Though body size can be altered with environmental or behavioral changes, anatomic shape, which appears to be genetically determined, cannot be changed except by surgery, trauma, or illness.
Good ethics and good business don’t have to be in conflict. Ophthalmologists shouldn’t resort to requiring their patients to buy contact lenses in-house; instead, they should focus on expanding their skill set and providing personalized service.
US attitudes toward aging drive patient demands for elective medical and surgical services. Ethical physicians must make sure patients have realistic expectations.