https://ajmcrr.com/index.php/pub <p><strong>Impact Factor 1.167</strong></p> <p><strong>American Journal of Medical and Clinical Research &amp; Reviews (ISSN 2835-6276) </strong>is an internationally reputed open access journal that aims to publish a Low, Education and Biological diversity Multisisciplinary Sciences journal wide range of topics within the field of general medicine, advanced medicine, and its related clinical practices.The journal seeks original research in all the major clinical and medical sciences in the form of research articles, review articles, case studies, commentaries, short communication, and the letters to the editor This peer reviewed journal publishes evidence based empirical research on a wide range of topics within the fields of general medicine that includes Cardiology, Nephrology, Gynecology, Dermatology, Dentistry, Ophthalmology, Orthopedices, Neurology and Immunology for publication. The journal lays equal emphasis on the advanced scientific research on pediatrics, Critical care medicine, Family Medicine, Epidemiology, and Geriatrics. Specialized fields within the Translational Medicine, Nursing, Epidemiology, and Healthcare are encouraged for publication.</p> <p>Research on the major clinical practices involved in the general and advanced medical practices including but not limited to oncology, HIV/Aids, Infectious diseases, Surgery, Internal medicine, Orthopedics, and Neurology finds a place in this scientific journal.</p> American Journal of Medical and Clinical Research & Reviews en-US American Journal of Medical and Clinical Research & Reviews 2835-6276 https://ajmcrr.com/index.php/pub/article/view/389 <p><em>Wherever humans interact, there is profit motive. Profit is generally considered monetary, but other objects of value can be considered profit, such as power, prestige, re-election (politicians), and physical objects, viz., A Rembrandt painting or Maserati automobile. In healthcare, the “profit” that end-users (herein called We the Patients) seek is readily affordable, medically timely health care.</em></p> <p><em>Given that profit motive is an inherent and therefore an unavoidable driver of human behavior, the following question is the focus of this report. Does the reward system in healthcare align with the desired outcomes?&nbsp; </em></p> <p><em>The alignment of rewards to healthcare outcomes is evaluated within stakeholder groups: providers, healthcare facilities, big pharma, insurance, government, and We the Patients (the public).&nbsp; </em></p> <p><em>The only stakeholder group with consistently aligned incentives is We the Patients. To make optimal use of the profit motive and thereby achieve desired healthcare (system) outcomes, behaviors of We the Patients must be rewarded. This can only be done when We the Patients have decision-making authority and are personally responsible. The way to achieve timely, affordable, quality medical care in the U.S. is called the Empower Patients Initiative, where financial and therefore medical control is restored to Americans.</em></p> Deane Waldman Copyright (c) 2026 American Journal of Medical and Clinical Research & Reviews https://creativecommons.org/licenses/by/4.0 2026-01-25 2026-01-25 5 2 1 6 10.58372/2835-6276.1369