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October 21, 1992

National Health Care Reform: The Aura of Inevitability Intensifies

Author Affiliations

West Virginia University Morgantown

JAMA. 1992;268(15):2029. doi:10.1001/jama.1992.03490150081015

To the Editor.  —The recent Editorial dealing with the scope of proposals for health care reform in the United States demonstrated the pressures for such reform.1 But it did not explore either the adverse reactions of the people in or contemplating entering the medical profession or the implications for the future of health care of some of the current changes and those being proposed, if they lead to a decrease in the number and quality of individuals interested in the profession.The double burdens of malpractice and micromanagement are rapidly becoming intolerable. The people driving these problems—trial lawyers and medical bureaucrats—are having such a profoundly demoralizing effect on the medical community that many physicians I know are becoming disenchanted, considering early retirement or career changes, and discouraging their own children (as well as anyone else who asks) from going into the profession. This will dilute the quality of practitioners.