Ecology in Evolution

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Abstract
“Current discussions about medical care appear largely concerned with two questions: Is the burgeoning harvest of new knowledge fostered by immense public investment in medical research being delivered effectively to the consumers? Is the available quantity, quality and distribution of contemporary medical care optimum in the opinion of the consumers?” These sentences could have been written anytime in recent years, but they were the opening of an article entitled “The Ecology of Medical Care” that appeared in the Journal in 1961.1 Its quantitative description of the way in which people in the United States and Britain seek and receive health . . .

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