Thank you for bringing such issues to light! I’ve never heard of a hospitalist, and can only speak from a patient’s perspective, but yes, the broken medical system-as in broken up; separated. The left hand (specialists) neither know nor care what the right hand is doing. Like everything else in this country, our institutions and policies are cobbled together with too many “middle men” and not enough customer/patient care. It’s all about the $$. If the other doctors don’t get you, the politicians or insurance companies will.