By 2025, patient-doctor relationships and health care delivery will look radically different than they do today, according to the Institute for Alternative Futures.

Working with more than 50 national health care leaders, the Institute for Alternative Futures, a nonprofit think tank based in Alexandria, Va., has created four scenarios to show what primary care might look like in 2025.

Clement Bezold, the institute's chair, says the organization's projections reflect how primary care may be shaped by factors such as a slow economic recovery or another recession, federal debt, an aging population, unsustainable health care costs, pressure for cuts in Medicare and Medicaid payments, an explosion of information available through the Internet and social media, and "empowered, motivated consumers."

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