Abstract
Recently, a task force on academic health centers, appointed by the Commonwealth Fund, has offered a "prescription for change" with a laudable goal — "to preserve the functions of academic health centers for the future" in the United States.1 The first report of the task force deals with graduate medical education and responds primarily to what is currently perceived as an excess of medical and surgical subspecialists in practice and in the pipeline. The task force argues for a voucher system that would restrict reimbursement for graduate medical education to three years for pediatricians and internists and five years for . . .

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