Ive filed the lament by Chalmers Nunn, M.D.that few are seriously interested in improving qualitywith the rest of such assertions by academics. Evidently theres good grant money in asserting that American healthcare is a disgrace. Dont believe it. Physicians and hospital executives are acutely aware of the plaintiffs bar being ready to hold their feet to the fire on quality. And the U.S. produces its fair share of innovative science. There simply is no groundswell of dissatisfaction with the standard of care approach. Rich Americans dont go elsewhere for care, and the rich of other nations come here. The one-at-a-time, face-to-face paradigm for healthcare has not been replaced anywhere and isnt something we should be ashamed of.
Jeffrey DenningPractice Performance GroupLa Jolla, Calif.