Word: relman
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...Arnold-Relman is the man who decides what will appear in the New England Journal of Medicine. The man who writes the editorials that continually have him embroiled in controversy. The man who called the ethical foundation of medicine outdated, who has challenged doctor's conflicts of interest, who has questioned whether capitalism should rule medicine...
...Relman: I think that withholding services is a totally inappropriate technique for physicians to use because they can only damage people who they're supposed to be serving. A strike is a legitimate social technique when it's a weapon against an employer but when physician strike, who are their Employers? The city of New York is not going to be hurt financially or economically by the strike. The people who are going to be hurt are the people who need the services in the hospital...I'm in total sympathy with their objectives if they are as stated...
...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...
...submitted to the Journal are routinely forwarded to at least two experts for review and comment and then discussed by the staff at a Thursday lunch, after which papers may be sent back to the authors for revisions and, often, rewriting. Says the Journal's editor, Dr. Arnold Relman: "The conclusions have to be not only warranted but also readable." So exacting is the process that only 10% to 15% of the 4,000 papers received each year are printed. No one objects to that meticulous procedure. In fact, it has helped make the Journal the world...
...magazine's editorial policy that is not so widely applauded. Under the direction of Dr. Franz Joseph Ingelfinger, the Journal began refusing to publish papers that had received substantial coverage elsewhere, in either the general or medical press. Dubbed the Ingelfinger Rule, the policy has been extended by Relman. It now forbids researchers submitting articles to give interviews on their findings to reporters before the articles are published in the Journal. This restriction applies even when the results have first been presented at medical meetings open to the general press. Relman argues that such a policy avoids misleading stories...