You have learned in your preclinical professional education that use of a certain procedure has been discontinued almost everywhere because of a dangerously high incidence rate of harmful side effects. You observe it being performed regularly in the setting where you are currently assigned, a place with a good reputation (apparently well deserved, generally speaking). In fact, as you observe patients’ responses to the procedure, you become convinced yourself of good reasons not to use it. Now you have only 1 week left in this rotation and raise your concern with your supervisor. She responds, “Actually, we know that, and we don’t like it either. Our health plan, however, does not allow us to use the newer procedure because it is four times as expensive as this one.” Do you have a moral responsibility to recommend this site be discontinued for students? Why or why not? Do you have a moral responsibility to do anything in this situation? If yes, what?
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