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The Journal of Bone and Joint Surgery 80:615-7 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

A Single Constant in a World of Change*

JOHN B. MCGINTY, M.D.{dagger}, MOBILE, ALABAMA

*Welcoming Address to the Class of 1998. Read at the Annual Meeting of the American Academy of Orthopaedic Surgeons, New Orleans, Louisiana, March 19, 1998.


   Introduction
 
President Jackson, members of the Board of Directors, Fellows of the Academy, distinguished guests, and members of the Class of 1998:

It is indeed an honor to have been asked to share my thoughts with you this afternoon. It was eight years ago, in this same auditorium, that I gave an address entitled "The Winds of Change."6 I don't believe that any of us realized at that time just how hard the winds were blowing and how profound the changes in the practice of medicine, and therefore the practice of orthopaedics, in this country would be in the ensuing eight years.

We have seen the control of clinical practice wrested from the hands of physicians by the managed-care administrators and the entrepreneurs of the for-profit health-care industry. We have seen the length of hospital admissions and the parameters of hospital care pass from control by the physicians to control by . . . [Full Text of this Article]


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