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Old and Sick in AmericaThe Journey through the Health Care System$
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Muriel R. Gillick

Print publication date: 2017

Print ISBN-13: 9781469635248

Published to North Carolina Scholarship Online: May 2018

DOI: 10.5149/northcarolina/9781469635248.001.0001

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PRINTED FROM UNIVERSITY OF NORTH CAROLINA PRESS SCHOLARSHIP ONLINE (www.northcarolina.universitypressscholarship.com). (c) Copyright University of North Carolina Press, 2018. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a monograph in CSO for personal use (for details see http://www.northcarolina.universitypressscholarship.com/page/privacy-policy).date: 15 July 2018

The March of Time, 1965–2015

The March of Time, 1965–2015

Chapter:
(p.61) Chapter Four The March of Time, 1965–2015
Source:
Old and Sick in America
Author(s):

Muriel R. Gillick M.D.

Publisher:
University of North Carolina Press
DOI:10.5149/northcarolina/9781469635248.003.0004

This chapter traces the evolution of office-based care from the small, intimate, low-tech practice of the 1960s to the multi-physician, rule-driven, computerized practice of 2015. The changes are attributed to scientific advances in medicine (such as new treatments for hypertension and diabetes), social trends (for example, the women’s movement and the corporatization of medicine), and legislative milestones (principally the passage of Medicare, the introduction of Medicare hospice, new home care coverage).

Keywords:   Hypertension, Diabetes, Corporatization of medicine, Hospice, Prospective payment

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