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JAMA. 1967;201(5):320. doi:10.1001/jama.1967.03130050054017.
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ABSTRACT

In a variable function, a change in one dimension effects a corresponding change in others. When the lay society makes a change in medical care, a change will automatically occur in the profession which administers that care. Much of the turmoil within Britain's National Health Service accrues from the inevitable changes provoked in the physicians who serve it. The changes have not come about quickly; established physicians do not change radically. The newer crops, however, show the embarrassments of those trained to a new way of life by medical schools indoctrinated in the older.

Medicare will have the same ultimate effect in America. It will call forth changes throughout the medical profession, by no means entirely predictable. The physician, the nurse, and the hospital will change and not for the better, because they have mistakenly been supposed to be ever changeless. It is improbable that government agencies will be any

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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