In this issue of the Journal, Asch and Ubel call our attentionto a common problem for physicians namely, whether tochoose the "best" test or treatment for their patients or asecond-best, cheaper one.1 They illustrate the problem withseveral realistic clinical scenarios and describe the second-bestchoice as a compromise that could be considered a form of rationing.The rationales for the compromise choices vary: in one casethe physician chooses a cheaper item because he is concernedabout the high cost of care to society, in another the inferioralternative 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.
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Full Text
N Engl J Med 1997;
337:1395-1396, Nov 6, 1997.
Correspondence
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Love, S. M., Tuckfelt, M., Nicklin, D., Durand, A. M., Katz, S. J., Asch, D. A., Ubel, P. A.
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