Just when you thought American healthcare couldn’t get worse, our genius leaders have decided to couple full and immediate patient access to medical notes with frequent patient surveys about their doctor’s visits. Did a patient request unnecessary antibiotics and you refused? Ouch, that’s going to hurt your survey results and possibly impact your future earnings. Oh also, they read through your visit note and saw that you added “obesity” to their problem list since their BMI puts them in that category and you wanted to make sure they were screened appropriately for diabetes and heart disease at their next visit. The patient finds this very offensive and has requested to meet with the practice manager about the situation.