Résumé :
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The proportion of generalist physicians in the United States has declined steadily over 50 years, bringing it to the lowest % of trained primary care physicians of any developed country; the trend toward subspecialization is accelarating. Many analists believe this imbalance between generalist and subspecialists to be a major cause of America's high health care costs, heavy dependence on biotechnology, and consumer dissatisfaction. Others argue that subspecialists can provide excellent primary care services, and the decrease of generalists is not a problem... This competing viewpoints are used to clarify assumptions underlying our major policy options in the arena of health manpower. (R.A.)
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