Vertical integration

BMJ 1996; 312 doi: (Published 20 April 1996) Cite this as: BMJ 1996;312:1044
  1. George Dunea

    This exceptional idea came to me during a lecture on vertical integration of health care resources under managed care. The first seeds, however, were sown by a certain professor of medicine who would repeatedly tell his less gifted students that even the elevator (lift) driver knew the answers to such easy questions. Why not, thought I, vertically integrate everything in the elevator? Already elevator drivers are upwardly mobile, careful, and not afraid of repetitive work, always saying “watch your step,” just as dermatologists always ask “does it itch?” and refractionists “is it better or worse?”

    To my surprise I received …

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