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October 5, 2011

Evidence-Based Practice and Health Advocacy Organizations—Reply

Author Affiliations

Author Affiliation: Department of Sociomedical Sciences, Mailman School of Public Health, New York, New York (smr4@columbia.edu).

JAMA. 2011;306(13):1443-1445. doi:10.1001/jama.2011.1406

In Reply: Dr Perrin and colleagues do not accurately present some of the points of my Commentary. I did not urge advocacy organizations to be silent, nor did I suggest that families should not participate in medical decision making. Rather, I suggested that given the stake health advocacy organizations have in promoting members' interests, they should not automatically be viewed as representing the public interest. My Commentary focused on health advocacy organizations, not other stakeholders, because they are highly regarded and deferred to often. The American Medical Association and the Association of Health Insurance Plans are not consumer-led advocacy organizations.