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The Journal of Bone and Joint Surgery 78:799-802 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

There Are Things That We Can Do*

KENNETH E. DEHAVEN, M.D.{dagger}, ROCHESTER, NEW YORK

*First Vice-President's Address. Read at the Annual Meeting of The American Academy of Orthopaedic Surgeons, Atlanta, Georgia, February 26, 1996.


   Introduction
 
There are many reasons for us to be concerned about the changes in the health-care system and how they are affecting us. At the federal level, we have the impending reforms of the Medicare and Medicaid programs, the proposed cuts in funding for research and graduate medical education, and the continuing regulatory constraints from the Federal Trade Commission, the Food and Drug Administration, and the Health Care Finance Administration. State and local concerns center on the continuing growth and evolution of managed care and the local consequences of Medicare and Medicaid reforms. These changes are having a significant impact on our ability to deliver quality care because of the overriding focus on the bottom line, the loss of physician control of clinical decision-making, the limitations in the access of patients to our care, and indeed the viability of our practices and our specialty.

These concerns are becoming so overwhelming that . . . [Full Text of this Article]


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