Source: Journal of the American College of Surgeons — February 5, 2025
James K. Elsey, MD, FACS

During 44 years of active surgical practice, I have witnessed numerous, significant, and onerous progressive changes that threaten the quality, safety, accessibility, and affordability of medical care in this country.

It has evolved into a highly corporatized system controlled by a decreasing number of increasingly powerful conglomerates where profit is often the main metric of performance and success. The stark realities of this dark devolution create daily difficulties for patients trapped in this harsh and inequitable system.