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Your family doctor is exhausted. Patient care has broken down into hurried, isolated visits. There are more patients, more paperwork, less time and less pay. Blame the payers, blame the legislators, blame the specialists orradically restructure the system all the way down to its foundation. Rectify the purpose of primary care through deep system changes. CareOregon, a non-profit managed Medicaid plan in Portland, Ore., with 100,000 members, has methodically begun to do just that. This small
