title: The ethics of insurance limiting institutional medical care: It's all about the money.
abstract: Dr F. Inest practices surgery at a renowned medical center but is concerned because increasing numbers of medical insurers are excluding his institution from coverage. Many of his former referring physicians are beginning to send their patients elsewhere for this reason. The marketing people have been busy increasing their advertising buys and exploring new business models. There is even talk about reducing expensive clinical trials. However, regardless of his affiliation, he has little control over these and other organizational decisions that directly impact his practice clinically and fiscally. What should he do?
authors.affiliation: The Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, Tex. Electronic address: jwjones@bcm.edu.
authors.forename: James W
authors.initials: JW
authors.lastname: Jones
authors.affiliation: The Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, Tex.
authors.forename: Laurence B
authors.initials: LB
authors.lastname: McCullough
mesh_terms: D000046:Academic Medical Centers / Q000191:economics* / Q000941:ethics; D000329:Advertising / Q000191:economics; D016265:Conflict of Interest / Q000191:economics; D003695:Delivery of Health Care / Q000191:economics* / Q000941:ethics; D017048:Health Care Costs / Q000941:ethics; D006297:Health Services Accessibility / Q000191:economics* / Q000941:ethics; D006801:Humans; D019458:Insurance Coverage / Q000191:economics* / Q000941:ethics; D007348:Insurance, Health / Q000191:economics* / Q000941:ethics; D007349:Insurance, Health, Reimbursement / Q000191:economics* / Q000941:ethics; D008389:Marketing of Health Services / Q000191:economics; D012017:Referral and Consultation / Q000191:economics* / Q000941:ethics