Practicing Medicine in the New Business Climate

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Abstract
Health care is becoming a business. Pressures from insurers and third-party payers for containment of costs, the growing presence of investor-owned health care corporations, and competition for market share among our overbuilt and underused hospitals are transforming the U.S. health care system into an industry. Even many of the supposedly not-for-profit voluntary hospitals have begun to behave like profit-oriented businesses. Meanwhile, the overburdened and underfunded public hospitals struggle to survive. This transformation is being encouraged by the Reagan administration, which believes in the privatization of most social services, including medical care, and considers a competitive market to be the best . . .

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