AAP News Vol. 14 No. 6 June 1998, p. 12
© 1998 American Academy of Pediatrics
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Jury's message: medicine over money: Academy member's winning lawsuit puts managed care on trial

Karen Brandon

These are the things Dr. Thomas Self believes cost him his job:

• He spent too much time with his patients.

• He ordered too many tests that didn't generate enough profits.

• He refused to perform unnecessary surgeries.

In sum, he contends, he was fired because he advocated "a higher level of health care" than his medical group would tolerate in a business increasingly driven by profits and beholden to contracts with managed care companies.