July 14, 1975

Peer Review-Reply

Author Affiliations

Rochester, NY

JAMA. 1975;233(2):137. doi:10.1001/jama.1975.03260020022008

In Reply.—  My warm thanks to Ms. Azzi for her approbation and for her thoughtful questioning.As for whether I am angry or not, I would hope that giving vent to emotion might appear in quite different circumstances than in a technical paper.Ms. Azzi "really wanted" me to write something else: a clear explanation of how it is that authority ("superiority derived from a status that carries with it the right to command and give final decisions: DOMINION, JURISDICTION"1(p146)) and reason ("the faculty for order, sense, and rationality in thought, inference, and conclusion... UNDERSTANDING... the resultant state of knowledge"1(p1891)) differ so and mix so poorly, how it is that dominion contrasts so sharply with understanding. Do not the vicissitudes of critical inquiry from Galileo to Solzhenitsyn and beyond bear appalling witness?Elsewhere I have stated that if medical care is really to improve, an educational process must