Dramatic change has occurred in the last decade with marked impact on the delivery of health care in this country.
First, the process of business has changed with dramatic alteration in business practices and goals. Thirty years ago, landing a job with Kodak was a lifetime commitment by the employee and the employer. Today it is only a contract worked out between willing participants, possibly with a 90-day escape clause for both parties.
This cold, sharp process has invaded the realm of medicine, profoundly impacting hospitals, insurance companies, governments, and particularly the physician.