Screening for poverty in the exam room isn't compassion; it's a bureaucratic alibi for policy failure.

The semantic shift from using the term:

"Social Determinants of Health (SDOH)"

to ↓

"Health-Related Social Needs (HRSN)"

effectively launders political inaction through clinical documentation.

By mandating Z-codes for homelessness without funding housing, Value-Based Care holds physicians accountable for outcomes they lack the authority to influence.

It begs the question:

Are we building a safety net, or just asking doctors to take the census of a collapsing one?

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