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Joanne M Bargman MD FRCPC

The culture of widespread cheating is an inevitable outgrowth of arbitrary targets put into place by CMS and related organizations, especially when achievement of those targets is tied in with financial reward.
As I said in my talk in New Orleans, I believe that the Large Dialysis Organizations collective hearts are in the right place, but the target-based system will inevitably trump good patient care.
I have been a consultant or spoken for all of the large and not-so-large dialysis organizations. I don't know why Mr. Peterson singles out DaVita, and tries to conflate the fact that I have spoken for them with the assumption that the cheating I described came from that particular organization. Indeed I canvassed far and wide for the examples of cheating and they came from all parts of the American dialysis landscape.

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