Regarding Alpert's commentary,1 the transition to managed care has to be seen as at least bittersweet. The "joys" of professional practice as Alpert remembers them were no longer affordable to a government committed to represent our national patient base. Projections were ignored, excesses were denied or explained away, and the forces of change came roaring down the track, unabated and with a vengeance.
Quinn C. Rebuttal to Editorial. Arch Intern Med. 1998;158(18):2068. doi: