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