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Correspondence
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Volume 337:1395-1396 November 6, 1997 Number 19
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Rationing by Any Other Name

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 by Kassirer, J. P.
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 by Asch, D. A.
To the Editor: I was disturbed by the Sounding Board by Asch and Ubel on rationing (June 5 issue).1 It was very one-sided, only describing episodes of rationing in which physicians withhold care. What about the flip side — when we overtreat patients for financial or other advantage and, as a result, limit the amount of care available to those who cannot foot the bill? Each of the authors' examples could have been presented in reverse. "Thinking beyond the individual patient," for example, could mean referring a patient with breast cancer for an experimental and expensive treatment because it will . . . [Full Text of this Article]

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