PSRO Today: A Lawyer's Assessment

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Abstract
The stated purpose of the PSRO laws was to provide for a grass-roots quality-control mechanism. If this is the purpose, the present PSRO law presents a number of problems, both in its language and in the manner in which it is being implemented. Defects in the present law are as follows: the absolute and essentially uncontrolled authority of the Secretary of Health, Education, and Welfare; lack of opportunity for public comment or professional scrutiny in the implementation of the law, so that policy development and implementation becomes a secret process; use of the contracting process as the exclusive vehicle for policy making and implementation; the setting of time constraints that are wholly inadequate for reasoned activity; and the launching of PSRO's without adequate preparation by other agencies and entities that are an essential part of the PSRO environment.

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