Word: relman
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...Relman: I don't wish to tell the interns and residents of New York what to do, but I do wish to suggest that withholding professional services is not the best way to call attention to your situation. If I were a patient in one of those hospitals. I would not appreciate what the residents did even though they say they were doing it in my interest...
...Relman: I'm totally opposed to them. Unionization is for workers in an industry. Medicine is not an industry. Medicine is not a business. Medicine is a profession and the economics and ethics are entirely different. It's very sad to see that medicine is being treated more and more by both the profession and the public as a business. But I think that it's not in the best interests of the public...in the long...
...Relman: I think there are many reasons. The main reason I think is simply the tremendous economic burden that health care now carries. Health care is the second largest industry in the country. There are tremendous pressures on the part of government to control the costs, there are temptations to the profession to profit from the enormous amount of money that's being spent on health care and I think that there are many people who view it simply as another business...
...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: I think those charges are really silly, and they are very far from the truth. We are a private journal and we have a policy which our authors are free to accept or not as they see fit. Authors who don't agree with our policy or philosophy can send their manuscripts elsewhere. We're not the only weekly journal in the English speaking world. There are many excellent journals with wide circulations that have different policies. So I don't understand why we not entitled to follow what we think are appropriate policies for us. A while...