ericjones12398 writes: If you haven’t seen the words “health care” in news headlines lately, you must be living under a rock. Health care reform, health care spending, Medicare spending, Obamacare; the list goes on and on. What I find most controversial among the latest research and news is an obviously flawed payment scale that undervalues primary care and overvalues specialty care. There is evidence suggesting that publicly funded health care spending (i.e., Medicare) has not based on primary health care needs. Rather, Medicare spending relies on a resource-based relative value scale (RBRVS) which promotes higher spending without evidence of better patient outcomes.