Ordering based upon what the insurance will cover ethical

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Dr. Harried is at work for another typical day. He is seeing 26 patients today. A few years ago a typical day would have been 22 patients but the rising costs of his practice including the electronic medical record system he has put in place and the benefits package for his employees have forced him to see more patients. One year ago he stopped taking patients with one type of insurance because it was paying less than the others.

M., the first patient of the day, presents with a sore knee. He is not sure what caused it. He is aged 38 and well. The exam is not helpful. An X-ray is ordered because his insurance does not cover an MRI. A return visit is ordered to discuss the X-ray results. A medication for inflammation is ordered. P., age 40, presents later in the day with a similar story. An MRI is ordered since it is covered by P's insurance (see Brody, 2010).

Is Dr. Harried ordering based upon what the insurance will cover ethical? Does Dr. Harried have a responsibility to decrease national health care spending or is his role only to treat his patients?

Reference no: EM132254064

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