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More Academic health centers AHCs have played a key role in propelling the United States to world leadership in technological advances in medicine. Bibliographic Information Print publication date: Authors Affiliations are at time of print publication.http://intellectservice.org/profiles/wanuryk/431.html
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Eli Ginzberg, author More Less. In past decades, the topic has received plenty of attention from a cadre of distinguished authors representing various fields of study, from politics to economics, history to sociology, and has been aptly summarized by Pulitzer Prize winner Paul Starr in his widely read The Social Transformation of American Medicine Ginzberg's approach is to briefly glance at the past, examine the present in terms of prior developments, and then venture a series of short-term forecasts based on the available evidence.
In this fascinating evolution of the American medical system, two critical years loom large: The former coincided with enactment of the Medicare program, the federal government's most comprehensive entry into the health care field, while the latter signaled the passage of legislation designed [End Page ] to curb its expenditures through fixed payment rates using "diagnosis-related groups" DRGs. Readers should not, however, expect a detailed and nuanced exposition.
Absent is Starr's strategy of also showing the "roads not taken" since the s. Yet Ginzberg lucid synthesis will be of interest to those who would like to delve into the basic complexities and vicissitudes of our health care system.
Teaching Hospitals and the Urban Poor
His proven scholarship and decades-long experience endow many of his predictions with an uncanny certainty and have made him increasingly a primary source. In my recent book Mending Bodies, Saving Souls: Addressing our Board of Overseers, he flatly announced that the love affair between the American public and medicine, born after World War II, was over.
Even though UCSF was surrounded by an affluent community base and small indigent, Ginzberg warned that the institution would be financially threatened unless it could rethink its academic and assistential mission. Nearly 20 years and a failed merger with Stanford later, his assessment has been short of prophetic.
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