Edited by Henry J. Aaron. 110 pp. Washington, D.C., Brookings Institution Press, 2001. $38.95 (cloth); $15.95 (paper). ISBN 0-8157-0236-1 (cloth); 0-8157-0237-X (paper).
The Future of Academic Medical Centers sets forth the oftendivergent opinions of the nation's top experts on the destinyof academic medical centers. One opinion, the most pessimistic,was echoed by one of our colleagues who saw the title and commented,"Must be a thin book." Indeed, since the early 1990s, academicmedical centers in the United States have had to face unprecedentedpressures, which may threaten their very existence. These includescaled-back Medicare payments, the squeeze of managed care,a disproportionate burden of the care of the uninsured, therising cost of medical technology, and decreasing hospital-bedoccupancy . . . [Full Text of this Article]
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