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The Journal of Bone and Joint Surgery 80:601-3 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Commentary

Commentary - Responding to Change*

Augusto Sarmiento, M.D.

The orthopaedic community is deeply concerned about the changes brought about by health-care reform. The primary concerns seem to be centered around the increasing loss of autonomy, the reduction in reimbursement for services provided, the overwhelming number of regulations that border on the irrational, and the perception that there are too many orthopaedists. The entire scenario almost seems to be designed to break the spirit of the medical profession in the hope that physicians, in frustration, eventually will accept a system of controlled National Health Insurance in which they are salaried employees.

While I do not question the legitimacy of those concerns, I believe that efforts to offset the real or perceived trends will be futile unless we acknowledge that we are, to some extent, willingly or unwillingly responsible for many of the problems that we now confront. I suspect that, unless we make a major effort to modify a . . . [Full Text of this Article]


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