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Larry Boller, executive director for the Center for Specialty Care in Fairmont, MN, is one such example. When Boller joined the Center for Specialty Care in 1999, he had a mandate to direct the clinic''s growth from a three-surgeon orthopedic specialty to a facility that would meet the chiefly rural community''s diverse surgical needs.Boller decided to augment his clinic''s internal recruiting effort and contracted with one of the country''s best-known retained physician search firms, but quickly became disillusioned by the poor service and attention he received."They had no service ethics," Boller said. "We''re making a serious effort here with thousands ''and thousands of dollars involved, but what upset me about them is that they have warm body syndrome."

Recently, the conflict between reimbursement and quality care received national attention.(3) Vencor, the U.S.''s second largest nursing home chain, attempted to terminate its Medicaid contracts and evict all its Medicaid residents.(4) Executives explained that the contract terminations and resident evictions were strategies to make room for higher paying private pay residents.(5) Faced with state, and potentially federal, fines,(6) as well as a district court injunction and public outrage over the patient dumping, the company quickly abandoned its policy and apologized.(7) The attempted resident evictions quickly prompted new legislation less than a year later, which forbids facilities from evicting Medicaid patients based solely on payment status. Although the strategy resulted in a public relations disaster, the company claims that the real "bad guy" is the government because what the government pays "is not adequate to cover the cost for what [the company] believe[s] is the proper care for a patient."(8) This statement reflects providers'' frustration with current government payment levels and expected standards of care throughout the nation.

Self-rated health has often been thought of as measuring only `subjective'' health, the opposite to physician-rated health, which is considered as an `objective'' measurement. However, general physician rating of health may also include subjective components creating validity problems [2].

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