A recent survey by Harris Interactive found that eighty-five percent of primary care physicians and pediatricians say unmet social needs are directly leading to worse health for all Americans. Only 20% of doctors feel confident or very confident in their ability to address those needs. Being a doc in the trenches for the last 17 years, I agree with this. This is just another reason why “quality” indicators are bogus because there is no solutions for doctors to use to fix the personal lives of their patients. This is common sense and one of the factors that hurt the No Child Left Behind Movement in education. The evidence keeps piling up against this type of payment model.