RT Journal A1 Steinsmith W T1 PLunging clinical standards under managed care JF Archives of Internal Medicine JO Archives of Internal Medicine YR 1999 FD July 12 VO 159 IS 13 SP 1499 OP 1499 DO UL http://dx.doi.org/ AB It was the grim destiny of the expropriated American clinical profession to now ponder cringingly conclusions of such stark magnitude as Streja and Rabkin's regarding the clinical efficiencies of the vanguard of managed care's housebroken professional cadre: