worse than good primary care finds Darthmouth 2008 study of 4.732,448 medicare patients at thousands of U.S. hospitals. Study if due to be published in Jama and was in this months consumer report magazine. http://www.consumerreports.org/health/doctors-hospitals/hospital-care/aggressive-medical-care/overview/aggressive-medical-care-ov.htm Darthmouth researchers found thatn patients with serious conditions who are treated in regions that provide the most aggressive care with most tests and procedures, see the most specialists don't live longer or enjoy a better quality of life thatn those who recieve more conservative treatment. Patients treated most aggressively are at increased risk of infections and medical erros that come from uncoordinated care. In addition they recieve poorer-quality care , spend more money on co-pays, ad are least satisfied with their health care. The study noted the dangers of over-reliance on specialists. Looks like it's time to reinvest in primary care and get this specialist oriented medical system train off the tracks.