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May 2, 1990

Preoperative Banditry: Surgeons React

Author Affiliations

Fredericksburg Internal Medicine PC Fredericksburg, Va

Fredericksburg Internal Medicine PC Fredericksburg, Va

JAMA. 1990;263(17):2301. doi:10.1001/jama.1990.03440170022022

To the Editor.—  The November 10 issue of JAMA includes a worrisome account by Ms Richmond.1 A surgeon's office had required a $5000 cash fee up front prior to performing surgery on an elderly patient in pain.I suggest that Ms Richmond contact the surgeon directly to determine if in fact that is the surgeon's policy. Occasionally, an aggressive business manager could take unwarranted responsibility and make demands unknown by the physician. If the surgeon indeed conducts his practice in that manner, I recommend (1) contacting the local medical society and asking its representative to review the surgeon's policy, (2) sending a copy of "About 'Face'" to the local newspaper, (3) letting the surgeon know that you obviously are dissatisfied with this manner of care and obtaining another surgeon, (4) letting any referring physicians know that you are dissatisfied with the services of the surgeon and that you are