Health care an ice cream treat/challenge of a senescent society. Primary care, in particular,is inherently inefficient.

"Peter Orszag, the initial director of the Office of Management and Budget
under President Obama, admonishes Americans that we are in financial
trouble today because each of us consumes too much health care, as
though it were an ice cream treat. We gorge on a large or extra-large measure
of medical care, rather than show some restraint and order a small or
medium portion. This tasty dessert analogy superficially seems plausible,
given that morbid obesity has recast the shape of modern man."

 our society is in "greater need of ready access to good primary care than ever
before. The notion that health care for a sick and aging nation somehow
can be streamlined and economized (faster, better, and cheaper) is quite
naive"
Primary care, in particular,is inherently inefficient. Because it is relational, good primary care takes
time. Complex matters, convoluted family dynamics, and critical health
decisions must be addressed in the context of a continuous, supportive,
and trusting physician-patient relationship that is the polar opposite of
fast food.

"A physician-patient relationship thrives in a socially rich environment;
it withers when market-style interactions supplant the social and care
devolves into a pure business transaction metered by the minute (Hartzband
and Groopman 2009)."