Drs Persaud and Trope have raised a similar issue as the one raised previously by Dr Hassin,1 namely, that efforts to improve compliance with care cannot be successful in a country that does not have universal access to care. While universal access is a highly desirable goal, my editorial was based on evidence that there is notable underutilization of care among the five sixths of the US population who are insured and do have access. Recently, we published additional data on underutilization of preventive eye care among Medicare beneficiaries with diabetes mellitus. This only serves to strengthen our conclusion that considerable good can be done for the public welfare and for our profession if eye care is effectively marketed.
Javitt JC. Marketing the Ophthalmology Workforce-Reply. Arch Ophthalmol. 1997;115(6):822. doi:10.1001/archopht.1997.01100150824030