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Correspondence
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Volume 332:1173-1174 April 27, 1995 Number 17
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Physicians and Managed Care

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 by Kassirer, J. P.
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 by Iglehart, J. K.
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 by Fan, S.-T.
To the Editor: The article by Iglehart (Oct. 27 issue)1 is well organized, comprehensive, and also provocative. Unfortunately, an important issue not discussed is the problem of physicians' legal exposure when third-party payers impose limitations on care. Physicians should pause to consider whether these decisions represent the standard of care in the community. In the landmark case of Wickline2 and subsequently Elsesser,3 the message is clear: "The physician who complies without protest with the limitations imposed by a third payor [sic], when his medical judgment dictates otherwise, cannot avoid his ultimate responsibility for his patient's care." Thus, there . . . [Full Text of this Article]

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