To prevent patients from avoiding care when they cannot afford it, providers should collaborate with them to eliminate unnecessary testing, reduce the frequency of follow-up visits where possible, and make manageable payment plans.
Patients who use drugs intravenously may be at high risk for relapse, but their situation is no more futile than that of persons with diabetes and coronary artery disease who smoke and frequent all-you-can-eat buffets.
The guidelines for patients’ eligibility for bariatric surgery have not changed since 1991, although recent data suggest there may be indications for broadening application of the surgery.
VCA candidates need clinicians to help them become familiar with experimental surgery eligibility criteria, prior and possible outcomes, and potential risks and benefits.
AMA J Ethics. 2019;21(11):E960-967. doi:
10.1001/amajethics.2019.960.