The American Journal of Surgery
Volume 198, Issue 6 , Pages 736-741, December 2009

Edgar J. Poth Memorial Lecture: Lessons learned inside the Beltway: one surgeon's encounters with health care policy

  • Karen R. Borman, M.D.

      Affiliations

    • Corresponding Author InformationCorresponding author. Tel.: +1-407-823-1841; fax: +1-407-823-4821 (shared fax – must label prominently with author's name)

University of Central Florida College of Medicine, PO Box 160116, Orlando, FL 32816-0116, USA

Received 15 May 2009; received in revised form 6 July 2009

Abstract 

Our health care system continues to undergo transformation in a context of extreme financial pressures. New models of care delivery and financing challenge us to rethink our practices as individual surgeons and as system participants. Understanding the fiscal realities of health care and how we are perceived by health care policy makers can help us to be meaningful participants in channeling reform to create better delivery systems for our patients. This article presents some background information about health care in America with a focus on government programs, and shares insights from my health care policy colleagues.

Keywords: Health care policy, Government health care, Health care economics

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PII: S0002-9610(09)00539-X

doi:10.1016/j.amjsurg.2009.07.031

The American Journal of Surgery
Volume 198, Issue 6 , Pages 736-741, December 2009