Thoughts on the clinician's response to health care reform: a cautionary note.

Abstract

In the course of contemporary health care discussion, we frequently refer to "health care reform" and its effect on health care delivery. The context within which we use the expression somehow manages to convey the idea that there is some kind of discreet "fait accompli" to which we can point. This basic premise is incorrect and ascribing to it renders much of the discussion about it in error.