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Marvin E. Jaffe, MD
Huntingdon Valley, Pa

JAMA. 1986;256(19):2673-2674.

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

To the Editor.—

Dr Lipper's and Dr Hammett's discussion¹ of the rewards of clinical trials seems to suggest that the interests of the physician and the interests of the patient are somehow dissociable. Since this is not the case in the day-to-day practice of medicine, how can they impute a less worthy motivation to the physician who partipates in clinical trials?

I do not disagree with the commentary of Dr Spiro,² which states that patients should know if the physician is receiving a special bounty for enrolling them in clinical trials; however, such financial remuneration beyond the usual cost of care is not often offered. The patient should be informed if he will not be required to pay for clinic visits made while he is participating in the trial and if laboratory studies and medications will be free. Some physicians double bill a thirdparty payer in addition. Such . . . [Full Text PDF of this Article]

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