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Previous Volume 336:1329 May 1, 1997 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In his attempt to provide a balanced view of the backlash against health maintenance organizations (HMOs) (Nov. 21 issue),¹ Bodenheimer fails to describe adequately the sense of alarm that many physicians feel about recent changes in the U.S. health care delivery system. Perverse incentives that reward physicians for denying care to their patients are not aberrations, but are central to the strategy of for-profit HMOs.

Incentives that even appear to put a physician's financial interest in conflict with his or her patients' well-being are simply not acceptable and must be declared so by both professional societies and . . . [Full Text of this Article]

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