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Potential Impact of Newer Health Care Legislation on the Character and Quality of Cardiovascular Care: Is the Profession at Risk?

Potential Impact of Newer Health Care Legislation on the Character and Quality of Cardiovascular... Abstract The rules by which medicine is practiced have changed dramatically during the past two decades and especially in the past few years. These changes have come primarily through the efforts of government and industry to control rising medical costs. In the 1960s, government and society at large made a pivotal decision. The decision to give unlimited medical care to most of our population. Medicare and Medicaid were introduced and private insurance became widely available. Industry responded freely to demands for more and more medical coverage, preferring fringe benefits to spiraling salaries. The end result was what economist Martin Feldstein called "a permanent excess demand for medical services of all kinds." The cost to society has exceeded all predictions for several reasons. The tremendous explosion of medical technology and, perhaps, its inappropriate application increased not only costs but utilization. There was unprecedented inflation, a war, and an arms race. The national http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Potential Impact of Newer Health Care Legislation on the Character and Quality of Cardiovascular Care: Is the Profession at Risk?

Archives of Internal Medicine , Volume 144 (9) – Sep 1, 1984

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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1984.00350210162027
Publisher site
See Article on Publisher Site

Abstract

Abstract The rules by which medicine is practiced have changed dramatically during the past two decades and especially in the past few years. These changes have come primarily through the efforts of government and industry to control rising medical costs. In the 1960s, government and society at large made a pivotal decision. The decision to give unlimited medical care to most of our population. Medicare and Medicaid were introduced and private insurance became widely available. Industry responded freely to demands for more and more medical coverage, preferring fringe benefits to spiraling salaries. The end result was what economist Martin Feldstein called "a permanent excess demand for medical services of all kinds." The cost to society has exceeded all predictions for several reasons. The tremendous explosion of medical technology and, perhaps, its inappropriate application increased not only costs but utilization. There was unprecedented inflation, a war, and an arms race. The national

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Sep 1, 1984

There are no references for this article.