To the Editor.
—As an attorney who regularly represents individuals who have been injured due to the denial of care by tightly managed health maintenance organizations, I, like Dr Sidel, am concerned that the use of medicine to capture and control a social agenda has important implications for social policy, the role of physicians, and public health.1 A health care system that promotes the denial of care to patients to increase corporate profits is viewed by many to be a recent phenomenon.2 However, a health care system that pressures physicians to abandon their fiduciary relationship with their patients is not unprecedented.We need to remember the lessons learned at Nuremberg do not only apply to the Nazi physicians prosecuted there. We are indeed not immune from seduction by social, political, or economic organizations that seek to corrupt medicine for their own agendas. Accordingly, 1 addition to Dr Seidelman's thoughtful review of
Vuylsteke KK. Lessons From Nuremberg: Ethical and Social Responsibilities for Health Care Professionals, Health Care Organizations, and Medical Journals. JAMA. 1997;277(9):711. doi:10.1001/jama.1997.03540330033021