Halperin Edward C, Fulkerson William J, Kaufman Russel, Newman Paul, Stiles Gary L
School of Medicine, Duke University Medical Center, Durham, NC 27710, USA.
J Am Coll Radiol. 2005 Oct;2(10):841-5. doi: 10.1016/j.jacr.2005.03.009.
Federal law permits physicians to "opt out" of Medicare. When a radiation oncologist chooses this option, he or she may neither bill nor collect from Medicare, but may legally attempt to charge and collect what he or she considers the value of services provided to Medicare-eligible patients. Many academic faculty practice plans permit members to opt out. Even if it is permissible for a radiation oncologist to opt out of Medicare, is it appropriate? The question raises significant ethical and economic issues as one attempts to balance the good of the individual faculty member against the good of the clinical faculty as a whole. In this commentary, the authors offer the principal arguments in favor of and against permitting a faculty radiation oncologist to opt out. They conclude by recommending broad faculty oversight over such decisions.
联邦法律允许医生“退出”医疗保险计划。当放射肿瘤学家选择这一选项时，他或她既不能向医疗保险计划计费，也不能从该计划收款，但可以合法地尝试收取其认为向符合医疗保险资格的患者提供服务的价值费用。许多学术教职员工执业计划允许成员退出。即使放射肿瘤学家退出医疗保险计划是允许的，这样做是否合适呢？当人们试图在个体教职员工的利益与整个临床教职员工的利益之间取得平衡时，这个问题引发了重大的伦理和经济问题。在这篇评论中，作者提出了支持和反对允许教职放射肿瘤学家退出的主要论点。他们最后建议教职员工对此类决定进行广泛监督。
