Abstract
Conflicts between physicians' personal financial interests and those of their patients are now becoming a prominent issue in U.S. health care policy and medical ethics. Physicians' conflicts of interest have been discussed in the Journal and elsewhere.1 2 3 4 5 6 7 8 9 10 11 12 The Institute of Medicine has addressed the problem.13 So has the American College of Physicians.14 The American Medical Association has issued reports and opinions.15 16 17 Congress is now considering legislation that would prohibit physicians from referring Medicare patients to facilities in which they have a financial interest.18 19 20 Conflicts of interest are ubiquitous, and some should be tolerated because eliminating them would cause patients more . . .

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