Lunoshard, I can't speak for the other physicians here, including the ones who spoke on air. I can only speak for myself.
It's not that I was trained to ignore the costs of treatment; this was not the case at all. It was more that I was trained not to take the patient's level of resources into consideration, as that could possibly bias my treatment decisions. One is trained to provide the most appropriate care, and, when all appropriate options are equal, then the selection on the basis of cost would be encouraged.
If one has detailed knowledge of a patient's resources, or makes incorrect assumptions about them, one may make inappropriate treatment selections. It's best to select the best treatment options, discuss that with the patient, and then figure out a way if it proves that the resources are an issue.
It's a delicate ethical balance. Yes, one is running a business, but you don't want to look at every patient encounter from a monetized perspective. That's how you get McAllen, TX.
On the other hand, you want to provide good patient care, and that may not be the cheapest thing.
posted 3 years, 10 months ago
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