The author explains why ear reconstruction is not enhancement surgery, and argues that the American system of health care reimbursement sometimes makes advocating for reimbursement part of treatment.
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.
The proliferation of enhancement technologies and pharmacological agents has perpetuated the view of American doctors and patients of medical care as a market commodity driven by what consumers want and are willing to pay for.
State laws often require physicians to report suspected abuse and assault, creating a dilemma for physicians who must not only treat the injured patient but act as an informant to police.
Physicians should seriously weigh the benefits and risks involved prior to discussing the possibility of genetic testing with a patient or referring them to a genetic counselor.