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October 25, 1999

Whatever Happened to the Faculty on the Way to the Agora?

Arch Intern Med. 1999;159(19):2251-2256. doi:10.1001/archinte.159.19.2251

I HAVE ENTITLED this article "Whatever Happened to the Faculty on the Way to the Agora?" to convey my dismay at how the prerogatives once exercised by faculty have been almost entirely usurped as academic health centers (AHCs) try to cope with for-profit managed care in the marketplace. The reason for my choice of the Greek agora instead of marketplace will shortly become evident.

I considered "Who Is Minding the Store?" as an alternative title for this article to convey my dismay at the wrong-headed decisions made by AHC administrators without faculty participation, and, as far as I can tell, without oversight by any other group. Boards of trustees, supposed fiduciaries for the public interest, seem to be asleep at the switch, responding only after the train wreck, as in the Allegheny Health Systems (AHS) fiasco.