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Previous Volume 342:1370-1371 May 4, 2000 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: With one major exception, the two-part report by Bodenheimer and Casalino (Dec. 16 and Dec. 23 issues)¹ on the role of the managed-care medical director captures my personal experiences in that role. The main difference between my experience and those described by the authors is that, as executive director and chief executive officer of the Permanente Medical Group, I have not felt the conflict that physician leaders of other organizations describe when making decisions about providing medical care. I believe that the reason for this difference is that our medical group works in a unique partnership with . . . [Full Text of this Article]

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