brand logo

Fam Pract Manag. 1998;5(4):9

To the Editor:

Wow! What a forthright, cogent and timely article (“Solo Practice: The Way of the Future,” February 1998). My thanks to Family Practice Management for publishing such a counterculture viewpoint that renders moot and void quite a few of the very articles you publish each month. In 1993, we were told to jump on the Clinton-care bandwagon since its adoption was inevitable. Wrong. And universal managed care and all other forms of centralized control are also not the inevitable tsunamis that the media would have us think.

Dr. Iliff's analogy about personal computers ousting mainframes is exactly right. No centralized control mechanism can ever approach the freedom, flexibility and performance of a diverse market of fully functioning individual physicians.

By the way, I must not be an “average academician” because upon reading this article I immediately routed it to all our residents and faculty, thus doing my part to promote the “independent model of practice.”

Editor's note:

Dr. Iliff's article has prompted a flood of responses from readers sharing their thoughts on the future of solo practice. In an upcoming issue, Family Practice Management will feature excerpts from selected responses.


Send your comments to Submission of a letter will be construed as granting AAFP permission to publish the letter in any of its publications in any form. We cannot respond to all letters we receive. Those chosen for publication will be edited for length and style.

Continue Reading

More in FPM

Copyright © 1998 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.  See permissions for copyright questions and/or permission requests.