Are Pay-for-Performance Programs a Threat to Medical Professionalism?

  1. Christopher M. Lowther, MD, MED, DPD
  1. From Big Horn Basin Skin Centre, Cody, WY 82414.

    TO THE EDITOR:

    The paper by Snyder and Neubauer (1) about pay-for-performance and medical ethics falls short. Recently, I had 2 patients—a husband and wife who were both overweight and had diabetes—become angry with me when I discussed the need to diet. I held my tongue and did not turn them away.

    When …

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    1. Ann Intern Med April 15, 2008 vol. 148 no. 8 630
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