Health Affairs, 22, no. 6 (2003): 111 doi: 10.1377/hlthaff.22.6.111 © 2003 by Project HOPE	New Online   VP Candidates On Health Reform   Cutler On McCain's Plan   Scoring Obama's Plan   Roundtable: Politics, Reform   Number Of Uninsured   Delivery System Overhaul

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Teaching Hospitals

PROLOGUE

The Mission Costs Of Teaching Hospitals

PROLOGUE: Since the last round of major refinements in public funding for graduate medical education (GME) in the 1997 Balanced Budget Act, the questions surrounding the intricate web of cross-subsidies that support teaching hospitals have only grown more difficult. The optimal size of the physician workforce remains an unsettled issue. The rapid pace of innovation has heightened strains on the funding of clinical research and the maintenance of high-tech standby capacity. The steady growth of the uninsured population has placed new burdens on many teaching hospitals. But the historical derivation of the subsidies from ad hoc support for an aggregate, . . . [Full Text of this Article]

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