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January 26, 1979

Economics of Medical Education

Author Affiliations

Beekman Downtown Hospital New York

JAMA. 1979;241(4):358. doi:10.1001/jama.1979.03290300012006

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To the Editor.—  Despite his earnestly presented COMMENTARY (240:831, 1978), Dr Alexis' concern about minority enrollment in medical schools is more likely to be frustrated by the rising cost of medical education than by direct effects of the Bakke decision. Today, even medical students from financially comfortable families require tuition loans and subsidies, while the schools themselves vie for increasing federal dollars. Tomorrow, the new graduate physician will be the indentured servant of his government, while his school will struggle against progressive bureaucratic control. Despite our zeitgeist on minority needs, the economics of the situation will strike hardest at the least financially favored student during the ensuing clash of social and academic needs.