From the Board of Governors, New York Academy of Sciences, New York, NY.
OF THOSE WHO practice the profession, there are few who do not decry
the state of medicine. Not only are wrenching changes percolating through
all aspects of medicine, but the changes also are diminishing physician autonomy
and authority, threatening the educational structure, and forcing alliances
that often seem to be pacts with the devil, disguised as the contract officer
of a capitated, for-profit managed care company. How then can anyone claim
that this is the proper path for the beleaguered profession to embark on?
While it helps to have a bent toward contrariness, the characteristics that
foster such a view are the ability to become detached from individual circumstances
without losing the perspectives of a physician and the ability to look long
Greenberg HM. American Medicine Is on the Right Track. JAMA. 1998;279(6):426-428. doi:10.1001/jama.279.6.426