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Adam Smith, George Orwell, and the contemporary hospital

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From: Frontiers of Health Services Management
Date: 19960401
Author:Fine, David J

Mark Pauly presents a timely review of one of the health care industry's most enigmatic paradigms. Whether reading this article from the viewpoint of a partisan to the cause of investorowned or tax-exempt hospitals, a Philadelphia health care lawyer, a California or Texas arbiter of community benefit, or a curbstone economist, there is much grist to mill.

First, I have a duty in the nature of an informed consent or potential conflict of interest disclosure: I entered the field of health care administration in 1974 and have been continuously employed therein ever since. For twenty-one of the ...

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