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The doctors were free to determine what particular type of care was needed and how much it would cost to provide those services. Cutler goes on to explain that as a result of practicing such a system, high tech care was more prevalent than less intensive care. Doctors saw this as an opportunity to capitalize on the higher cost of high tech care over the lower cost of less intensive care, therefore increasing their salaries substantially. This system is based more on the intensity of the service rather than the value of it. One positive outcome of practicing this type of healthcare was the incentives it created to develop and advance medical technology to what its current state is today, even though this system effectively gave way to that of managed care...
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