To the Editor.—
Dr Ehrlich states, in his otherwise excellent editorial (1982;248:1743) on the treatment of rheumatoid arthritis, that "such treatments should never be used by primary care physicians... and should be the province only of the specialist." Primary care is not necessarily rendered by nonspecialists. Obstetricians, pediatricians, internists, and, indeed, quite a few rheumatologists provide their patients with primary care. Does Dr Ehrlich mean that only board-certified rheumatologists provide such treatments?