International directory enquiries spironolactone 25 mg tablet picture If you are tempted to say âpatient care,â then be aware that what you have just described is also known as âa doctor.â If you want to say âhealth-care-delivery systems,â then what you are describing is an administrator at a large group practice or a hospital group -- or perhaps an actuary at a health insurer. Any member of any of these groups will have an obvious conflict of interest. Compose a committee of representatives of multiple groups, and thereâs a good chance theyâll collude to raise all of their reimbursements.