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These are good tips for healthcare workers who are receptive to change. In my experience as a nurse in a primary care clinic environment, some providers would prefer that patients that make the clinic workflow difficult (thus affecting smooth schedule operation, and possibly RVUs, if more time accommodation is necessary) not return to their practice. Do you have recommendations for patients who suspect that this is the case?

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Thanks for pointing this out Claire, I want to give it some thought and I'll create a separate newsletter about it if that's ok?

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Yes, definitely. I should have put "difficult" in quotes to indicate my disapproval of this tactic. I know that physician burnout and decision fatigue contributes to discrimination against patients, and makes providers less compassionate. I see the perverse incentives and systemic problems of the healthcare system, but recognizing these problems is kind of a patient advocacy dead-end. I'm very interested in your expertise on effective self-advocacy within a problematic practice/healthcare system.

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