Whither ophthalmology in the era of health care system reform?

Ophthalmology as a specialty finds itself at the center of change in health care delivery. During the Bush Administration, concerns for the profession mounted as the administration constrained ophthalmic surgical fees, limited surgical assistants, and experimented with cataract preferred provider organizations. Now, the Clinton Administration's proposed Health Security Act magnifies such concerns. This article discusses some of the specific worries that trouble ophthalmologists within the context of health system reform.