This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (1)  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in JAMA  Social Bookmarking   What's this?

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: In their article on disclosure of physician financial incentives,¹ Ms Miller and Dr Sage mention in passing the possibility that fee-for-service medicine may "lead to inappropriate care," but the remainder of their article is lopsidedly biased against capitated medicine. The words "managed care" appear no fewer than 26 times, always in a critical context, while the term "fee-for-service" is used only 7 times, and then tangentially. There are also 11 references to health maintenance organizations (HMOs), underuse, and incentives to limit treatment, but none to overuse and its clinical and economic risks. There is no meaningful discussion of the devastating consequences of excessive and unnecessary care, which is powerfully incentivized in the fee-for-service world. This bias, and its amplification by a hysterical media, have rendered it almost impossible for health care to be managed intelligently today. Any decision not to implement a consultation, procedure, or treatment, no . . . [Full Text of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Disclosing Physician Financial Incentives
Tracy E. Miller and William M. Sage
JAMA. 1999;281(15):1424-1430.
ABSTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Mobiles phones and health
Olsen
Scand J Public Health 2009;37:1-3.
 

Cellular Telephone Use and Cancer Risk: Update of a Nationwide Danish Cohort
Schuz et al.
JNCI J Natl Cancer Inst 2006;98:1707-1713.
ABSTRACT | FULL TEXT  

Lack of Mutation Induction with Exposure to 1.5 GHz Electromagnetic Near Fields Used for Cellular Phones in Brains of Big Blue Mice
Takahashi et al.
Cancer Res. 2002;62:1956-1960.
ABSTRACT | FULL TEXT  

Patient Attitudes Toward Physician Financial Incentives
Pereira and Pearson
Arch Intern Med 2001;161:1313-1317.
ABSTRACT | FULL TEXT  

Car phones and car crashes: some popular misconceptions
Redelmeier and Tibshirani
CMAJ 2001;164:1581-1582.
FULL TEXT  

Cellular Telephones and Cancer--a Nationwide Cohort Study in Denmark
Johansen et al.
JNCI J Natl Cancer Inst 2001;93:203-207.
ABSTRACT | FULL TEXT  

Cellular-Telephone Use and Brain Tumors
Inskip et al.
NEJM 2001;344:79-86.
ABSTRACT | FULL TEXT  

Handheld Cellular Telephone Use and Risk of Brain Cancer
Muscat et al.
JAMA 2000;284:3001-3007.
ABSTRACT | FULL TEXT