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I'd favor a somewhat different approach (and perhaps one more consistent with the ideas of our current APA president, Dr. Harold Eist): Take the bureaucratic thugs of Medicare to court. They should be made to demonstrate that these new, more complex G codes are necessary for proper reimbursement, and that they are not merely a useless elaboration of "process" designed to obstruct and delay the outflow of Medicare funds.
Unfortunately, the medical community's traditional response to government bureaucrats has been to follow Neville Chamberlain's "peace-at-any-price" approach. This should change.
Gerald W. Grument, M.D.
Rochester, N.Y.
(Psychiatric News, May 16, 1997)