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November 1994

Are Dermatologists Greedy?

Author Affiliations

Department of Pathology and Cutaneous Pathology St John's Mercy Medical Center 615 S New Ballas Rd St Louis, MO 63141-8277

Arch Dermatol. 1994;130(11):1451-1452. doi:10.1001/archderm.1994.01690110118027

The title of Dr Crawshaw's1 Issues in Dermatology piece (''Are dermatologists greedy?'') caught my attention. This soul-searching cannot come at a more poignant time for our profession, particularly in the United States as we are contemplating radical health care reform. This question is not new, however, and it has been addressed many times in medical as well as in nonmedical publications. What kind of person will invest 23 to 27 years and over $200 000 in education to start a business with frozen or falling fees for years to come? Certainly not a greedy one!

If I were confronted with the same question, my answer would have gone in a different path. Greed is not a crime in itself as long as there are no moral breaches; furthermore, I am not even sure it is bad to be greedy. The word greed is tainted by rejection and guilt, mostly

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