Never before have so many Americans been so aware of our healthcare system's two most glaring defects -- its inability to restrainrunaway medical expenditures and its failure to provide basichealth care for all citizens. Strangely neglected in the currentdebate over reform is any acknowledgment that a major causeof both these problems is the uniquely skewed distribution ofour physician work force among specialties. Yet physicians drivethe runaway engine of health care costs with their decisionsabout patient care, and their specialty training markedly affectsthose decisions. In fact, any effort to control costs or . . . [Full Text of this Article]
References
Related Letters:
Physician-Payment Reform
Miller J. J., Kaufman J. L., Ginsburg P. B., Hogan C., Glaser D., Von Gunten C. F., Hsiao W., Dunn D., Verrilli D., Schroeder S. A., Sandy L. G.
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Full Text
N Engl J Med 1993;
329:808-810, Sep 9, 1993.
Correspondence
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