Clinicians' reluctance to engage in environmental interventions for children's psychiatric illnesses, which may seem to implicate parents, may stem from a desire to stand apart from mid-twentieth-century psychiatrists who blamed mothers for pediatric mental illness.
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.
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.