title: Commentary: change.
authors.affiliation: Cancer Center, Methodist Hospitals of Dallas 75265-5999, USA.
authors.forename: E L
authors.initials: EL
authors.lastname: Middleman
authors.forename: R B
authors.initials: RB
authors.lastname: Middleman
mesh_terms: D003363:Cost Control; D017598:Efficiency, Organizational; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D009936:Organizational Innovation; D011209:Power, Psychological; D017009:Professional Autonomy; D012051:Reimbursement Mechanisms; D012922:Social Change; D014481:United States