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Steven S. Sharfstein, MD

Arch Gen Psychiatry. 1999;56:1151-1152.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

In the year 2099, all physicians will be employees of 1 of 4 major health care corporations. These corporations, vertically and horizontally integrated comprehensive systems of care, will be publicly traded for-profit corporations that will compete for patients and contracts across the United States. All Americans will be enrolled through a government-financed, universal single plan of care, as employer-based health insurance will have disappeared 50 years earlier. Americans will be able to choose which health care system they wish to join during an annual "open season" and will be able to select their primary and specialty care physicians. These corporate plans will compete with each other for access and choice as well as quality with "report cards" being regularly produced by the various state agencies that are charged with assuring accountability of health care within their jurisdictions. Many of the services will be provided directly in . . . [Full Text of this Article]

FURTHER READINGS

From Sheppard and Enoch Pratt Health System, Baltimore, Md.

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Editors' Note: Psychiatric Practice in the New Millennium
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Arch Gen Psychiatry. 1999;56(12):1151.
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