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November 9, 1979

Foreign Medical Graduates-Reply

Author Affiliations

Westchester County Medical Center Valhalla, NY

JAMA. 1979;242(19):2070. doi:10.1001/jama.1979.03300190012010

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In Reply.—  I would concur with any conclusion that the staffing and provision of medical care in the United States should be fundamentally built on our own resources and on the products of our system, supplemented as appropriate by knowledge encased in specific individuals from foreign medical systems who may embellish our efforts.However, I have become deeply concerned that planning for health care via government regulations is a process that leaves too many gaps and a politicized approach to a very sensitive and important issue. The arbitrary and abrupt removal of a major source of physician supply from teaching institutions will solve no problems, but will accentuate the current imbalance in the geographic dispersal of physicians in both inner city and rural areas. The thrust of the American Hospital Association has been to advocate a planned and staged conversion. In this regard, we have outlined a series of proposals