Physicians must take the lead in changing U.S. health care because efforts to reform the system that did not have the support of doctors have failed, according to Dr. Ezekiel Emanuel, chairman of medical ethics and health policy at the University of Pennsylvania. "You don't do, it ain't gonna happen. It's that simple," Emanuel said at the American College of Physicians annual meeting. He also said the only way to lower health care spending is to adopt a value-based payment model.

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