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Flexner report  Studied med schools  Caused: higher accredidation of med school  Higher admission standards  Fewer schools  Standard curriculum  Abandoned apprenticeship  Only allopathic physicans – legal  Said pharmacists NOT professionals Hill Burton Act- Hospital survey and reconstruction  Provided $ for hospital construction and renovation Durham- Humphret amendment to FDCA  Created prescription drugs Title XVII/ XIX  amend social security act to make Medicare/ Medicaid HMO act (Health maintence)  diagnosis related group  to curb costs ASHP act ( mirror to hospital act)  pharmacy lost its way in producing professionals, down student satisfaction Dichter Institute study (APHA)  ppl saw pharmac