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Letters |20 July 1999

Life, Death, and AIDS

Robert L. Cohen, MD

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  • New York, NY 10014 (Cohen)
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TO THE EDITOR:
I read with interest and sympathy the plea of Drs. Selwyn and Arnold to avoid a mechanistic approach to the care of persons with AIDS as potentially effective therapy becomes available (1). Their memories of the earlier days of this epidemic reminded me of my own experience. I served as the vice president for medical operations of the New York City Health and Hospitals Corporation from 1986 through 1988.
The most powerful memories I retain are of leading physicians, deans, and department chairs urging me to remove patients with AIDS from the public hospitals staffed by New York's leading academic medical centers. These physician leaders felt that the experience of young doctors-in-training caring for young dying patients with AIDS was too hard, too harsh, and too hopeless and was hurting their medical school's rankings in the internal medicine Match.
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Cohen RL. Life, Death, and AIDS. Ann Intern Med. ;131:158. doi: 10.7326/0003-4819-131-2-199907200-00025

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Published: Ann Intern Med. 1999;131(2):158.

DOI: 10.7326/0003-4819-131-2-199907200-00025

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1999 American College of Physicians
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