The Michigan Daily-Wednesday, August 11, 1982-Page 9
DOCTOR SAYS COMPETITION GOOD FOR MEDICINE
Taking care of health care

SCOTTSDALE, Ariz. (AP) - For
several years, plastic surgeon John
Simons has been trying to demonstrate
that American medical care doesn't
have to be delivered like bulk mail -
impersonally, erratically, and
wastefully.
The 49-year-old doctor says that
American medicine - the world's best,
in his opinion - should take a cue from
private enterprise. If doctors delivered
medicine the way businesses deliver
their products, he says, medical care
would be not only better, but less costly.
"THE GREAT majority of people in
Smith says
U.S. legal
Ssystem
favors
criminals
SAN FRANCISCO (UPI)- Attorney
General William French Smith told a
gathering of lawyers yesterday that
major reforms are needed in an
American legal system "tilted too
decidedly in favor of the rights of
criminals."
Smith, addressing the American Bar
Association's House of Delegates, said
the Reagan administration has been
working "to secure passage of
legislative reforms that would restore
the balance between the forces of law
and the forces of lawlessness by
making our criminal laws more effec-
tive."
SMITH'S SPEECH opened a session
of the bar association's policy-making
House of Delegates which is devoted to
debate on issues including endorsement
of nuclear disarmament and whether to
adopt a major reform of the code of
ethics governing lawyer conduct.
Smith, noting that violent crime has
increased 85 percent during the last
decade, said the majority of Americans
believe courts fail to deal severely
enough with criminals. He cited
statistics that by 1981, nearly nine of 10
Americans believed this.
And he said nearly eight of 10
Americans do not believe the legal
system discourages people from com-
mitting crimes - a 50-percent increase
from 1967
IN THE FACE of these statistics,
Smith said, it would be "irresponsible
 for Congress not to act on badly needed
reforms."
The nation's top law enforcement of-
ficer said basic reforms are needed in
the area of the exclusionary rule, the
insanity defense and immigration laws.
"Uses of the exclusionary rule and
the insanity defense have helped turn
the criminal justice system into a
cynical game," he said.
Smith noted that "an imbalance has
arisen in the scales of justice. The
criminal justice system has tilted too
decidedly, in favor of the rights of
criminals and against the rights of
society."

medicine are hard-working, interested
in their fellow man, in doing new and
better things," Simons said in a recent
interview in his office. "But we have
really not stayed on top of this simple
thing called marketing."
Doctors jealously guard their in-.
dependence and their absolute
authority on medical questions, and,
Simons said, their traditional authority
on non-medical questions that might
be better handled by cost-conscious
administrators.
Hospital directors too often give in to
the "mystique of medicine," said

Simons, somewhat reluctant to.
criticize others in his profession.
"THE CARDIAC surgeon says, 'You
do it this way, or I'll take off' " - and
the hospital directors too often give in.
These guys on the hospital boards do
things they'd never do in their own
companies."
After an unsuccessful effort several
years ago to promote better medical
care delivery through a company he
formed, Simons decided to incorporate
his notions into his practice in Paradise
Valley, near Phoenix.
He designed and built a comfortable

10-acre complex of offices, operating
rooms, patient lodgings, and
recreational facilities that would
exemplify his ideas.
THE $2 MILLION facility, with
beamed ceilings, Spanish-style stucco
archways and red-tile roof, was
designed for efficiency and patient
comfort, Simons said.
There he does plastic surgery that
can be done with a local anesthetic -
that is, with the patient awake. Face lif-
ts, breast enlargements, nose
alterations and removal of moles and
scars all fall into that category.
SeeAMERICAN, Page 13


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