Until relatively recently, primary care was a neglected facetof the modern U.S. health care system, obscured by the shadowsof the citadels of specialty medicine. These lofty icons ofAmerican culture were richly furnished with the latest technologythat an affluent society could afford, that a public entrancedby biomedicine could desire, and that imaginative, well-intentionedphysicians could devise. Between 1950 and 1990, the number ofspecialists per capita tripled in the United States, while thesupply of primary care physicians declined.1 The humble generalpractitioner in fraying tweeds became a second-class citizen.Subspecialists such as invasive cardiologists, slipping . . . [Full Text of this Article]
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