Abstract
The Balanced Budget Act (BBA) of 1997 and the financial pressures of managed care has the academic medical community abuzz. Rightly so. America's 125 academic medical centers and about 500 teaching hospitals are highly dependent on Medicare payments for graduate medical education and care of indigent patients. Now, cuts authorized by the BBA are threatening the long-term financial stability of teaching hospitals.
The Association of American Medical Colleges (AAMC) said cuts authorized by the BBA have gone too far and are threatening the long-term financial stability of US teaching hospitals.
The July 22, 1999 issue of The New England Journal of Medicine quotes John Rother, legislative director for the American Association of Retired Persons (AARP), as saying, “The cries of pain heard in the boardroom haven't translated yet and may never into delivery of patient care. We're taking a wait-and-see approach.”
The Journal of Investigative Medicine, however, has attained very different perpectives from those on the other side of the health care delivery equation and at the helms of our nation's medical schools. Joining us in this Roundtable discussion are:
(Jaclyn D'Auria)
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