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Long before the current go-around with the federal government and at a time when young, newly trained physicians were considered poor businessmen if they did take part, I chose to be a Medicare-participating practitioner. Some of my peers had what they called "strong principles" that did not allow them to do likewise. Today I accept that I may be in the minority of physicians, but I am an old softy for my senior citizens and am proud of it.
Some doctors tried to discourage me when I chose the community in which I now practice. They felt its ethnic base, blue-collar economy, and somewhat off the beaten track location would not contribute to a successful practice. I took it as a challenge. When I opened my practice in 1979, prospective patients would walk into my office unannounced just to look around and to glimpse the new doctor. I was frequently
Buenaflor M. Anna, Mary, Rose. JAMA. 1986;256(9):1181. doi:10.1001/jama.1986.03380090121031