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November 24, 1993

Primary Care as Part of US Health Services Reform

Author Affiliations

Madison, Wis

JAMA. 1993;270(20):2433. doi:10.1001/jama.1993.03510200038017

To the Editor.  —In their discussion of restructuring licensing policies, Starfield and Simpson1 essentially state that the government or some other monitoring body should determine whether or not a physician in a given specialty is allowed to go into a practice within a specified area based on statistics of case mix and the like.It is unprecedented, un-American, and probably unconstitutional for the government to direct people where to live. There is no difficulty with the government using incentives to try to direct professionals to an area where it is felt they may be needed and away from areas where it is felt that they are not needed. To deny any American the right to live and attempt to practice their profession where they will is anathema and invalidates the entire program.