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February 1989

The New Medical Marketplace: A Physician's Guide to the Health Care Revolution

Arch Ophthalmol. 1989;107(2):180. doi:10.1001/archopht.1989.01070010186018

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


The beginning sections of this book provide a comprehensive, interesting, and concise historical background of the practice of 20th-century medicine. The first section chronicles medical practice from the turn of the century through the 60s and early 70s. Within this section, considerable detail is devoted to describing the significant changes in the health care provision system, which were brought about by the creation of Medicare and Medicaid in 1965, and the implementation of the Hill-Burton Act in 1947. This section may be particularly enlightening for younger practitioners whose awareness of health care in the United States developed during the last 20 years.

"Physicians... have yet to grasp the issues from the consumers' and payers' perspectives..."

The second section provides an analysis of the more recently imposed balancing act of "care, cost, and conscience" forcing its way into the provision system, as Medicare and Medicaid funding has diminished during this decade,

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