0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Substandard Care, Antidumping, and George Orwell

Gary M. Gaddis, MD, PhD
JAMA. 1993;269(11):1384. doi:10.1001/jama.1993.03500110052023.
Text Size: A A A
Published online

To the Editor.  —The article "Socioeconomic Status and Risk for Substandard Medical Care"1 highlighted an important concern about the provision of medical care to the medically indigent and concluded that "the uninsured are at greater risk for suffering medical injury due to substandard medical care."The authors analyzed over 30000 hospital records from 1984 and properly cited a number of limitations of their study. Unfortunately, they did not discuss that federal "antidumping" statutes (commonly referred to as COBRA [Consolidated Omnibus Reconciliation Act] legislation) were not enacted until 1986. This legislation carries significant civil penalties for noncompliance. The absence of such legislation in 1984 makes generalization of conclusions to the current time problematic at best because a significant number of injuries were judged to be due to negligent care.Furthermore, that negligent injuries were highly likely to occur in the emergency department deserves comment. Though the authors properly cited the

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();