More Specialists Are in Your Medical Future

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According to a new study, doctor visits that result in a referral to a specialist have grown by 159% over the past decade. Suzy Khimm summarizes the reasons for us:

The big question is why doctors have become more likely to send their patients to specialists. Part of the answer, Landon finds, has to do with health care becoming more complex, with new technology that demands more speciality care. Physicians have also found themselves with more preventive tests and screenings to handle, which may cut into time to deal with other issues. And, part of it likely has to do with the economics of referrals: Doctors who have an ownership stake in their practice are 50 percent more likely to refer to a specialist, which would increase the total revenue generated by a given patient.

There’s not much we can do about the fact that medicine is becoming increasingly complex. That’s likely to just get worse. But the financial incentives for referrals sure seem ripe for reform. Obamacare makes a stab in this direction with its pilot program for accountable care organizations, but there’s no telling yet if it will have a significant impact. Stay tuned.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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