Research has shown that ethics committees are less prevalent in rural hospitals than elsewhere, they do not fulfill the typical role, and they are seldom used; rural health care workers do not see bioethics analysis as applicable to the challenges they face, and they are hesitant to take action about many ethical problems.
James Mills Jr., MD, a founder of emergency medicine, believed he could have greater impact on medical care for the poor in his city by giving up his practice and working in the emergency room full time.