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Comment & Response |

Government Regulations on Physician Self-referral—Reply

Eli Y. Adashi, MD, MS1; Robert P. Kocher, MD2
[+] Author Affiliations
1Warren Alpert Medical School, Brown University, Providence, Rhode Island
2Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles
JAMA. 2015;313(19):1977-1978. doi:10.1001/jama.2015.3629.
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In Reply We agree with Dr O’Gara that the majority of physicians are tirelessly working to deliver the highest quality of care for their patients. Our Viewpoint never argued otherwise.

Nonetheless, we disagree with Dr Kapoor that the physician’s office is the most cost-effective site of care. Although in-office tests can be convenient for patients, in many cases convenience comes at much higher prices for patients and a predilection for physicians to order more tests.


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May 19, 2015
Deepak A. Kapoor, MD
1Department of Urology, Icahn School of Medicine at Mount Sinai Hospital, Melville, New York
JAMA. 2015;313(19):1977. doi:10.1001/jama.2015.3623.
May 19, 2015
Patrick T. O’Gara, MD
1Cardiovascular Division, Brigham and Women’s Hospital, Boston, Massachusetts
JAMA. 2015;313(19):1976-1977. doi:10.1001/jama.2015.3626.
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