Reimbursement is a major determinant of how medicine is practiced. When reimbursement changes, so do medical practice and medical education.

Bureaucracies tend to perpetuate themselves, whether they are multinational corporations or large government institutions such as Medicare, often at the expense of those that they are supposed to serve.

Concepts such as 'risk factor modification' and 'prevention' are often considered boring and they may not initiate or sustain the levels of motivation needed to make and maintain comprehensive lifestyle changes.

Dean Ornish Quotes