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  • Title: Physician autonomy in the managed care era: the physician-citizen or subject?
    Author: Fisher BA.
    Journal: J Med Pract Manage; 2000; 15(5):256-63. PubMed ID: 10915518.
    Abstract:
    Until recently, medicine was one of the few areas in which an individual could practice a profession as a citizen member of the organization. However, in the recent overhauling of medical organizations in search of cost efficiency, physicians have moved from self-governing organizations with the rights of citizen participation to autocratic, centrally controlled organizations with little for physicians to do but provide high-quality manual labor. The principles of prosperity and choice espoused in The Federalist Papers are governance principles that can re-establish citizenship in medical groups.
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