We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
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 |


Jose A. Quiros, MD
Arch Intern Med. 2000;160(11):1704. doi:.
Text Size: A A A
Published online


Thanks, Dr Eisenberg! I happened to be reading the ARCHIVES last Thanksgiving Eve after hospital rounds and saw his fabulous editorial.1 I congratulate him for the clear insight and honest overview of the present managed care system vs the old, virtually extinct system.

I thank Eisenberg because it takes courage as a Harvard academician to confront reality and state things as they are. I believe, following his text, that as Socrates said, most of us are treating patients the way slave doctors once treated slave patients: rushing, careless, and looking for the best way to profit in a hypocritical way. I still try to deliver care as I was taught to do in medical school and later during my residency. Capitation should disappear from the face of this world, and we should stand together for what we were taught: to care for the patient, not for the paycheck. It is a shameful state of affairs when physicians no longer want to see certain patients because it will mean less reimbursement or when nurse practitioners are asked to see certain patients because physicians love the uncomplicated sore throat more than the challenging patient in the intensive care unit who belongs to an HMO.

First Page Preview

View Large
First page PDF preview





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.


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

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

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

Articles Related By Topic
PubMed Articles