Word: pediatrician
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Dates: during 1970-1979
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Activist nurses contend that the real reason for this obstinance is that physicians want to hold on to their economic power. Many doctors admit that up to 80% of all office care given by pediatricians and family practitioners could be handled by competent nurses. Says Dr. Leon Oettinger Jr., a pediatrician in San Marino, Calif: "With its heavy reliance on physicians, the American medical system can be said to be using Cadillacs to do a tractor's job." That may not be the kindest analogy, but the Department of Health, Education and Welfare agrees with the basic analysis...
...Environmental Protection Agency says that the emissions from the Three Mile Island plant involved only the inert gases krypton and xenon, which are thought to cause little damage to tissue, and not particles of radioactive iodine and strontium, both of which can enter the food chain. Radiation Biologist and Pediatrician Robert Brent of Philadelphia's Jefferson Medical College agrees that the health risks are small, but says that "one of the worst effects is that people are afraid...
...with so much else in contemporary medicine, the issue is largely economic. No longer are the time-honored Christmas gifts of turkeys, bottles of bourbon and frivolous gadgetry that doctors give one another for professional courtesy enough to make up for the dent in income. Complains Hollywood, Fla., Pediatrician Edward J. Saltzman: "We are giving away $40,000 or $50,000 worth of care a year." Indeed, to cover the deficits, doctors may simply charge other patients more. As Pittsburgh Pediatrician Jerome Wolfson explains, "Paying patients are carrying the nonpaying patients...
...that this kind of fraternal "charity" hardly seems appropriate any longer for a group with such high incomes. But a more telling criticism of professional courtesy is that it can be a barrier to good medical care. For one thing, the donor physician often feels exploited and overburdened. Says Pediatrician Lee Bass, Wolfson's partner: "There is a subtle difference in how you feel about people who get free care in your office and those who pay." Also, doctors and their families frequently have misgivings about taking up another doctor's time. The result: quick, inadequate "curbside consultations...
...hydrofluoric acid, which is used in etching glass and other processes. Wolfe found that the acid etched human skin as well; he often left work covered by first-degree burns. That experience helped turn him toward a medical career. At Cleveland's Western Reserve University, Wolfe studied under famed Pediatrician Benjamin Spock who, he says, "made it very clear that it is not possible to understand people's health problems without understanding the circumstances from which they come." Those circumstances include job and living conditions, as well as diet?all ongoing concerns of the Health Research Group...