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I enjoyed reading the recent article by Dr Dalen¹ in the ARCHIVES titled, "Health Care in America: The Good, the Bad, and the Ugly." Although I have been retired a few years, I've seen enough of colleagues who work in a state of emotional depression and discouragement or even cynicism. For me the key sentence in Dr Dalen's article was the following: "Physicians have lost the ability to guide the care of their patients."

As with our politics, our practice of medicine has been corporatized. I begin to feel that I, as a person, do not belong to a country anymore but to a few corporations.

André Bruwer, MD
Tucson, Ariz

1. Dalen JE. Health care in America: the good, the bad, and the ugly. Arch Intern Med. 2000;160:2573-2576. FREE FULL TEXT

Arch Intern Med. 2001;161:2050.