Reader Feedback‪.‬

Dear Editor: I just read Dr. Washburn's article in The Physician Executive (volume 25, issue # 1) and must commend him on hitting all the relevant nails directly on their respective heads. He clearly articulated what many of us have increasingly (and uncomfortably) felt over the past few years. I do not believe the word "apocalypse" overstates the coming meltdown in clinical medicine in this country. As an industry, we are impossibly constrained between mandated rising costs and an inability to raise our prices. We are also constrained between the reality that managed care often means less care, and the malpractice standard that we provide only the best outcomes and are liable regardless of managed care requirements.