Word: doctor
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Dates: during 1980-1989
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...college Fish, a psychology major, concentrated on becoming a doctor. But during his two-year stint as assistant coach under Barnaby, Fish realized. "I'd probably be better off doing something I was good at rather than socially noble--I'd probably help more people in the long...
Relman: One way is to withhold professional approval of such hospitals as teaching hospitals. The city would respond I think, to pressure from the accrediting bodies which decide whether hospitals should be approved for teaching or not. Simply to walk off the job is nothing for a doctor to do. A doctor doesn't have any right to walk...
Relman: I think there are two general approaches that have to be taken. One is that government and the insurance companies and all third parties that pay for health care have to remove the perverse economic incentives that stimulate doctors to overuse medical technology. Doctors are only human and theyrespond to economic incentive just as any other human being would and the system that we now have...encourages overutilization of intensive, elaborate procedures...Any procedure that is recognized as safe and is believed to be effective is accepted by the profession and will be reimbursed. And usually the more expensive...
Relman: Well, that's the risk. Under the present mode, the prevailing mode, the risk is that the doctor is going to do too much. Under the prepayment mode, the risk is that the doctor will not do enough. You have to start from the assumption that most doctors, the vast majority of doctors, are conscientious and are not going to do what is inappropriate and will not fail to do what is necessary. You have to start from that assumption. If you don't then health care is chaotic anyway...
STRIKES? "Simply to walk off the job is nothing for a doctor to do. A doctor doesn't have any right to walk...