dying. Most of us are ill-equipped to be present through the long process of another's dying on an hourly or even daily basis. Dying erodes our own sense of order of the social universe, leading to our need for institutional responses: hospitals, retirement "communities," nursing homes, hospice programs, and residential facilities.
Physicians as sole practitioners--as independent small business persons--or in partnerships with a few other similarly trained specialists may become economically unviable. Pediatricians, internists, and family practitioners--three distinct medical specialities--might consider forming partnerships, because managed care companies classify all as potential "primary-care physicians." These cross-specialty professional combinations may provide the organizational setting for achieving both monetary efficiency and effective patient care. See generally, Einer Elhauge, "Allocating Health Care Morally,"473-74.