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1 June 1997 | Volume 126 Issue 11 | Page 921
Drs. Ubel and Goold [1] recently made a useful contribution to the subject of rationing of medical care at the bedside. I do not dispute the reality of rationing medical care and the reasons that are used to justify it. However, I find it troubling that proponents of rationing seem unwilling to advocate that patients receive an explanation of the conditions under which the physician is working when the physician-patient relationship is first established. In other words, the physician should speak with the patient at the outset about factors, if there are any, that might interfere with putting the patient's medical welfare before all other considerations.
I believe that my proposed "Physician's Code" (Table 1) illustrates some of the subjects that should be considered when the physician-patient relationship is established. LETTER
Helping Physicians Recognize Bedside Rationing
TO THE EDITOR:
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1. Ubel PA, Goold S. Recognizing bedside rationing: clear cases and tough calls. Ann Intern Med. 1997; 126:74-80.
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