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Arch Intern Med. 1999;159:2251-2256.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

I HAVE ENTITLED this article "Whatever Happened to the Faculty on the Way to the Agora?" to convey my dismay at how the prerogatives once exercised by faculty have been almost entirely usurped as academic health centers (AHCs) try to cope with for-profit managed care in the marketplace. The reason for my choice of the Greek agora instead of marketplace will shortly become evident.

I considered "Who Is Minding the Store?" as an alternative title for this article to convey my dismay at the wrong-headed decisions made by AHC administrators without faculty participation, and, as far as I can tell, without oversight by any other group. Boards of trustees, supposed fiduciaries for the public interest, seem to be asleep at the switch, responding only after the train wreck, as in the Allegheny Health Systems (AHS) fiasco.

With neither question do I imply that a more central role for faculty would, . . . [Full Text of this Article]

MARKET MEDICINE

THE INCOMPATIBILITY OF THE WORLD OF MEDICINE WITH THE WORLD OF BUSINESS

WHY DOES THE RELATIONSHIP BETWEEN PATIENT AND PHYSICIAN MATTER?

WHERE DO HEALTH CARE PROFITS COME FROM?

IMPACT ON NOT-FOR-PROFIT ORGANIZATIONS

THE "GOOD OLD DAYS" WERE NOT GOOD FOR PATIENTS

THE IMPENDING DEMISE OF FOR-PROFIT MANAGED CARE

Leon Eisenberg, MD
Harvard Medical School
641 Huntington Ave
Boston, MA 02115
(e-mail: leon_eisenberg@hms.harvard.edu)

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