Surgical care and career opportunities in a changing practice paradigm

摘要

The American health care system is changing rapidly and radically. The Patient Protection and Affordable Care Act (P.L.I 11-148) was set in motion by an unsustainable growth in medical expenditures that eventually consumed 16% of our gross domestic product or nearly $3 million annually. Left unattended, this would nearly bankrupt our economy.1 In addition, the Affordable Care Act will allow the enrollment of nearly 20 to 30 million currently uninsured Americans into expanded Medicaid and Medicare programs. Coverage to many additional patients will become more marketplace driven through the establishment of health insurance exchanges.