The AMA’s RUC and PDRP

The article, “Understanding the RUC” (June 2011), was nothing more than an advocacy piece masquerading as scholarship. It was designed to bolster support within the AAOS for a process that accrues to the direct financial benefit of orthopaedic surgeons, while ignoring the RUC process’s extraordinary cost to patient care quality, purchasers, primary care, medicine in general, and the larger American economy.

As the author of several recent articles critical of the RUC, I invite AAOS to engage in a comprehensive, objective discussion of the RUC’s composition, methodology, and impact. I would be glad to present why the RUC is the very center of the American healthcare cost crisis, why it has ultimately corroded the professionalism of proceduralists, including orthopaedic surgeons, and why it needs to be either fixed or replaced.

Brian Klepper, PhD
Atlantic Beach, Fla.

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