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Ready for Boutique Practice
I had a chuckle when I read Dr. Ira Mandel's negative view regarding boutique medical practice ("Pro & Con: Is 'concierge' care an ethical alternative?" March 15, 2002, p. 5).
I quit doing obstetrics 10 years ago because of the hassle. Last year, I closed my private gynecologic practice in San Diego after 20 years because I was tired of subsidizing it.
As a board-certified foreign medical graduate, I dutifully go back twice a year to my native country and work for free under the most horrendous conditions. I work here in a community clinic one morning a week, and for years I have been offering free care to the uninsured at a low-income clinic as well as a homeless shelter.
I plan to return to private practice this fall as the medical director of a comprehensive wellness center for midlife women. When I see a patient in that office--in America, the land of opportunity--she will have to pay me with cash, check, or credit card. By the way, I will also offer a boutique practice to a limited few.
Carolle Jean-Murat, M.D.
La Mesa, Calif.