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The Journal of Bone and Joint Surgery 78:1129-30 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Barry S. Kraushaar, M.D. and Robert P. Nirschl, M.D.

TO THE EDITOR:

Dr. Dick delivers a sobering and dismaying message in his Address "Prometheus and Zeus: the Future of Orthopaedic Health Care" (77-A: 1295-1300, Sept. 1995). It is disturbing to see one of our most respected colleagues write that "we are going to have to accept managed care and at the same time never lose sight of our primary responsibility" even if it means having a fate similar to that of Prometheus, who had his liver pecked out. While training in New York, one of us (B. S. K.) witnessed those who resisted joining managed-care plans lose their market share to those who accepted their fate quietly. The holdouts were soon outnumbered by the health maintenance organizations, who mercilessly played doctors against each other professionally and financially until institutions such as Columbia University were forced to their financial knees. Until now, unfettered by price controls and rationing of medical . . . [Full Text of this Article]


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