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Diagnosis and Peer Review in mental health is uncertain and difficult because the diagnostic manuals are not based upon science. Politics and money have involved a variety of stakeholders other than the patient who needs treatments and cures. Integrity is sometthing that is hard to preserve in the face of corporate politics and the pressure to build and maintain revenue streams. The electronic medical record serves billing and issues other than patient care. The electronic medical record and billing issues cause errors and burnout among health care providers.
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