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To the Editor: After reading Drs. Kurtzke and Houff's paper, [1] I have three questions. They are blunt, but I trust not impertinent.
The authors initially argue for a "critical mass'' of competent neurologists as a remedy for the detrimental consequences of "inappropriate gatekeeper functions'' by generalists. They deplore the inadequacies of generalists' training regarding neurologic skills and note, apparently in contrast, that neurologists acquire "essentially 1 year of internal medicine.'' This perceived need and internship training apparently justify their contention that neurologists, bolstered by "nurses, physician assistants, social workers, administrative staff and other allied health personnel'' should maintain (if not increase) their existence by providing selected patients with primary care, defined as comprehensive and continuous health care, with an emphasis on prevention. Question 1: Would the authors (J.F.K. and S.A.H.) themselves accept care for a non-neurologic …
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