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Related Experiment Videos

Gaming the system. Dodging the rules, ruling the dodgers.

E H Morreim1

  • 1Department of Human Values and Ethics, College of Medicine, University of Tennessee, Memphis.

Archives of Internal Medicine
|March 1, 1991
PubMed
Summary

Physicians face resource limitations due to economic agents. While "gaming the system" offers indirect control, it poses ethical risks; new duties include economic advising and advocacy for patients.

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Area of Science:

  • Medical Ethics
  • Healthcare Economics
  • Physician Resource Management

Background:

  • Physicians' traditional fidelity to patients is challenged by resource control shifts to economic agents.
  • Economic agents implement rules to contain operational costs, impacting physician autonomy.
  • Physicians may resort to
  • gaming the system
  • exploiting rule ambiguities to secure patient resources.

Purpose of the Study:

  • To analyze the ethical implications of physicians
  • gaming the system
  • to navigate resource restrictions.
  • To explore the moral and medical hazards associated with such practices.
  • To propose redefined physician duties in the context of changing healthcare economics.
Keywords:
Analytical ApproachHealth Care and Public Health

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Main Methods:

  • Conceptual analysis of physician obligations in resource-limited environments.
  • Examination of ethical frameworks concerning patient care and resource allocation.
  • Discussion of the moral and medical consequences of
  • gaming
  • strategies.

Main Results:

  • Gaming the system
  • poses significant moral and medical risks, potentially harming patients and violating justice principles.
  • These tactics are often unnecessary for securing patient resources.
  • Physicians' control over resources is diminishing.

Conclusions:

  • Physicians' core duties remain competence, care, and loyalty.
  • New duties of economic advising and economic advocacy are essential for physicians.
  • Physicians must explicitly discuss financial aspects of care and actively advocate for patients with economic agents.