Looking at the many problems with guidelines we ask, do we really need them at all? Why are there no guidelines for dentists, veterinarians, or lawyers? These professions have kept control of their destinies by rejecting direct third-party reimbursement, and all the strings that come attached with this. Ultimately, guidelines and P4P become means to bypass the doctor-patient relationship and centrally determine how medical care is delivered. They replace the art of medicine with paint-by-numbers. Guidelines are fatally flawed. They are more likely to do harm than good and should be rejected.


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Blood Purif 2007;25:39-47 DOI: 10.1159/000096396

Published online: December 14, 2006

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