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I share with the writer of the letter a deep disquietude about the fact that my comments are at variance with the goal of "equal access to quality care." But I was referring to realities, not to my or anybody else's preferences. Accordingly, despite the large number of physicians entering the medical system, I see little likelihood of practitioners setting up private practice in low-income areas, white or black. Hence, second-best alternatives relating to access and care should be explored. They are surely better than hiding one's head in the sand or taking refuge behind slogans, even idealistic ones.
Ginzberg E. Access to Medical Care-Reply. JAMA. 1984;251(20):2659. doi:10.1001/jama.1984.03340440019013
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