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Previous Volume 342:1453-1454 May 11, 2000 Number 19 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: I was dismayed by Dr. Grumbach's comment, in his editorial on primary care in the United States (Dec. 23 issue),¹ that primary care physicians are "the type of physician everyone really needs, unless of course the person is actually ill, at which point a more qualified specialist should take over."

I am a board-certified family physician. I am fully qualified to diagnose and treat the vast majority of my patients' medical problems. When a patient has an unusual or very severe clinical presentation, I do not hesitate to consult my colleagues, with whom I enjoy excellent relationships. . . . [Full Text of this Article]

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