Abstract

Growth of the health industry, greater expectations of health care associated with a raised standard of living, and increased conflict between the desire to foster the free enterprise system and the perceived need to control part, if not all, of the industry are now the concern of the surgeon. He who has accepted rapid change in past decades in the surgical and biomedical tools available in the treatment of his patient must now adjust to a wave of change that will modify the very system of care in which he practices. He is aware that not only will methods of practice, single versus group, change but that methods of financing, increasing regulation, peer or governmental review, and possibly federalization of the system are in the wind. He knows that other countries have faced these issues and adopted new systems of health care, but how can he obtain factual information of

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