Neal R
Health PAC Bull. 1990 Spring;20(1):4-10.
In the fall of 1985 in an issue titled "Fighting Back Against the Empires" (Vol. 16, No. 5), Health/PAC reported on the plans of four of New York City's academic medical center "empires" for major expansion. The focus of our coverage was the efforts of two of the communities served by these institutions to ensure that the plans were responsive to their needs. At the time, we were cautiously optimistic that these events were signs that "although the empires still dominate New York City's health care system, they no longer rule unchallenged." In the past six months, the plans of two of these institutions, Columbia-Presbyterian Medical Center and St. Luke's-Roosevelt Hospital Center, warrant another look at the success of the efforts to hold the major medical centers responsible for the welfare of the communities in which they are located.
1985年秋，《健康/和平行动委员会通讯》（第16卷，第5期）在一篇题为《反击帝国》的文章中，报道了纽约市四个学术医疗中心“帝国”的大规模扩张计划。我们报道的重点是这些机构所服务的两个社区为确保这些计划能满足其需求所做的努力。当时，我们谨慎地乐观认为，这些事件表明“尽管这些帝国仍主导着纽约市的医疗保健系统，但它们不再能毫无挑战地统治”。在过去的六个月里，其中两个机构，即哥伦比亚长老会医学中心和圣卢克 - 罗斯福医院中心的计划，值得我们再次审视让主要医疗中心为其所在社区的福祉负责的努力是否成功。
