The “Scientific” Value of Personal Care

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To assess the quality of medical care, to promote better care, and to save money, government agencies are developing uniform standards of medical practice that will increasingly be used to monitor and regulate the performance of physicians and to help determine for what they will be paid. Medicine is, indeed, losing its autonomy (1), but, aside from the nuisance and added expense, I do not object to being “regulated” if the guiding standards are correct and clear and are those that will best serve the patient. But although “quality control” is well along, the standards unfortunately are a jumble (2–5).

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