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hello this is dr eric bricker and thank you for watching a healthcare z todays topic is fee for service as a public health threat now im about to make 90 of doctors in america hate me i might even make a lot of my doctor friends hate me but thats okay because this is important all right so fee for service oftentimes abbreviated ffs is and creates incentives and biases that are just bad lets just take that as a given okay now the mayo clinic does not have its positions on fee-for-service it has them on salary w.w mayo who founded the mayo clinic knew this back in the 1800s johns hopkins where i did my residency has its physicians on salary as do the majority of academic medical centers in america the cleveland clinic is the number one heart hospital in america the head of the cardiology department at the cleveland clinic is a dr steven nissin he is one of the most famous cardiologists even doctors in america if we work in healthcare we have to know who dr steven nissen is and there