See
Reuben, D. B. and
Cassel, C. K.,
“Physician Stewardship of Health Care in an Era of Finite Resources,” JAMA 306, no.
4 (
2011):
430-31, at 430 (discussing stewardship at the policy, payer, practice, clinician, and patient levels, and commenting that “it is unreasonable to expect patients to consider societal costs in making personal health decisions”); L. C. Kaldjian, “Patient Care and Population Health: Goals, Roles, and Costs,”
Journal of Public Health Research 3, no. 2 (2014): 81–82, at 81 (suggesting critical evaluation of “proposals that assign clinicians the direct double responsibility of meeting the medical needs of patients while simultaneously meeting the economic needs of populations,” suggesting that cost control measures be implemented by those “not directly involved” in patient care); Tilburt,
supra note 4545, at 33 (noting that physicians' struggle to balance patient interests with societal stewardship “is an unsavory by-product of our society's inability to achieve meaningful, just structures within which physicians can practice.”).
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