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May 16, 1990

Family Practice

JAMA. 1990;263(19):2643-2644. doi:10.1001/jama.1990.03440190099051

The 1980s concluded with notable developments in a number of areas that are critical to the advancement of primary care in general—and family practice in particular. Major issues pertinent to family practice last year included passage of Medicare physician payment reform and development of student interest initiatives. Other areas of relevance to family practice are concerns about mandatory generic drug substitution for certain patients and illnesses and improving access to medical care through health insurance.

During the past decade, public sentiment has been kindled for some sort of national plan to guarantee universal access to medical care (Wall Street Journal. June 30, 1989:B1).1 This is a conviction shared by organized family practice, which has proposed a plan designed to ensure universal access to medical services through a combination of employer-provided insurance and expansion of public programs. Employers with fewer than a legislatively specified minimum number of employees would be