Mooresmith J T
Ala Med. 1989 Jun;58(12):25-7, 30.
A review of the above material should make it plain that there is no legal method for a large group of private, practicing physicians to organize and negotiate fees with any semblance to the power of labor unions. Antitrust and labor laws make such attempts illegal. On the other hand, PPOs, IPAs, and various other strategies can be somewhat helpful. However, even with these types of organizations, the legal structure, corporate bylaws, board resolutions and subjects of meetings must be carefully planned and continually monitored. Otherwise, the time, effort and money spent on the endeavor may be futile.
对上述材料进行回顾应会清楚地表明，对于一大群私人执业医生而言，不存在合法途径让他们像工会那样组织起来并就费用进行谈判。反垄断法和劳动法使得此类尝试违法。另一方面，优先提供者组织（PPO）、独立执业协会（IPA）以及各种其他策略可能会有所帮助。然而，即便有了这类组织，其法律架构、公司章程、董事会决议以及会议议题都必须精心规划并持续监控。否则，在这一努力上花费的时间、精力和金钱可能会付诸东流。
