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March 1994

General Pediatrics in a Time of ChangeInventing the Future

Arch Pediatr Adolesc Med. 1994;148(3):243-244. doi:10.1001/archpedi.1994.02170030013002

FOR PHYSICIANS, this is a time of difficult uncertainty. It is to the nature of the change that health care reform is bringing, and an aspect of our role within it, that I wish to address my remarks in this editorial and in my next. In this issue, I shall focus on the quality of the change itself. In a subsequent issue, I shall apply my assumptions to one of the problems that has arisen during the debate on health care reform: the need for more generalists. Both editorials are from my Ambulatory Pediatric Association Presidential Address presented in Washington, DC, in May 1993.

WHAT IS THE NATURE OF THE CHANGE THAT WE ARE EXPERIENCING?  Health care reform still puzzles most of us. We are of many minds. We wonder if we are ready for the changes. We wonder if we shall be part of the new age and when