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October 1984

Diagnosis-Related Groups: 'Only the Lead Dog Sees a Change of Scenery'

Arch Otolaryngol. 1984;110(10):631-632. doi:10.1001/archotol.1984.00800360003001

The article by Leopold and Lagoe1 represents a departure from the high-quality scientific reports we usually see in the Archives. This departure is welcome and overdue. The authors are to be commended not only for their extensive analysis on diagnosis-related groups (DRGs), but also for having the courage to submit their article to a peer-reviewed journal.

See also p 633.

Otolaryngologists must become active participants in directing health care policy whether or not we desire to do so. I suspect that most of us prefer to do what we spent so many years learning to do—caring for patients. It is precisely this caring for patients that mandates our involvement! Do you believe the insurance carriers or our legislators have a nobler goal than cost reductions for health care?

I agree that $322 billion or 10.6% of the gross national product spent on health care in 1982 is a considerable sum

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