PEDIATRICS Vol. 90 No. 2 August 1992, pp. 278
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Managed Care

HARRY F. LAWS II MD1

1 Nellis AFB, Nevada

To the Editor.—

The publication of an article in the February 1992 issue of Pediatrics by Cartland and Yudkowski1 gravely concerns me, because it seems to reflect a conclusion unsubstantiated by factual information. I am referring specifically to the implication that the managed care system limits necessary access to pediatrics subspecialty and inpatient care. The authors present data that support a limitation of access within a managed care system, but their anecdotal stories fail to convince me that all these referrals were "necessary."