Yeah, my opinion re: lying to insurance companies is this - really you shouldn't do it because it's better not to lie, but when quality of a patient's life is at stake, or life-saving treatment is needed, I think as physicians and human beings our ultimate responsibility is to other human beings, not corporations. Obviously going to a religious school, the 10 commandments came up during that conversation, and my answer was basically that the first five commandments are about our relationship with God, while the last five are about how we should relate to our fellow human beings. I do believe, ethically and morally and spiritually and whatever else, that our responsibility as *PEOPLE* are to other people first and then only to some giant institution/corporation. You could pick this apart many different ways, and obviously I do not believe that it is ethical or moral to completely ignore the HMOs' rules and regulations just because people >>> corporations, but I do believe that as a general statement, a physician's ultimate responsibility is to humanity, and to do what it takes and what is possible to preserve the quality of life of each patient.
I don't know that I'd be willing to continually record that a pt has depression just so they could get buproprion, something like that done habitually, I feel would compromise my integrity over time. though why the hell do they not cover something like that, I cannot imagine... O_____O smoking being the #1 cause of preventable death and diet & exercise levels being #2... it's gotta cost a lot more to take care of the emphysema and stroke and the other fallout. O___________O seriously? insurance companies don't cover wellbutrin for smoking cessation? there is something seriously wrong here.
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Date: June 4th, 2010 06:35 pm (UTC)From:Yeah, my opinion re: lying to insurance companies is this - really you shouldn't do it because it's better not to lie, but when quality of a patient's life is at stake, or life-saving treatment is needed, I think as physicians and human beings our ultimate responsibility is to other human beings, not corporations. Obviously going to a religious school, the 10 commandments came up during that conversation, and my answer was basically that the first five commandments are about our relationship with God, while the last five are about how we should relate to our fellow human beings. I do believe, ethically and morally and spiritually and whatever else, that our responsibility as *PEOPLE* are to other people first and then only to some giant institution/corporation. You could pick this apart many different ways, and obviously I do not believe that it is ethical or moral to completely ignore the HMOs' rules and regulations just because people >>> corporations, but I do believe that as a general statement, a physician's ultimate responsibility is to humanity, and to do what it takes and what is possible to preserve the quality of life of each patient.
I don't know that I'd be willing to continually record that a pt has depression just so they could get buproprion, something like that done habitually, I feel would compromise my integrity over time. though why the hell do they not cover something like that, I cannot imagine... O_____O smoking being the #1 cause of preventable death and diet & exercise levels being #2... it's gotta cost a lot more to take care of the emphysema and stroke and the other fallout. O___________O seriously? insurance companies don't cover wellbutrin for smoking cessation? there is something seriously wrong here.