I was pleased to see the debate "Capitated Care: Is It Ethical?" (Arch Ophthalmol. 1997;115:1194-1196). Doctors Durfee and Packer have eloquently set forth good arguments on both sides of this controversy. However, both reflect the assumptions of an ideal world in which only ethical and caring physicians and payors exist. Here in Southern California, where capitated managed care covers most insured lives, ophthalmologists who wish to participate in managed care must participate in capitation and must do so in an environment in which the ethical standards of both physicians and payors are diverse.
Wan WL. Capitated Care—Reply. Arch Ophthalmol. 1998;116(5):699-701. doi: