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December 14, 1984

Physicians for the Developing World-Reply

Author Affiliations

The University of Arizona Health Sciences Center Tucson

JAMA. 1984;252(22):3128. doi:10.1001/jama.1984.03350220036016

In Reply.—  We strongly agree with Dr Day's thesis that physicians must be able to relate to the needs of the societies in which they work and appreciate his examples, which illustrate our mutual view. Whenever sharing of US health manpower with underserved areas, domestic or international, is proposed, this question of professional suitability for such practice is raised1; it formed the topic of the middle 50% of our article.However, now is the opportune time to move beyond this highly legitimate concern, since there is growing agreement among partner nations (be they considered "agent" or "client") and international health agencies on the priorities and technologies1 in Third World medical care. Agreement is also growing over the role of physicians in such care.2,3 We chose to use the Community-Oriented Primary Care/Health for All rather than the biopsychosocial conceptualization of this consensus perspective.More important than terminology is