To the Editor.—As I read Dr Lore's commentary in the November 1987 issue of the Archives, I experienced a very negative reaction to his comments. I, however, realize that Dr Loré is afflicted with the same myopia that we all succumb to on more than one occasion. Dr Lore is attacking a system that he helped create and that has provided very acceptable medical care for the American people. Since I am a product of that system, his attack is on my professional integrity.
On the other side of the coin, which is very encouraging, there is the isolated case where the untreated patient is immediately referred.
Considering the professional side of the question, if I am not to be allowed to determine which cases I am competent to treat and which cases I will refer, what was the purpose of my training? If I am incapable of making
MCCOID GR. Dabblers in Head and Neck Oncology. Arch Otolaryngol Head Neck Surg. 1988;114(6):679. doi:10.1001/archotol.1988.01860180093039
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