Does cost containment create conflict in the care of the elderly patient?

Roger N. Levy, Wilton H. Bunch

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Ethical aspects of care of geriatric patients with orthopaedic disorders include patient autonomy, beneficence, and nonmalefecince. Advance directives and surrogate decision-makers are required if the patient has lost decisional capacity. Investor-owned health plans have captured the major share of the United States medical market, but have been shown to deliver lower quality of care than competing methods. A deeply imbedded fear of a government-run health plan with good intentions expressed as bad policy exists. Ageism is one example of how ethical principles may be trampled. The orthopaedic surgeon has a responsibility to maintain and fight for these ethical standards.

Original languageEnglish
Pages (from-to)66-70
Number of pages5
JournalClinical Orthopaedics and Related Research
StatePublished - 2000


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