Abstract
Almost every year, a Private Sector Conference is held at Duke University Medical Center in Durham, North Carolina. This gathering brings together a group of physicians who direct academic health centers, professional associations, and medical journals, together with selected managed-care executives, health policy analysts, and other stakeholders in health care. This year's conference, the 20th of its type, was held March 16 to 18 and was entitled “Beyond Managed Health Care: The Role of the Academic Health Center.” It concluded that the competition inherent in the new market-driven system has only begun to squeeze the excess capacity of providers, reduce . . .

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