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We appreciate Dr Elliott's concerns and agree that the economic effect of the "hassle factor" of managed care has not been adequately studied. As practicing physicians, we all share the concerns that he raises.
Lee P, Asch S, Goldzweig CL. 'Managed' Care Somewhat 'Mangled'?-Reply. Arch Ophthalmol. 1997;115(11):1484. doi:10.1001/archopht.1997.01100160654034