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NEIL O. WARD, MD

Arch Otolaryngol Head Neck Surg. 1991;117(5):486-487.

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

Dr Pratt has shared with us indigent care experiences from the past; but it is the description of a foreign land to which we "cannot go home again."

Today we have a larger population of older patients, improved but expensive technology, substance abuse, acquired immunodeficiency syndrome, aggressive business practices, liability concerns, and governmental regulation beyond the dreams of even the most imaginative bureaucrats of yesteryear. The Health and Human Services Secretary, Louis Sullivan, pointed out that health outlays by all public and private sources have been rising faster than general inflation for years (Washington Post. November 1990). The resulting high cost of health care has created unprecedented pressures on the methods of delivery.

Much has been written about the needs of our medically indigent patients, and locally some recommended remedies have been put to the test. Arizona is the only state in the Union that does not have a Medicaid . . . [Full Text PDF of this Article]

Author Affiliations
Phoenix, Ariz

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