Discussion| Volume 108, ISSUE 5, P441-443, April 01, 2000

The significance of integrative medicine for the future of medical education

      As we approach the twenty-first century, medicine finds itself in great trouble. An economic crisis of unprecedented proportions has engulfed health-care institutions, bringing changes that have alienated patients and eroded the job satisfaction of physicians. In a nutshell, conventional medicine has become too expensive. All over the world, insurance systems are breaking down. In the United States hospitals are going bankrupt at an accelerating rate. It is possible that in the not-distant future, when many smaller and community hospitals will have disappeared, large areas of our country will be left with only one central hospital, the only one that will be able to afford the hardware.
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        • Eisenberg D.M.
        • Davis R.B.
        • Ettner S.L.
        • et al.
        Trends in alternative medicine use in the United States, 1990–1997.
        JAMA. 1998; 280: 1569-1575
      1. The Landmark Report on Public Perceptions of Alternative Care. Sacramento, CA: Landmark Healthcare, Inc, 1998.

        • Astin J.A.
        Why patients use alternative medicine.
        JAMA. 1998; 279: 1548-1553
        • Eisenberg D.M.
        • Kessler R.C.
        • Foster C.
        • Norlock F.E.
        • Calkins D.R.
        • Delbanco T.L.
        Unconventional medicine in the United States—prevalence, costs, and patterns of use.
        NEJM. 1993; 328: 246-252
        • Gaudet T.W.
        Integrative medicine.
        Integr Med. 1998; 1: 67-73