We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
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 |

Professionalism vs Commercialism in Managed Care: The Need for a National Council on Medical Care

Wesley M. Vietzke, MD
JAMA. 1997;278(1):20. doi:10.1001/jama.1997.03550010034021.
Text Size: A A A
Published online


To the Editor.  —While Drs McArthur and Moore1 identify the problem of professionalism vs commercialization in managed care, they refuse to consider the only intellectually or morally viable solution. The "two cultures" that they describe and delineate—commerce and professional care—are not just un-comfortable partners, but rather are essentially incompatible. One cannot really "care" for another individual if the reason for that "caring" is commercial. The result will be something, with some kind of commercial value, but it will not be the professional care we all have solemnly agreed to provide.If what we want, and I believe that it is what we not only want but desperately need, is professional patient-oriented medical care, then it must be separated from the commercial system that has no interest in human problems, of whatever cause or magnitude. Commerce just doesn't care—it cannot afford to do so; medicine does, and never in any inherently logical or


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




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.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
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.


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

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

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