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August 3, 1994

Improving Health Care for the Poor-Reply

Author Affiliations

Columbia University New York, NY

JAMA. 1994;272(5):353. doi:10.1001/jama.1994.03520050029017

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In Reply.  —I will comment briefly on the most severe criticisms evoked by my recent article.If Cook County Hospital in Chicago is meeting satisfactorily the needs of the Chicago poor, as Dr Milloy believes, that must be news to many of the Chicago poor and the citizenry at large. The medical and political leadership of the city and the state have been struggling these many years to decide on a preferred remedy for the dysfunctionalities of the hospital. A reasonable solution has still to emerge and be acted on. On the score of "class discrimination" in assessing the quality of the practitioners serving the poor, I apologize to both Drs Milloy and Reddy (see below) for a loose formulation. In extenuation, my comment was limited to many, surely not all, IMGs.The federal government has in operation the National Health Service Corps, a program that enables young physicians to

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