systems of care is truly remarkable: the databases, the organized systems, and so on. Again, however, their willingness to do research that is in the public domain and research in which the agenda is set by what is in the public interest rather than solely in the interest of a specific organization is often questionable.

JEREMIAH BARONDESS: John Eisenberg said that HMO is a grab bag term that is no longer useful. I would submit that the same is true of primary care physician, a nonhomogeneous term that embraces sophisticated generalists as well as people in various specialties and subspecialties and at various levels of training and expertise. It is not merely not useful but is counter-productive to refer to all of them with a single label.

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