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March 23, 1990

Potomac Fever or White House Wisdom?

Author Affiliations

Charlotte, NC

Charlotte, NC

JAMA. 1990;263(12):1636. doi:10.1001/jama.1990.03440120058033

To the Editor.—  If Dr Lee's statements truly reflect his views, I sincerely hope that he does not succeed in upgrading the position of President's physician from a "blue-collar" job to "one of the premier health-policy positions in the nation."1The cynicism with which Dr Lee views his fellow physicians is evident. His assertion that "as long as physicians are paid more to do more, they're going to find a way to do more tests and procedures and get paid more" is an insult to the vast majority of physicians who are ethical and honest and are trying to do what is best for their patients. He says that by rationing health care he means "cutting out the waste, some of which is motivated by physician greed." Greed may add to health care cost, but it is a minor factor. If Dr Lee has information that proves otherwise,