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JAMA. 1999;281:1556.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Currently, the Medicare program is the primary funding source for graduate medical education (GME). Because many analysts expect the Medicare Trust Fund to be bankrupt within the next 15 years, Medicare reform has recently been the subject of much political discussion. Proposals for reforming Medicare are expected to include substantial changes in GME funding mechanisms. To prepare residents and others for the debate regarding these changes, the next several Resident Physician Forum columns will explain some of the details of GME funding, proposed changes, and the composition and perspectives of those groups studying GME and presenting proposals.

In March of this year, the National Bipartisan Commission on the Future of Medicare disbanded without being able to forward its recommendations to Congress. The Commission, created by the Balanced Budget Act of 1997, was charged with studying the Medicare program, including funding for GME, and making recommendations that would strengthen and ensure . . . [Full Text of this Article]