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Re: PAP Smear after TAHFrom: Gordon M. Goldman (gmgoldman@sprintmail.com)Tue Dec 31 13:14:21 1996
Harrison Sheld wrote: I just had a case(n=1) of just such a 74 year old patient whom I had been following on an annual basis for 18 years. Picked up an ovarian ca this year; she was totally asymptomatic. For that patient, the annual exam was "cost effective" but how much has it cost "society" as a whole for that one case?? Perhaps we have gone too far in our quest to be "cost effective" and it may be time to return to the days when we let individual patients make their own cost decisions and not the government or the insurers. As we have racheted down costs over the years, the only ones seeming to benefit are the third party payors, not the patients and most certainly not the physicians. Gordon
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