RT Journal A1 Erwin K T1 PRoactive measures needed for health care reform JF Archives of Internal Medicine JO Archives of Internal Medicine YR 1999 FD June 28 VO 159 IS 12 SP 1370 OP 1371 DO UL http://dx.doi.org/ AB I would like to make several observations. The referenced article clearly indicates that primary care physicians face a conflict of interest when choosing referral services for patients. This conflict is primarily due to the large financial incentives offered by the managed care industry, which are tied to restricting particular care.