"Change is the law of life. And those who look only to the past or the present are certain to miss the future."—John F. Kennedy, June 26, 1963Physiatry is at a crossroads. We may shortly find that we cannot rely on traditional care structures such as inpatient units, consultancies, and interventional procedures if we are to thrive in a world of value-based care. Pressures on costs, centralization of patient flow, outcomes reporting, and systemic consolidation will all necessitate a new approach.
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