The following link is to a lengthy presentation by surgeon and author Atul Gawande which is well worth watching. You may want to skip over the first seven minutes or so which includes the introduction of Dr. Gwande to the audience at Cleveland Clinic.
One hour and one minute into the presentation he responds to a question from the audience regarding the future of healthcare delivery in the United States and says that, in his opinion, the prospect of who is going to lead the way forward is being battled now among three kinds of players. They are the insurers, the physician groups and the hospitals. He believes that it is the physician groups that are most likely to lead in making the changes necessary to address our nation's healthcare needs.
Begin at the one hour mark. Atul Gawande addresses the question of who will lead the way forward and survive in the new policy and market realities.
This post was edited on August 29, 2012.