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October 31, 1977

Cost of Medical Care-Reply

Author Affiliations

Boston City Hospital Boston

JAMA. 1977;238(18):1911. doi:10.1001/jama.1977.03280190013004

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Much of the criticism in Dr Robertson's first two paragraphs has been covered in the exchange of letters with Dr Max Bader (238:1361, 1977). Specifically, my statements concerning the cost of Medicaid and other federal programs, unlike Dr Robertson's, were buttressed by references. Dr Robertson, unfortunately, has not substantiated his allegations. Furthermore, his criticism of outpatient care in municipal, state, and federal hospitals, often rendered by the faculty members of medical schools, is unfair and inaccurate. How easy it is for academicians in plush surroundings to cast stones at inadequately compensated physicians laboring in neglected physical plants of municipal and state hospitals. Being one of those physicians who renders care both in a private office and in a municipal hospital clinic, I am aware of the short-comings of both of these settings. In my commentary I suggested that some of the funds currently allotted to Medicaid could be