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Dr McLaughlin uses some words to paraphrase my COMMENTARY ("bewails," "aggressive," "power by default") that suggest more rancor than I intended. My aim was to urge some hospital governing board reforms that are long overdue. Of course there is "danger" in adding more physicians to such boards, but physicians should be held responsible for the caliber of the medical care at institutions where they work and should be charged with appropriate responsibility. Certainly they will have vested interests, but Dr McLaughlin obviously is keenly aware of the vested interests that nonphysician board members also have.Conflicts of interest do lead to undue pressure on administrators, but fortunately such self-serving board members are not too common. Dr McLaughlin fails to discuss the conflicts of interest of administrators, who also may be self-serving and manipulative of board and medical staff members. I wonder if that is not more frequent than
Miller AJ. The 'Growth Disease' in American Institutional Medicine-Reply. JAMA. 1982;248(5):545. doi:10.1001/jama.1982.03330050029013