Hired Help: A Physician's Experiences in a For-Profit Staff-Model HMO

James W. Hudson, Howard Brody, Richard E. Rohr, Stuart Keith Sutton, John G. Smillie, Jay A. Horn, Bernard J. Katz, Henry Scovern

Research output: Contribution to journalLetterpeer-review


To the Editor: Dr. Scovern's Sounding Board article (Sept. 22 issue)* describes conflicts among cost containment, high-quality patient care, and the physician's need for job satisfaction in the setting of a health maintenance organization (HMO). However, in other HMOs these problems do not arise to the degree Scovern indicates. Specific details of his article suggest elements that were lacking in his case that can make the difference between a smoothly running HMO and an ethically problematic one. First, Dr. Scovern is apparently a subspecialist with certification in allergy and rheumatology who was nevertheless expected to function in his HMO as….

Original languageEnglish (US)
Pages (from-to)185-187
Number of pages3
JournalNew England Journal of Medicine
Issue number3
StatePublished - Jan 19 1989
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine


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