Robert W. Gibson
In 1965 the Medicare Legislation (Title 18 of the Social Security Amendments of 1965) opened with the reassuring sentence: “Nothing in this Title shall be construed to authorize any federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided…” Some 15 years later, not only do we recognize that Medicare and Medicaid have been used to exert enormous control over the practice of medicine and the delivery of services, but all National Health Insurance (NHI) is contingent on extensive regulatory legislative control of the health care system. Indeed, third-party payers, private as well as governmental, no longer apologize about control, especially cost containment, but now consider it an obligation to influence the manner in which services are provided.
KeywordsMental Health Service Mental Health Care National Health Insurance Psychiatric Hospital Psychiatric Care
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