Looking at this picture (Point/Counterpoint, AAP News, January) one must question the role of the general pediatrician in the not too distant future. Is 11 years of training and $100,000 debt necessary to provide office care and the privilege of seeing 40 to 50 patients a day to make ends meet, because of the added overhead resulting from another layer of administration from a management group or hospital ownership of practices? What about the satisfaction, or loss of, in not providing complete care for the majority of a practice's children and adolescents?

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