A Look at Ourselves

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Abstract
IN previous decades the intricacies of the American health care system were largely irrelevant to a physician's day-to-day work and were easy to ignore. But not today. The progressive decline in doctors' independence and public esteem, the increasing burden of utilization review and paperwork, and the frustration of trying to provide care to uninsured patients are daily reminders of the chaotic structure and function of our system. Despite the large number of health care plans proposed in this election year, it seems virtually certain that none will succeed in dealing effectively with uncontrolled costs, inadequate access, and dispirited physicians.Given . . .

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