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Entrenched Medical Academia as a Culprit
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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The recent article by Alpert1 asks the proper question, but is somewhat off the mark in placing all the blame on managed care when he says,
. . . even our patients commiserate with us, or rage at the injustices that they are forced to suffer on a daily basis at the hands of the managed care decision. . . . Physician incomes are falling, academic institutions are going bankrupt and cutting salaries, or worse, laying off faculty members. . . .
All of us, particularly those who are entrenched in medical academia, contributed to the excesses of private medical care that ultimately paved the way for managed care. The academics failed to teach students and house staff to practice cognitive minimalist medicine, which is not only economically appropriate but also medically sound. They were too busy being academic, and furthermore, it was to their economic advantage to pile up . . . [Full Text of this Article]
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