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July 11, 1990

The Medical Triangle

Author Affiliations

Boston University Medical Center

Boston University Medical Center

JAMA. 1990;264(2):267. doi:10.1001/jama.1990.03450020119042

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Eli Ginzberg has been commenting on the health care scene since the 1930s. This book, which is a collection of essays written since 1985, demonstrates that his knowledge of American medicine is broad, his opinions are pointed, and his pen is facile.

The general perspective of these essays is quite current, but because the essays were written two to five years ago, certain details are already outdated. For example, Ginzberg discusses a recommendation by a national committee to the federal government to stop paying for graduate medical education by 1986. Although there has been a decrease in the amount of reimbursement, this recommendation has not (yet!) come to pass and is not under active discussion. He reviews a related proposal to pressure physicians into primary care by eliminating support for subspecialty training, which was, in the event, resolved by a compromise for limited support of subspecialty education.

Ginzberg boldly makes