Unfortunately the entrenched attitude is do 'less with more'. There are ways through the challenges posed - but not 'around'. YMMV. Until patients pay direct

Unfortunately the entrenched attitude is do 'less with more'. There are ways through the challenges posed - but not 'around'. YMMV. Until patients pay directly for their care and have transparent pricing, I don't anticipate real innovation. (of course examples exist of innovation within the current system: Athena Health, One Medical, PracticeFusion, ZocDoc - but all of these took quite a lot of time and effort and funding to punch through the barriers noted in the article...so yes, it is possible, you are correct). That said the current (US) system rewards existing thinking and does not encourage efficiency and outcomes and patient satisfaction.