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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.

In the March 26, 2001, issue of the ARCHIVES, Dr Manian¹ laments the increasing frequency of adversarial interactions among physicians. In "Physicians vs Physicians," he decries the continuing incursion of fiscal concerns and considerations into the practice of medicine. He indicates at the beginning of his comments that he may be naive. Well, he's right; he is naive.

Like many other physicians, Dr Manian feels that we in the medical profession should simply be allowed to practice our trade with no interference from outsiders like bureaucrats and bean counters. But he finds confrontation and attack from his own colleagues to be "the most unkindest cut of all."² Where is the camaraderie, the professionalism we grew to expect as part of the ethos of medicine?

Unfortunately, we do not practice in a vacuum. Physicians spend huge sums of money—other people's money. Understandably, the people or agencies responsible for that money are . . . [Full Text of this Article]