TY - CHAP M1 - Book, Section TI - The Medical Profession A1 - Burns, Lawton Robert PY - 2021 T2 - The U.S. Healthcare Ecosystem: Payers, Providers, Producers AB - Earlier chapters depict the centrality of physicians in the US healthcare ecosystem. There are many reasons for ascribing them this central role. Put simply, physicians control 85% to 90% of all personal healthcare spending, either directly (through their professional incomes) or indirectly (through their orders and oversight of others).1 How do they exercise such discretion? Physicians have a monopoly or virtual monopoly over most major decisions that drive healthcare spending. These decisions include: SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1180252914 ER -