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ARTICLE |

Concern About Patient Care

M.D.B.
Arch Intern Med. 1969;123(6):719-721. doi:10.1001/archinte.1969.00300160109018.
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There is evolving in both the popular and scholarly world of letters a very insistent and disturbing refrain: all is not as well in American medicine as we may have believed or hoped. Two major critical essays have been published in recent months: one, a cover story in Time magazine entitled "What's Wrong with U.S. Medicine," 1 and, the second, a monograph by two Yale professors (one in sociology, the other in pediatrics) summarizing a series of detailed observations of patient and family care in a major university medical center.2 The Time essay focuses on several themes: (1) the present inordinate and steeply rising cost of medical care for the individual patient: (2) the disparities and unevenness in the quality of facilities and personnel that are available to patients throughout different areas of the nation; (3) the pressing work load experienced by physicians that is demanding both quantitatively (numbers

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