Compare today with the late 1960s and 1970s, when the medical profession recognized the advantages of collective operation, and group practices experienced rapid growth. It once had been suggested that medical practices represented one of the last bastions of free enterprise.
Physicians developed and managed their practices with the help of medical practice managers and occasional consultants. Quality of care was accepted as a given based on extensive physician training, licensing and medical society oversight. Malpractice lawsuits were minimal. Physicians, by virtue of their chosen career, had a passion for optimal outcomes, and strong patient relations developed.