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October 22, 1973

Peer Review

JAMA. 1973;226(4):468. doi:10.1001/jama.1973.03230040042022

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To the Editor.—  Bravo to the letter in The Journal (225:67,1973) on Peer Review by A. Michael Pardue! Professional Standards Review Organization (PSRO), the law passed hurriedly by Congress without adequate opportunity for study and debate, will, if implemented, freeze medical practice in a straightjacket dictated by ivory tower professors selected by the Department of Health, Education, and Welfare and enforced by nonmedical bureaucrats. Had such a law been in effect, most of the truly great advances in medical practice could never have occurred, for nearly always the establishment physicians have vigorously and in a body opposed innovations such as Jenner's vaccination, Pasteur's bacterial origin of infectious disease, and Semmelweis' demonstration of how puerperal sepsis was carried on the hands of the physician from autopsy room and infected woman to the delivery room. A vivid and recent personal memory is how Lempert's one-stage fenestration operation for restoring hearing in progressive