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January 29, 1968

Medicare and the Hospitals: Issues and Prospects

JAMA. 1968;203(5):370. doi:10.1001/jama.1968.03140050054023

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"The paramount problem of US medical care is the need for more productivity brought about by structural changes in the practice and organization of medicine." This is the most subtle, but the most significant message of Professor and Mrs. Somers' new book entitled Medicare and the Hospitals. It is most subtle because it is not the purpose of the book to advocate a reorganization of the health care industry. It is most significant because the topics covered, if followed to their logical conclusion, point to reorganization as a strong contender among the alternatives for curing the ills of the industry, particularly the hospitals.

Medicare and the Hospitals covers two major areas. First, the political evolution of Medicare and the mechanics of the law are covered comprehensively but understandably. Secondly, the administrative problems which Medicare posed and the subsequent major issues which administrative considerations raised are discussed in detail.

Medicare requires