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Editorial
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Volume 336:1666-1667 June 5, 1997 Number 23
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Our Endangered Integrity — It Can Only Get Worse

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In this issue of the Journal, Asch and Ubel call our attention to a common problem for physicians — namely, whether to choose the "best" test or treatment for their patients or a second-best, cheaper one.1 They illustrate the problem with several realistic clinical scenarios and describe the second-best choice as a compromise that could be considered a form of rationing. The rationales for the compromise choices vary: in one case the physician chooses a cheaper item because he is concerned about the high cost of care to society, in another the inferior alternative is chosen because it is considered . . . [Full Text of this Article]

References


Related Letters:

Rationing by Any Other Name
Love S. M., Tuckfelt M., Nicklin D., Durand A. M., Katz S. J., Asch D. A., Ubel P. A.
Extract | Full Text  
N Engl J Med 1997; 337:1395-1396, Nov 6, 1997. Correspondence

Disability and Physician-Assisted Suicide
Kowalski E. P., Kowalski S. D., Kirkland L. R., Falasca G. F., Bancroft E. A., Batavia A. I.
Extract | Full Text  
N Engl J Med 1997; 337:1852-1854, Dec 18, 1997. Correspondence

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