Reply

We thank Dr Bachynski for her thoughtful letter. She states that our data "suggest the importance of examining how broader social contexts may influence this apparent disconnect between what a physician would do for his or her own child and what he or she recommends for patients." Bachynski suggests that "one probable key factor is race." We did not ask physicians for the racial/ethnic makeup of their practice, so we cannot speculate about whether patient race/ethnicity influences physician counseling practices, as has been found in other studies.

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