title: Making change.
authors.forename: J W
authors.initials: JW
authors.lastname: Freeman
mesh_terms: D015510:Clinical Medicine / Q000592:standards / Q000639:trends*; D018166:Health Care Reform / Q000592:standards / Q000639:trends*; D006801:Humans; D010818:Practice Patterns, Physicians'; D013023:South Dakota; D014925:Wit and Humor as Topic