Access to Care and the Evolution of Corporate, for-Profit Medicine
Nutter, Donald O.
New England Journal of Medicine. 1984 Oct 4; 311(14): 917-919.
Nutter, a physician, sounds a warning note over the future of access to health care in the United States in light of the dual trends toward drastically cutting health expenditures and commercializing health care delivery. He predicts that progress made over the last two decades in extending health care to the disadvantaged will halt as providers, facilities, insurers, and all levels of government attempt to control costs by limiting the number and kinds of patients served. The uninsured, the poor, the disabled, minorities, the aged, and the chronically ill would be excluded from the system if rationing of care according to ability to pay should become widespread. Nutter concludes that access to health care will improve only if the public, physicians, and policymakers agree that health care is a basic right, not a commodity, and support government funding of care for the medically indigent. (KIE abstract)
Aged; Access to Health Care; Chronically Ill; Diagnosis; Economics; Evolution; Government; Health; Health Care; Health Care Delivery; Health Insurance; Hospitals; Indigents; Industry; Insurance; Medicine; Patients; Physicians; Proprietary Hospitals; Public Policy; Remuneration; Resource Allocation; Trends;
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