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Re: RE HMOs and GTTsFrom: John Robertson (jgmr@unixg.ubc.ca)Sat Mar 30 08:25:19 1996
---------- From: Murray Enkin[SMTP:enkin@fhs.csu.McMaster.CA] Sent: Friday, March 29, 1996 10:55 PM To: jgmr@unixg.ubc.ca Subject: Re: RE HMOs and GTTs That insurance companies, HMOs, governments, or any person or group who are not directly involved with patient care should be the determinant of which tests should be done, or should not be done, seems to me reprehensible. Such decisions should always be made by the physician or direct care giver, after discussion with the patient, and with full attention to the potential benefits and possible adverse effects of the test. (It would be wise of me to refrain from mentioning that outside control of medical practice does not occur in the Canadian system, because that too is bringing up another topic; but I could not resist.) You are right, this probably is wise, but I beg to differ. Outside control does occur. "We will fund these drugs but not others" is only one of many examples that come to mind. J.G.M.Robertson B.Sc., MD,CCFP, FRCS(c), FSOGC 109-9181 Main St., Chilliwack, B.C., Canada, V2P 4M9 (604) 793-9988 e-mail jgmr@unixg.ubc.ca The best we can do for one another is to exchange our thoughts freely; and that, after all, is about all. James A. Froude (1818-1894)
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