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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Streja and Rabkin,¹ by reviewing the managed care clinical records of 519 patients with diabetes over 2 years in north Los Angeles, and by debriefing their 22 attending physicians and the physicians' administrative bosses, have verified famously that those "providers" who best comport their practice style to managed care (the "fast doctors") tend strongly to be slipshod clinicians. But one might query: "Who should have imagined otherwise?"

It was the grim destiny of the expropriated American clinical profession to now ponder cringingly conclusions of such stark magnitude as Streja and Rabkin's regarding the clinical efficiencies of the vanguard of managed care's housebroken professional cadre:

Physicians who were perceived by the administration of the medical group as "fast" . . . had an odds ratio of 0.60 . . . to obtain a high-density lipoprotein cholesterol determination in their patients and an odds ratio of 0.53 . . . to test . . . [Full Text of this Article]

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