Abstract
THE well publicized revolution in medical care is widely understood to be a product of the explosive changes in science and technology. The more cautious revolution in financing, which has accompanied it, is in some quarters suspiciously regarded as a vulgar machination of bookkeepers, or a political contrivance or perhaps even a dark plot. The interdependence of both revolutions (I am acceding to common jargon, for actually both were painful evolutionary processes) as well as the impersonal character of their sources should be self-evident. Both were inescapable. Few but the more sentimental and nostalgic would claim that the net advantages . . .

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