Abstract
A recent paper in the Journal drew attention to "the new medical-industrial complex" in the United States.1 It set forth the great growth of the private profit-making enterprise in the provision of health-care services and pointed to some problems inherent in that development. This paper describes yet another element — the role of private for-profit enterprise in financing the construction and renovation of hospitals — and points to the effects of this role on hospital planning, operations, and costs.Up to the middle 1960s, philanthropic contributions were the largest source of capital for community hospitals. In addition, many hospitals were . . .
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