TY - JOUR T1 - ASsignment of disability ratings AU - Phillips CD Y1 - 1979/04/13 N1 - 10.1001/jama.1979.03290410016015 JO - JAMA SP - 1576 EP - 1576 VL - 241 IS - 15 N2 - To the Editor.—  With the high cost of medical care in the United States being on the minds of all responsible citizens, the cost of medical disability must loom as a specter of increasing concern. From the vantage point of an orthopedic surgeon, I would like to bring to attention an aspect of medical costs that may be related to a guilt feeling on the part of a patient's surgeon.I refer to a situation where a patient sustains work-related back ailments that are operated on by a well-intentioned surgeon. The physician later finds that the patient is no better—perhaps even worse. This unhappy revelation provokes a feeling of guilt, because the patient has undergone a painful, major operation without the expected improvement. To compound the guilt, the surgeon has been well compensated for the surgical exercise.When the surgeon is asked to assign a disability rating for this patient, SN - 0098-7484 M3 - doi: 10.1001/jama.1979.03290410016015 UR - http://dx.doi.org/10.1001/jama.1979.03290410016015 ER -