To the Editor.—
The article entitled "Medicare DOGs"1 was the sort of satire that reveals more about the satirist's prejudices than those of his target. The author gave voice to those stereotypical attitudes of many physicians that only aggravate tensions in the difficult hospital environment. I happen to know a "Marie" in utilization management who, although not "gorgeous," is a very competent and dedicated nurse who spends a great deal of time trying to prevail on physicians to bring their patient care up to standards. Recently, she was browbeaten by a jeering physician who waved the "Medicare DOGs" article in her face. Imperfect though DRGs may be, they exist for a reason— intolerable escalation in medical costs due at least in part to unenlightened practices of physicians. Both hospitals and patients would be well rewarded if hospital administrations paid more attention to educating physicians to provide appropriate and timely care,
Liberthson D. Nongorgeous Marie Puts Jeering Physician in Medicare DOGhouse. JAMA. 1987;258(3):326. doi:10.1001/jama.1987.03400030042024
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