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Previous Volume 341:299-304 July 22, 1999 Number 4

	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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With many academic medical centers reeling from the combined financial pressures of managed care and the Balanced Budget Act of 1997, their advocates have descended on Washington seeking relief. They stand a reasonable chance of winning some relief from Medicare's largest reductions in expenditures for hospitals in the program's history, but it is almost certain to fall short of what they are seeking. Moreover, longer-term questions will continue to plague these institutions, because the federal government is divided over how and at what level it should support graduate medical education and care for indigent patients in a market-oriented health care . . . [Full Text of this Article]

Medicare's Uniquely American Social Contract

The Balanced Budget Act

The Slowdown in Medicare Spending

The Challenge Facing Teaching Hospitals

Medicare and the Marketplace

Variations in Medicare Payments for Residency Training

Conclusions

References

Related Letters:

Support for Academic Medical Centers
Raske K. E., Alam M., Iglehart J. K.
Extract | Full Text  
N Engl J Med 2000; 342:980-981, Mar 30, 2000. Correspondence

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