Dr Alpert1 engages in hyperbole not befitting a medical journal in his commentary regarding the plight of health maintenance organization patients (HMO). To repeatedly compare the difficulties of some American patients receiving substandard medical care with victims of ethnic cleansing in Kosovo is an exaggeration that trivializes the refugees' profound suffering.
Mininsohn MJ. Inappropriate Comparison of HMO Patients to Victims of War. Arch Intern Med. 2000;160(17):2680. doi: