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August 18, 1975

Indian Health Service

Author Affiliations

Department of Health, Education, and Welfare Aberdeen, SD

JAMA. 1975;233(7):770. doi:10.1001/jama.1975.03260070020013

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To the Editor.—  In reply to O. G. Austin, MD (231:247, 1975), and to other physicians who have written to The Journal recently about the dilemma posed for them by excessively high professional liability insurance, I would like to suggest one alternative to "retirement or acceptance of some quasimedical advisory job." In the Public Health Service (PHS), and in particular the Indian Health Service, there are very satisfying opportunities for providing medical care to patients who have great unmet medical needs, and the physician does not have to carry professional malpractice insurance. All federal employees, either Civil Service or Commissioned Corps, are covered by the Federal Tort Claims Act, under which the federal government assumes responsibility for their actions. At the present time, there are positions open for physicians in PHS hospitals and clinics in North and South Dakota, Minnesota, and Nebraska. Although most positions have been filled in the