“In order for the doctor to be rewarded as ‘more efficient’ (read, ‘cheaper’), she must eschew newer, costlier medications,” he wrote. “He must also avoid ‘rule-out’ procedures, such as a C-T scan following a concussion that would eliminate the possibility of a rare but potential complication. Will this ‘efficient’ physician be more vulnerable to lawsuits because she didn’t ‘rule out’ the underlying disease? I have been mildly offended when a patient exhorts, ‘treat me like I was your mother (or spouse, or you),’ implying that I would withhold my best treatment from any patient. Yet, if financial considerations affect reimbursement, such appeals might be justified.”
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