title: Lying to insurance companies: the desire to deceive among physicians and the public.
abstract: This study examines the public's and physicians' willingness to support deception of insurance companies in order to obtain necessary healthcare services and how this support varies based on perceptions of physicians' time pressures. Based on surveys of 700 prospective jurors and 1617 physicians, the public was more than twice as likely as physicians to sanction deception (26%versus 11%) and half as likely to believe that physicians have adequate time to appeal coverage decisions (22%versus 59%). The odds of public support for deception compared to that of physicians rose from 2.48 to 4.64 after controlling for differences in time perception. These findings highlight the ethical challenge facing physicians and patients in balancing patient advocacy with honesty in the setting of limited societal resources.
authors.affiliation: University of Pennsylvania, USA.
authors.forename: Rachel M
authors.initials: RM
authors.lastname: Werner
authors.forename: G Caleb
authors.initials: GC
authors.lastname: Alexander
authors.forename: Angela
authors.initials: A
authors.lastname: Fagerlin
authors.forename: Peter A
authors.initials: PA
authors.lastname: Ubel
mesh_terms: D008192:Deception; D006295:Health Resources / Q000600:supply & distribution; D006801:Humans; D007343:Insurance Carriers; D019458:Insurance Coverage; D007348:Insurance, Health; D008329:Managed Care Programs / Q000941:ethics; D010344:Patient Advocacy / Q000941:ethics / Q000706:statistics & numerical data; D010820:Physicians / Q000941:ethics / Q000706:statistics & numerical data; D011639:Public Opinion; D011795:Surveys and Questionnaires; D017748:Time Management; D014481:United States