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Steven E. Swartz, MD
Rockville, Md

JAMA. 1993;270(6):709.

	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.

—I was saddened to read the article entitled "Broadening the Responsibilities of Practitioners: The Team Approach" in the April 14,1993, JAMA.¹ I would have been amused if this had been presented for April 1, but considering that it appears not to be a joke, my dismay would only be heightened if "DME" (David M. Eddy) were replaced with "Big Brother." The ability of the author to twist logic and truth with emotion to distort reality is amazing; I would refer readers to The Children's Story by James Clavell for a further elucidation of this process.²

The radiologist is correct in trusting his gut feeling, he's just not sure why. The fallacy here is that in using HOCAs, 40 patients who otherwise would not be subject to "severe nonfatal reactions" will be harmed by the system. These are the equivalent of medical hostages, sacrificed so that . . . [Full Text PDF of this Article]

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