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Article
July 1990

Somehow We Have To Stop the Train WreckPart 2

Arch Otolaryngol Head Neck Surg. 1990;116(7):777-778. doi:10.1001/archotol.1990.01870070025003

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Abstract

Last month, we reviewed the beliefs, conclusions, and problems that are looming large on the horizon of medicine and in our daily lives. We noted the powerful forces for change in our health care system (patients, government, and corporations) and drew the analogy of trains that appear to be speeding toward each other on a collision course. This month, we want to look into the future in the hope of anticipating problems and in search of possible solutions to avert the "train wreck."

Future Problems We Can Predict  Although prediction is far from an exact science, if one takes a close look at today's trends, projection of current events into the future is not a pretty sight in many areas. Major areas of concern for the future are the following.

  1. Medicare reimbursement reform will advance, and we can expect further decreases in reimbursement.

  2. The regulation of physicians will

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