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Although I share Dr Hassin's disappointment in our national failure to pass comprehensive health care system reform, I disagree with his opinion that the market size for ophthalmologic services cannot be expanded in a meaningful way without comprehensive health care system reform and universal health insurance. While he refers to my suggestions as a "blind alley," his insistence on blaming the current situation on the failure of Congress to pass the Health Security Act takes the reader down afar murkier path. Moreover, he does a grave disservice to the many professional societies who either supported the legislation as written or would have done so based on achievable modifications. Health care system reform legislation was not passed because of many complex and tragic political reasons, but intractable physician opposition was not one of them.Dr Hassin cites no evidence to support his thesis that effective marketing would be useless
Javitt JC. A Tactical Response to the RAND Study-Reply. Arch Ophthalmol. 1997;115(1):132-133. doi:10.1001/archopht.1997.01100150134033