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Physicians vs. Administrators

Re: The strange economics of our US Health System.

Dear colleagues,

Enclosed is a repost of a graph posted by Dr. Stefano Bini on LinkedIn. I’m sure he won’t mind me using it here as it has been used many times by others.

Simply put, there is a huge imbalance between the growth of Healthcare Administrators and Physicians. This reflects the overall trend of Mergers and Acquisitions, so healthcare organizations are tending to become larger and larger. The odd thing is that if for profit organizations were run this way, they’d never produce value for shareholders as client-facing employees generate the revenue for companies.

I am also enclosing an article which shows that while institutional payments are rising, physician payments are falling.

For those who are interested in this distressing trend, I’ve posted several additional articles on the Codman Shoulder Society blog and here are the links:

Lastly, I hope you can attend both the 40th anniversary Meeting of the San Diego Shoulder Institute and the 8th Annual Codman Shoulder Society Meeting.

Best Regards,

Jon “JP” Warner MD

Founder, The CSS

Instructions for RSVPing for the meeting: Please email Dr. JP Warner (, Argen Omurzakov (, and Michael Navarro ( with the information below if you plan to attend our annual meeting:


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