America is often seen as coming a little late to perioperative practice. However, that's a picture which is now changing for the better, thanks partly to many of the people you have heard here on TopMedTalk.

This piece asks where they are now and where they need to be in the future. Is it true to say that the US system is in the midst of a rapid change? Can consumers of healthcare make reasonable choices regarding value based care? Is the 'fee for service' aspect of America something which a perioperative practice can expect to easily work with?

Presented by Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology.
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This piece was originally part of a wider discussion regarding global perspectives on perioperative medicine; it works here as a stand alone talk. Keep an eye on TopMedTalk for the Australian, UK and global perspectives.