Abstract
We strenuously object to Dr. Levinsky's contention (Feb. 22 issue)1 that “managed-care organizations introduce into the doctor–patient relationship powerful third parties whose economic goal is to limit medical care in order to reduce costs.” This is as misleading as saying, “Physicians practice medicine to make money.” Of course they do. They have families to support and retirements to fund. For a physician, however, long-term success requires that the goal of making money be secondary to that of providing quality care for patients.

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