Cassidy Michael A
Tucker Arensberg, P.C., Pittsburgh, Pennsylvania, USA.
Health Care Law Mon. 2002 Mar:10-6.
The point of conflict between the majority and minority views is the existence of consideration. There is no question that hospitals are required to adopt medical staff bylaws, nor is there any doubt hornbook law states the performance of a pre-existing duty does not constitute consideration. Therefore, the issue of law is whether the hospital's grant of privileges and the physician's agreement to abide by the bylaws is separate or different "consideration" sufficient to justify the creation of a contract.
多数观点与少数观点之间的冲突点在于约因的存在。毫无疑问，医院必须采用医务人员章程，同样毫无疑问的是，权威法律规定履行先前存在的义务并不构成约因。因此，法律问题在于医院授予特权以及医生同意遵守章程是否是足以证明合同成立的单独或不同的“约因”。
