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Previous Volume 335:1920-1922 December 19, 1996 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Mr. Kuttner has written an illuminating two-part report on the for-profit hospital business, highlighting the dominant player in the game, Columbia/HCA (Aug. 1 and Aug. 8 issues).¹ He correctly points out that not-for-profit hospitals, including university medical centers, are also changing the ways in which they operate. Chief executive officers and boards of directors of university medical centers are ever more mindful of their own bottom lines, mainly because they now have to compete with nonacademic players for the "covered lives" out there. It is understandable when Columbia/HCA puts medical education and research low on its list . . . [Full Text of this Article]

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