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US hospital mergers threaten reproductive services

BMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7119.1327f (Published 22 November 1997) Cite this as: BMJ 1997;315:1327
  1. Janice Hopkins Tanne
  1. New York

    Mergers and affiliations between Catholic and non-sectarian hospitals are threatening reproductive health care in the United States. Driven by managed care, hospitals are merging to reduce costs, increase efficiency, obtain a larger share of the market, and improve their negotiating strength.

    “Chief operating officers are confronted by demands to follow religious rules to achieve business success,” said Lois Uttley, director of Family Planning Advocates of New York state.

    Catholic institutions do not provide abortions, tubal ligations, vasectomies, contraceptive counselling, in vitro fertilisation, condoms …

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