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Physician Autonomy in the Managed Care Era: The Physician-Citizen or Subject?

Physician Autonomy in the Managed Care Era: The Physician-Citizen or Subject?


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by Brent A. Fisher, M.B.A., F.A.C.M.P.E.
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.