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The document also described "intra-cultural differences" by stating, "Besides these differences, we need to be aware of clashes and rivalries among Hispanics of different origins. Not all Hispanic groups are alike and not all Hispanic groups get along well."
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Patient engagement has been dubbed by some experts as the next "blockbuster drug," and shared decision making is seen as the pinnacle of engaging and informing patients. "It is perfected informed consent," says Ben Moulton, senior legal advisor with Boston's Informed Medical Decisions Foundation. Research shows big benefits in the approach, yet shared decision making rarely occurs today. Maine, Massachusetts and Minnesota are among a handful of states that have urged or advanced shared decision making, and in 2007 Washington State enacted a law requiring it, but even though the Affordable Care Act aims to boost shared decision making, those provisions in the health care law have largely been gone unfunded.
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