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Letters to the Editor
Medical Melee
09/01/2005

Dear Editor:
Your article, “Concierge Medicine” (July 2005, page 68), exposed an issue that is at the heart of my life’s work in patient advocacy. Never before has science offered such remarkable answers to challenging health concerns. Yet the complexity of the health care system prevents connecting the dots from science to patient. Your article brought out an important point: As valuable as they are, even highly attentive doctors “can’t offer . . . patients dramatic new technologies.”

Moreover, commonplace ailments now become complicated due to dispersed patient records, mixed communications, physician distractions, conflicting diagnoses and inconsistent treatment. An arguably positive aspect of today’s medicine—specialists by the thousands—further adds to the confusion.

The article focused on the concierge-style solutions arising from patient frustration. To clarify, however, our company, Pinnacle Care, is different in that we rely on objective data plus an impartial medical advisory board to connect our members to the best care options. Unlike concierge practices, this service is not limited by geography, a particular physician’s contacts, hospital affiliations or broad-brush reputations. We do not receive compensation from or provide compensation to any physician or hospital.

A disjointed health care system that keeps patients from getting appropriate treatment is a tragedy. It affects all people of all income levels. Until systemic change occurs, our approach will continue to attract those with above average incomes. We genuinely hope the direction we are forging, the quality route, will someday be available to all others.

John Hutchins
Managing Director, Pinnacle Care International
Baltimore

Disinterested Advice

Dear Editor:
I truly enjoyed Donald Moine’s “Valueless Values” (June 2005, page 36). He is absolutely correct in warning readers not to count on financial advisors for advice in areas outside of their bailiwick. I’d like to add that financial advisors are not always prepared to properly advise their clients in another area of importance to persons of wealth: philanthropy. An ancient Greek philosopher commented on the difficulty of giving money away wisely and well. Things haven’t changed much in two millennia.

I’d suggest to your readers who are starting private family foundations or plunking over seven figures’ worth of cash and assets into a donor-advised fund that they seek out a reputable and disinterested philanthropy advisor to help them put together what Worth described as a “100-year plan” in a series of articles last year. The Council on Foundations has a list of those approved and up to its standards.

Doris Rubenstein
Principal Consultant, PDP Services
Minneapolis

Worth welcomes your comments, critiques and suggestions. Please direct your letters to letters@worth.com.

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