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William P. Kanto, JR, MD
Section of Neonatology Department of Pediatrics Medical College of Georgia Augusta, GA 30912

Am J Dis Child. 1987;141(10):1038-1039.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—I very much appreciate Dr Bedrick's thoughtful response to my recent editorial. Since few of us have the perspective that affords us a global view of a national issue such as perinatal regionalization, it is imperative that there be open debate and exchange of ideas and perceptions. I am delighted that Dr Bedrick does not believe that regionalization has deteriorated into turf guarding, and I hope he is correct. I do not possess either his personal experience or his optimism. When I look at the events of the past several years, I am pessimistic. Patients in need have been refused admission, patients have been transferred across state lines because of the lack of a payment source, and a two-tiered health care delivery system, private and public, has developed. These are examples of events now occurring that I believe are incompatible with the original goals of regionalization.¹ When . . . [Full Text PDF of this Article]

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