I would like to respond to Dr. Gerald W. Grumet's Guest Editorial in CLINICAL PSYCHIATRY NEWS ("Managed Care: Can't We Do Better?" February 2008, p. 11).

Let me share my experience as a psychiatrist in solo outpatient private practice.

Tired of low managed care payments and paperwork, about 2 years ago, I decided to drop managed care. One by one, I cancelled all my managed care companies. About a year ago, I went ...