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December 15, 1993

Mandatory National Health Service

Author Affiliations

Chagrin Falls, Ohio

JAMA. 1993;270(23):2808. doi:10.1001/jama.1993.03510230043025

To the Editor.  —I wish to make two comments on the fine Editorial by Dr Johns1 on mandatory national health service. First, this is a fine idea and should be very helpful in bringing young physicians into areas not attracting them at the present time. I favor it. Many years ago I donated time on an American Indian reservation.My second comment is in regard to specialists and their training. Specialization should not place the specialist on a pedestal above or remote from his or her patients. The rendering of general advice to patients is a duty of every physician.My practice time covered a period of 43 years, from 1940 to 1983, during a time when the specialties were developing. I was a surgeon and took time to give advice to my patients, in conjunction with my referring physicians, when they asked for it—and many did. Every specialist