Abstract
As the millennium approaches, the health care delivery system in the United States remains in a period of transformation. The commercialization of medicine has challenged the professional dominance of physicians.
Highlights
MSJAMA is prepared by the MSJAMA editors and MSJAMA staff and is published monthly from September through May
United States remains in a period of transformation
The Commission was istration believes that to be effective in addressing the needs charged with recommending steps to ensure health care of patients and providers, patients’ rights legislation should quality and to protect consumers and providers in the health include a number of basic criteria (TABLE)
Summary
All submissions must be the original unpublished work of the author. Address submissions and inquiries to: MSJAMA, Jonathan H. Corporate organizations emerged under the assumption that the principles that defined US industry were applicable to health care. They offered efficiency through vertical and horizontal integration. Organizing provider services into competitive networks resulted in the lowest rate of health care expenditure growth in seven years: 4.4%.1. Because physicians have a virtual monopoly over medical practice, they can exert enormous influence. This includes the right to define what constitutes a disease and how to treat it.[2] overuse of resources became a primary cost-driver. Managers were required to intercede in treatment decisions to control spending
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