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July 1992

Medicine in the NinetiesExpectations, Priorities, and Realities

Author Affiliations

From the Department of Surgery, William Beaumont Hospital, Royal Oak, Mich.

Arch Surg. 1992;127(7):766-769. doi:10.1001/archsurg.1992.01420070018005

For medicine in the nineties, the news is good and bad. The good news is that the financing of medical care has finally become a recognized political issue. Sadly, that is also the bad news; and it is very bad. I use the word "recognized" deliberately because political analysts have only recently decided that it is an issue of sufficient strength to merit inclusion in political campaigns. It has obviously been a political issue since the passage of two important legislative acts: (1) the 1965 law that created Medicare, and (2) the 1963 law that provided federal funds to double the number of medical school graduates and increase the number of schools by 50%. Physicians enjoyed the benefits of this legislation almost as much as those whom it was intended to help. In fact, we used the Medicare legislation to accelerate progress on social and technological fronts: access to care

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