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To the Editor In their Viewpoint on physician self-referral, Drs Adashi and Kocher1 failed to note that the independent physician’s office2 is the most cost-effective site of service. Even though the Government Accountability Office (GAO) suggested that 427 000 of 2.15 million imaging studies performed by groups with in-house imaging services would have been eliminated if such groups performed these services at the rates of physicians without equipment ownership,3 it provided no data demonstrating that lower use rates were medically more appropriate.
Kapoor DA. Government Regulations on Physician Self-referral. JAMA. 2015;313(19):1977. doi:10.1001/jama.2015.3623