1 . ACOs are not worthless , they just haven ' t had time to become profitable yet . It takes time to pay off expensive IT startup and to build interoperability . 2 . Can you define untangle MDs ? Documentation is too important and is surely not menial . Efficient documentation leads to better communication among providers , avoiding repeating tests , better pt . outcomes , ect . <| sep |> I am assuming he is not communicating with them at all . That ' s fair . You don ' t believe in God . So why would you think He is communicating ? You could just stop there . If you continue though , you ' re going to have to either argue on the grounds that if God exists , then you can talk about communication with Him . Otherwise you ' re not having an honest debate . So , if God exists , He may be communicating with you right now , but you ' re not in a place to hear what He is trying to say . I ' m not trying to say I know how God communicates . I ' m trying to say that God could be communicating in a way that invalidates your logic . It is entirely possible that you can ' t hear God ' s voice under some conditions . This does not lessen God ' s power , it means that He is refusing to impose His will on others . If this is the case , and you have no reason to think it is not , then your logic is invalid . I believe it to be true because so many other people have said that this is what they experienced . I have read many more stories of people who talk about hearing from God all the time . Anecdotal reports are not really all that valuable in this kind of discussion , would you not agree ? . or maybe you can avoid this question by sticking your head in the sand . Why do you have to go here ? This is exactly why trying to have an honest discussion in these places goes all out of whack . Thanks for being such a nice person and fostering great conversation .