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Health care shift will stress system

Quality. Service. Cost. Pick any two.

Dr. Robert Pearl is reminded of that business mantra when he thinks about the dysfunctional state of much of America’s health care system today. The leader of Kaiser Permanente’s 7,000 physicians in Northern California – the nation’s largest medical group – shared his thoughts on health care reform with about 100 leaders of San Joaquin County’s medical and education communities last week at the 10th annual, invitation-only Community Health Forum at University of the Pacific.