rise of chronic care issues.

The sheer inefficiency and ineffectiveness of America's chronic care is not alone. Here in Canada, it's pretty clear that our system strains when put up against chronic care.

There's certainly a lot to fix, but as you've pointed out, doctors are a huge component in the current system that has the change. This points to the fact that somehow we need to engage and get buy in from them.

One of the things that I'm always wary about when reports like this come out is that while they present a wonderful opening into engaging with current stakeholders, it's also very easy to put current stakeholders on the defensive, and have them quickly adopt a us-vs-them mentality, something that certainly is not conducive to change.