PEDIATRICS Vol. 98 No. 1 July 1996, pp. 70
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THE WORST IS YET TO COME ..

J. F. L. MD

Jerome Kassirer, in a current issue of the New England Journal of Medicine, expressed the fear that:

market-driven care is likely to alienate physicians, undermine patients' trusts of physicians' motives, cripple academic medical centers, [and] handicap the research establishment ... On the one hand, doctors are expected to provide a wide range of services, recommend the best treatments, and improve patients' quality of life. On the other, to keep expenses to a minimum they must limit the use of services, increase efficiency, shorten the time spent with each patient, and use specialists sparingly!