At this point, through numerous conversations with colleagues both within the firm and outside, Adam had narrowed his potential sector choices to media, provider-side healthcare, non-profit consulting, and government.

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The layers of middle-men between a consumer of healthcare and a provider are manifold.

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Addenbrooke's is working with healthcare provider MediHome to provide some patients with acute follow-up care "in the comfort of their own homes".

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No healthcare provider wants to be in the crosshairs of regulators, the media, or ambulance-chasing lawyers.

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For all the talk of health care stocks sickening in the wake of Obama Care, health plan providers have held steady, evidenced by the iShares Dow Jones U.S. Healthcare Provider ETF (IHF) trading at the same level as it was in mid-March when the health care reform bill was passed.

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It has created an ever expansive footprint for government, disintegrated the provider-patient relationship, and suspended the operation of the free enterprise system in healthcare.

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As an increasing number of doctors and healthcare organizations experience Open Notes and see the benefits being self-evident, it will spread to the rest of the provider community.

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