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My own sense is that most physicians are primarily motivated by trying to do the right thing for their patients.
Most physicians are motivated first by the desire to do good, to help their patients, not by greed.
Most physicians are in small practices, lacking the financial and technical support the big groups provide for their doctors.
There are some 6,600 conditions currently identified, and most physicians are unlikely to encounter more than a fraction of them.
Dr. David Ives, a general internist at Beth Israel Deaconess who receives about 30 e-mail messages a day from his patients, said, "Most physicians are afraid they'll be overwhelmed, but it actually replaces telephone calls for me".
"I think that landlords are unrealistic because they keep raising their rent even though most physicians are dependent on insurance reimbursements, which haven't increased in 15 years," Dr. Melnick said.
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A decade ago, Friedlaender says, he, like most physicians, was "fairly violently opposed" to the notion of selling organs.
A few doctors were quick to sign on, but "most physicians were ambivalent at best," noted Jan Walker, a registered nurse and health services researcher at Beth Israel Deaconess who is the study's other lead investigator.
Dr. Hazzard, now an emeritus professor of medicine at the University of Washington, said that at the time, most physicians were daunted by the challenges that go with the aging process.
Although it was proved long ago that people who lack enough intrinsic factor to absorb B12 can benefit from oral doses of the nutrient, most physicians were taught, and many still think, that it has to be given by injection as often as weekly to prevent life-threatening pernicious anemia.
The overall comments demonstrated that most physicians were intensely risk-averse, and had a high distrust for pharmaceuticals, particularly when the drug intervention is for enhancement purposes.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com