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George B. Markle IV, MD
Guadaloupe Medical Center Carlsbad, NM

JAMA. 1978;240(15):1587.

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

In Reply.—

I am extremely gratified that there is an increasing number of physicians like Dr Rodney who are not only concerned about the costs of health care, but who are doing something about them.

I thoroughly agree that traditional training in our medical educational institutions is biased toward extravagant use of expensive technology, more costly medications and therapies, and overuse of hospitals and medical personnel. Residents in training and those physicians who have recently finished their training may be quicker to use pulmonary function studies than their stethoscopes, intravenous aminoglycosides instead of oral penicillin, or an operating room instead of the office for a minor procedure.

Fear of malpractice suits has something to do with this of course, but in many cases the young physicians just have never been shown how to practice in any other way. They appear to believe that anything that is more expensive, more time-consuming, . . . [Full Text PDF of this Article]

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