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Panel Discussion—Pacific Coast Surgical Association
September 1, 2003

Panel on Surgical Practice

Arch Surg. 2003;138(9):977-986. doi:10.1001/archsurg.138.9.977

We live in challenging times. We have a dysfunctional health care system characterized by declining reimbursement for physicians' services, declining federal subsidies to medical education, with impending cutbacks in Medicare, Medicaid, and graduate medical education funding. Rising malpractice rates in several parts of the country are discouraging some physicians from staying in practice, forcing others to move to different states, and threatening the provision of emergency care.