Seminars in Cardiothoracic and Vascular Anesthesia

down is a better term. Health care delivery and financing did not experience any radical changes for 2 millennia. Now, management techniques used just 5 years ago to maintain the business aspects of health care are no longer viable. Physicians do not have solo practices, and hospitals cannot stand alone. Billion-dollar corporations buy out hospitals and practices. These billion-dollar corporations are merged with even larger corporations that change the culture and place human kindness in jeopardy. Big business it is. The estimated costs associ-