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September 12, 1990

Immigrant Attitudes Toward the Physician-Reply

Author Affiliations

The American University Washington, DC

The American University Washington, DC

JAMA. 1990;264(10):1252. doi:10.1001/jama.1990.03450100042022

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In Reply.—  I am most grateful to Dr Anderson for his letter. It is gratifying to learn that his clinical research as a physician-anthropologist interested in ethnomedicine confirms many of the conclusions I have drawn based on historical data and some contemporary reports. His interest in my essay suggests how much there is to be gained when doctors of medicine and doctors of history share their insights and expertise.I do not wish to dwell on the sentence that Dr Anderson quoted out of context in the last paragraph of his letter. As an American historian working primarily in immigration and ethnic studies, I would be the last to suggest that American standards of health and hygiene are uniformly superior to those of other countries. In this case, I believe the pejorative connotation was supplied by the reader, not the author. Those who peruse the entire article should have