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The New Medical Marketplace: A Physician's Guide to the Health Care Revolution

James W. Allen, MD, MS
JAMA. 1988;260(22):3347-3348. doi:10.1001/jama.1988.03410220131043.
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User's guides accompany our purchases of cameras, appliances, autos, and other technical items. Reading the guides unlocks the potential of these unfamiliar purchases so that we may become proficient in their use. The New Medical Marketplace is a physician's guide to the current medical marketplace.

Like any good user's guide, this book starts with historical background, then presents the theory of medical costs, and finally offers guidance to those who work in the medical marketplace. Immediately following the title page is a bar graph of medical costs expressed in terms of percentage of the gross national product (GNP) and average cost per hospital day. All the bars increase dramatically over the last two decades. This graph presents as clear a picture of the new medical marketplace as an exploded view of a product contained within a commercial user's guide.

In the historical review the authors discuss how social changes have


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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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