Administrative Costs and Health Care Reform

To the Editor: Dr. Blumenthal states (Aug. 5 issue)¹ that “One of the most effective ways to exert [physician] leadership may be [for physicians] to participate in the development of administrative systems that make the quality of health care the best it can possibly be.” Pray tell, how? The problem is that in most hospitals physicians are not expected or even permitted to participate, except as instruments of administrative desires. To the Editor: As a physician who is the director of a university tertiary care referral center, I have become convinced that the primary way to control the administrative and…