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Editorial
May 10, 2000

The Plight of Academic Health Centers

Author Affiliations

Author Affiliation: Dr DeAngelis is Editor, JAMA.

JAMA. 2000;283(18):2438-2439. doi:10.1001/jama.283.18.2438

The plight of academic health centers (AHCs) in the United States is the plight of the health of our citizens. What occurs in our academic centers affects the education and training of physicians, nurses, and other health professionals; influences future medical research and discovery; and ultimately affects patient care throughout the United States and, in many ways, the world.

This issue of THE JOURNAL presents 5 commentaries on this subject written by some of the United States' outstanding leaders in medicine. Pardes1 outlines many of the reasons why academic health care is in peril. These include the financing of medical service under managed care; the role of AHCs in a marketplace environment; government cutbacks affecting medical education; decreasing numbers of medical school applicants; and the frustration of leaders of AHCs, who find it impossible to continue their clinical, education, and research missions in an overtly hostile financial environment.

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