Ecotopians are covered by a type of cradle-to-the-grave medical insurance which has had drastic effects on the medical system. Instead of control by the profession itself, the clinics and hospitals are responsible to the communities—normally to the minicity units of about 10,000 people. Thus the power of the physician to set his own fees has evaporated, though a doctor can always bargain between the salary offers of one community and another, and in fact doctors are reputed to have among the highest incomes despite the fact that they are much more numerous than with us. Doctors perform many
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