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Paul Barach, MD, MPH

JAMA. 1999;282:1686.

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

Last week's Resident Physician Forum column explained some of the financial challenges facing teaching hospitals and the threat that reduced funding poses to graduate medical education (GME). To address these challenges, legislators and medical educators have proposed several ways to strengthen GME funding.

Sen Daniel Patrick Moynihan (D, NY) has introduced a bill to revamp the financing of GME in the United States. His plan calls for freezing the GME subsidy at its current level and not permitting further annual reductions. Another suggestion has been to pay teaching hospitals directly for treating low-income patients and training nurses, rather than continuing to pay Medicare managed care plans for those services.

The National Bipartisan Commission on the future of Medicare and the Medicare Payment Advisory Commission have spent a great deal of time analyzing Medicare and its role in funding GME. Both groups recommended reducing the number of . . . [Full Text of this Article]

Department of Anesthesia
and Critical Care
Massachusetts General Hospital
Boston

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