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Previous Volume 339:410-412 August 6, 1998 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Dr. Levinsky (March 26 issue)¹ recommends "telling patients the truth" as the best way for doctors to deal with the problem of rationing of medical care. As appealing as this advice is, it falls short of solving an important contemporary medical dilemma. For example, the patient with multiple sclerosis who is told that interferon may be of therapeutic value but that the health maintenance organization (HMO) will not pay for it under any circumstances will have to live with this information. It is too late to switch to another HMO. The truth then becomes a source of . . . [Full Text of this Article]

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