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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, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in NCSO for personal use.date: 27 September 2021

The March of Time, 1965–2015

The March of Time, 1965–2015

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

Muriel R. Gillick M.D.

University of North Carolina Press

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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