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Previous Volume 357:2652-2653 December 27, 2007 Number 26 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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During the time I have been practicing medicine, the dominant ethos seems to have changed. We have gone from doing the right thing for the patient no matter what to doing the right thing for the patient as long as it doesn't hurt our hospital or practice or the insurance company too much.

Years ago, I started receiving report cards from insurers that told me how I was doing relative to other practitioners in terms of hospital utilization, medications, referrals to specialists, and other cost measures. My numbers were usually good, and I could pat myself on the back for . . . [Full Text of this Article]

Source Information

Dr. Vonnegut is a pediatrician in Quincy, MA.

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