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- W2023371103 abstract "<h3>In Reply.</h3> —We agree with Dr Doner that the physician-patient relationship itself can be therapeutic. We tried to incorporate this into our notion of compassion as an essential element of the physician-patient relationship. We appreciate her focus on this issue. We agree with Dr Rosner that minimizing financial conflicts of interest is essential to an ideal physician-patient relationship. But we urge caution in criticism of managed care plans since fee-for-service medicine has its own financial conflicts of interest in which physicians personally benefit by doing too much. The consequences of these conflicts are well documented.<sup>1</sup>Many managed care plans do use financial incentives that make physicians double agents.<sup>2,3</sup>For instance, 60% of managed care plans withhold more than 10% of physicians' income and 35% provide salary bonuses for limiting use of expensive medical treatments and consultations. Nevertheless, some managed care plans have been careful to avoid financial conflicts" @default.
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- W2023371103 date "1995-08-23" @default.
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- W2023371103 title "Managed Care: Ethical Issues-Reply" @default.
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