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Special Communication
December 21, 1964

The Medical Center in a CommunityExcellence Requires a Competent Competition

JAMA. 1964;190(12):1056-1060. doi:10.1001/jama.1964.03070250038010
Abstract

A medical center can represent a combined annual operating budget that can exceed $25 million, and sometimes very much more. Employees can number from 6,000 to 10,000 and students in various categories can easily exceed 2,000. A medical center that has earned a reputation for leadership in medical education is a magnet for scientists and medical teachers from abroad who seek training opportunities and exposure to proven quality. Large numbers of patients will travel from a distance to a first-class center with a reputation for optimum treatment. All these visitors can make substantial contribution to a community's "economic health."

All communities assiduously seek industry to stimulate economic development. The large operating budget of a medical center is primarily spent on thousands of personnel, who in turn spend their money locally in the purchase and maintenance of homes, clothes, groceries, amusements, and all that can materially influence the local economy. Medicine

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