The recent article by Alpert1 asks the proper question, but is somewhat off the mark in placing all the blame on managed care when he says,
. . . even our patients commiserate with us, or rage at the injustices that they are forced to suffer on a daily basis at the hands of the managed care decision. . . . Physician incomes are falling, academic institutions are going bankrupt and cutting salaries, or worse, laying off faculty members. . . .
Steinberg H. Entrenched Medical Academia as a Culprit. Arch Intern Med. 1998;158(16):1827–1829. doi:
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