Virtual Mentor. December 2007, Volume 9, Number 12.

Ethics Poll

Physicians' relationship to patients and the state

The Ethics Poll is a snapshot of the opinions of interested readers.

Physicians are mandated to report—by name—patients who have certain infectious diseases classified as "reportable." Physicians who do not comply with these laws should be fined or censured.
Agree; physicians have responsibility for the well-being of the public as well as for their individual patients.
Disagree; confidentiality and the patient-physician relationship takes precedence over public health reporting.
It’s a tricky subject; I'm not sure.

West Virginia is piloting a two-tiered Medicaid plan. Patients who sign contracts that they will keep appointments, adhere to treatment, and choose healthy lifestyles get benefits, e.g., weight-loss and anti-smoking programs, mental health services, diabetes management classes, that exceed the basic benefits offered to all.
This pilot incentive plan should be copied by other states; it promotes personal responsibility and would result in healthier people and more equitable use of funds.
This pilot program unjustly holds people responsible for conditions beyond their control, e.g., availability of affordable, nutritious food.

Physicians and other health care professionals should have no part in seeking information about or reporting on the immigration status of patients they treat.
Agree.
Disagree.
I'm not sure.

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Poll results reflect the opinions of visitors to the site who voluntarily answer the poll questions. Those visitors do not represent a random sample of our readers. The viewpoints expressed on this site are those of the authors and do not necessarily reflect the views and policies of the AMA.