Ethics consultations masking economic dilemmas in patient care

D. L. Schiedermayer, J. La Puma, S. H. Miles

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


The ethical and economic aspects of treatment decisions are often intimately entwined. We demonstrate how clinical economic questions were raised in clinical ethics consultations involving three patients: a 49-year-old retarded man who required short-term tube feeding; a 74-year-old man with metastatic prostatic cancer whose relatives disagreed about whether or not he should have surgical treatment; and a 55-year-old man whose health maintenance organization declined to pay for liver transplantation. Ethics consultants can help to clarify financial constraints and to resolve financial conflicts of interest. All physicians must develop the ability to unmask economic issues in medical care.

Original languageEnglish (US)
Pages (from-to)1303-1305
Number of pages3
JournalArchives of Internal Medicine
Issue number6
StatePublished - 1989


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