Published in the New York Times (Western Edition), Wednesday, December 3, 1997, page A27:



"Health Care for Patients - Not Corporate Profit: A Call to Action."

"We are California physicians, nurses and allied health professionals from across the spectrum of our professions. We serve patients rich and poor, in hospitals and clinics, private offices and HMOs, public agencies, community settings and academia.

Doctors and nurses are being prodded by threats and bribes to abdicate allegiance to patients, and to shun the sickest, who may be unprofitable. The primacy of the patient yields to a perverse accountability - to investors, to bureaucrats, to insurers and to employers. And patients worry that their doctor's or nurse's judgment and advice are guided by the corporate bottom line.

We warn that the changes afoot push nursing and medicine further from caring, fairness and efficiency. We find common ground on:

  • Medicine and nursing must not be diverted from their primary tasks: the relief of suffering, the prevention and treatment of illness, and the promotion of health. The efficient deployment of resources is critical, but must not detract from these goals.
  • Pusuit of corporate profit and personal fortune has no place in care giving.
  • Potent financial incentives that reward overcare or undercare weaken doctor - patient and nurse - patient bonds, and should be prohibited. Similarly, business arrangements that allow corporations and employers to control the care of patients should be proscribed.
  • A patient's right to a physician, nurse or other health care professional of choice must not be curtailed.
  • Access to health care must be the right of all.

    We have petitioned our Governor, Legislature and Attorney General for a moratorium on for-profit takeovers of hospitals, insurance plans, HMOs, physicians' practices and other health care institutions.
  • We invite public endorsement of this Call by doctors, nurses, allied health professionals, and professional and consumer groups."

    (Followed by over 500 names of physicians and allied professionals.)

    California Physicians Alliance
    560 20th Street
    Oakland, CA, 94612
    Phone: 510/832-7134
    Fax: 510/832-7110
    e-mail: CAPA@jps.net


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    John H. Frenster, M.D.
    Physicians' Educational Series
    247 Stockbridge Avenue
    Atherton, CA 94027-5446
    Phone: 650/367-6483
    FAX: 650/364-1773

    clinicalfreedom: "the ability of the patient and the physician to do all that is medically necessary without interference."