Once again, the ethicist preaches behind the walls of the ivory tower, while the PCP deals with reality:
“It would be much more useful for ethicist Marjorie Clay to explore why our reimbursement system, dominated by insurance companies, has progressively sucked the life out of primary care and forced untenable choices on most of my colleagues,” Kanner wrote in an e-mail. “Everyone is stressed. Patients are rushed and unhappy….Despite all my hard work, being overly busy, running so fast I put myself and all my patients at risk of medical error, we don’t earn our keep. Isn’t that extraordinary? That is what is unethical.”
