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Editorial
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Volume 342:1211-1213 April 20, 2000 Number 16
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Pain and Public Policy

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 by Cassidy, J. D.
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Some physicians, patients, and policy makers conceive of illness in purely biologic terms. According to this view, social, economic, and legal forces are irrelevant to symptoms and behavior; only tissue injury and healing matter. However, in this issue of the Journal, Cassidy and his colleagues report that changes in a tort system of compensation for traffic injuries can dramatically change the numbers and duration of insurance claims for whiplash injury.1 This finding, along with similar observations in other studies, suggests that external factors have an important influence on the behavior of patients that is independent of biologic factors. Though . . . [Full Text of this Article]

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