In several sentences describe the constraints “medicine” began to face in the 1970’s
Rapid increases in cost in part due to the concessions to providers when Medicare was established, led to increased attention to cost containment. New regulation of health care, including Health Systems Agencies (HSA) and Professional Standards Review Organization (PSRO) contrasted with most instances of professional regulation in that it was designed to control cost, and not to protect providers’ monopolies or allow liberals to control private enterprise. There was a generalization of patients’ rights, including the right to informed consent, the right to see medical records, the right to refuse treatment, and a broadening of the right to care. Also involved Certificate of Need to control healthcare markets.