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Beth Haynes, MD
Healdsburg, Calif

JAMA. 1990;263(12):1631.

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

To the Editor.—

Thank you for reprinting your editorial entitled "Fifty Hours for the Poor" in the December 1, 1989, issue of JAMA. I appreciate the opportunity to outline my objections to the major false premise of this editorial while its claims are still fresh in the minds of your readers. This false premise is at the root of the current political and economic policies of American government and organized medicine.

The quote you use from Dr Pellegrino erroneously implies that goodwill and benevolence are the end result of selfeffacement. In other writings, Dr Pellegrino makes it clear that his basis for requiring self-effacement is the morality of altruism and self-sacrifice. The tone of your editorial implies support for his belief that the moral purpose of one's life is to serve others. What is the logical result of this assumption? If the standard of morality in a society involves . . . [Full Text PDF of this Article]

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