RT Journal A1 Sarmiento, Augusto T1 Commentary - Responding to Change* JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 1998 FD April 1 VO 80 IS 4 SP 601 OP 3 DO UL http://dx.doi.org/ AB The orthopaedic community is deeply concerned about the changes brought about by health-care reform. The primary concerns seem to be centered around the increasing loss of autonomy, the reduction in reimbursement for services provided, the overwhelming number of regulations that border on the irrational, and the perception that there are too many orthopaedists. The entire scenario almost seems to be designed to break the spirit of the medical profession in the hope that physicians, in frustration, eventually will accept a system of controlled National Health Insurance in which they are salaried employees.