0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Managed Care: Our Self-inflicted Illness and How to Eradicate It

Jose A. Quiros, MD
Arch Intern Med. 1998;158(18):2067. doi:.
Text Size: A A A
Published online

Extract

With respect to the editorial by Alpert,1 I believe that the health care situation we are in is not "a brain tumor," but a total depressive state. Managed care is here and will continue to change our profession as it pleases. I take pleasure in my career and everyday encounters with patients, in finding murmurs and giving visas to new immigrants, but I do not like any of the business aspects of health care. As long as we allow managed care to dictate our daily lives and as long as we accept it, we will have a "brain tumor" in our health care system; however, transient ischemic attacks and the big cerebrovascular accident, the big stroke, is coming. When it arrives, we will be replaced by physician assistants, nurses, or other clerks. Come on, let us get together and tell them this is enough. Medicine should be dictated by physicians, not by clerks or chief executive officers on Wall Street. Let us have solidarity with the academicians and other fellow physicians who go bankrupt. Let us be like the airline pilots, let us be like the air traffic controllers, and let us be like the Teamsters. Let us get together and treat managed care like a brain tumor and we will succeed! We know.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();