RT Journal A1 Benbassat R, Zanga J, Dubravec M T1 Maintenance of certification in internal medicine—realities: In an “uninvited commentary” to the levinson and holmboe article JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2011 FD September 12 VO 171 IS 16 SP 1507 OP 1508 DO 10.1001/archinternmed.2011.386 UL http://dx.doi.org/10.1001/archinternmed.2011.386 AB Although certification and recertification were originally designed to ensure quality in patient care, they have evolved into a discriminatory, money-making juggernaut with marketing to hospitals, insurers, and licensing boards, and—without any reasonable proof of efficacy—are slowly being tied to the right to practice medicine. The Commentary by Levinson and Holmboe1 is somewhat equivalent to the Internal Revenue Service (IRS) rationalizing a costly tax increase as a benefit to the taxpayer. It is outrageous that hard-working physicians are subject to rules devised by institutional physicians and PhDs salaried by the ABIM—bureaucrats who do not run businesses or practice medicine on a daily basis.