retired doc on the JAMA-induced controversy:
I worry that we have been so guideline oriented and so herded by the views of organizations whose motives at times seem at best suspect that we really can’t win.Go by the guidelines and then we learn the guidelines are thought to be bogus; don’t comply with them and you are not practicing quality medicine and won’t receive your bribe (a.k.a. pay for performance.) We are learning how goldfish feel.
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