A physician outlines the RAND Health Insurance Experiment and its conclusion that the deductible feature of consumer-directed health plans can reduce health care spending significantly.

Consumer-directed health plans will result in a more responsive and sustainable health care system in which patients will take more responsibility for management of their chronic conditions.

Physicians are held legally responsible if patients are harmed by not receiving the care that is required, even when the restriction of that care is imposed by a third-party payor.

Physicians should incorporate a balance of evidence-based medicine with expertise and experience in their clinical decision-making processes.

Medical expertise includes knowledge of modern interventions as well as the incorporation of ethical considerations and patient goals as they relate to treatment decisions.

Cross-cultural ethics should be regarded by physicians as an area of medical expertise that can help resolve conflicts that arise between the health traditions of international patients and those traditions that are upheld in the United States.

High-fidelity simulation techniques provide opportunities for medial trainees to develop expertise in practical skills that would otherwise require a great deal of experience to develop in clinical practice.

The theme editor argues that the art and science of medicine combine to create the moral practice that is clinical judgment.

The clinical symptoms, imaging, and tests used in the differential diagnosis of multiple sclerosis.

The general responsibilities of bioethicists include consulting on clinical ethics issues, sitting on hospital ethics committees, engaging in policy development, and educating others about ethics.