by Jane M. Orient, 268 pp, $23, ISBN 0-517-59011-5, New York, NY, Crown Publishers Inc, 1994.
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Your Doctor Is Not In was written by an internist in solo private practice who is also executive director of the Association of American Physicians and Surgeons. Dr Jane M. Orient is a gifted writer and a prominent figure in the health care reform discussion, who here addresses many of the problems with our health care system and offers solutions.
In 18 chapters, the author discusses why national health programs don't help the poor, what the politicians really mean when they say you have a right to medical care, why the private doctor is an endangered species, why you probably don't know what the Hippocratic oath really says, why every fee under Medicare's relative value scale (the RBRVS) is wrong, and why the public accepts the idea of slavery for physicians.
The author argues that access for all means access to nothing, that the purpose of managed care is to
Arnett JC. Your Doctor Is Not In: Healthy Skepticism About National Health Care. JAMA. 1995;273(19):1543-1544. doi:10.1001/jama.1995.03520430079046