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Previous Volume 336:1762-1763 June 12, 1997 Number 24 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: As the great academic health care centers of the United States respond to a marketplace increasingly driven by finances, in which the cost per unit of service becomes the key measure of interest to managed-care organizations, there is concern that our long-standing commitment to teaching, research, and care for the uninsured will be eliminated. Mergers between academic medical centers, motivated by declining revenues and market share as a result of the centers' high costs, create understandable anxiety among academic leaders, given the difficulty of quantitatively assigning value to these public goods.

The proposed merger between the New . . . [Full Text of this Article]

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