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The recent commentary by Eisenberg¹ goes right to the heart (literally) of the matter and hits every nail on the head in detailing and deploring the increasingly sorry state our profession, our health care system, and our academic medical centers have fallen into. It could well serve as the manifesto for a movement to regain what was good and bury what is bad about medicine before the advent of managed care organizations. If "the answer lies with us," what exactly does Eisenberg suggest we do as a profession to regain control of the process so that we may practice as free rather than as slave doctors?

Saul Genuth, MD; Faramarz Ismail-Beigi, MD, PhD
Cleveland, Ohio

1. Eisenberg L. Whatever happened to the faculty on the way to the agora? Arch Intern Med. 1999;159:2251-2256. FREE FULL TEXT

Arch Intern Med. 2000;160:1703.