Allow me to reduce your 110 column inches on Mark Midei to the crucial one: "Reviewers saw 30 percent narrowings when Dr. Midei saw 90 percent." ("Mark Midei fights for medical license, exoneration," Dec. 10.)
The rest is rhetoric. A key role of primary care physicians is to prevent unnecessary procedures by specialists. This is impossible if the patient is sucked through an ER evaluation and stenting procedure like a goose through a jet engine, without ever calling the patient's physician.