Friedman E
Prim Care. 1986 Jun;13(2):349-64.
Physicians have traditionally held that to participate in "rationing" or resource allocation would betray their duty to advocate for everything possible for the patient. However, the record of physician behavior belies that, indicating instead that they have always rationed health care and their own time and services. Physician resistance to calls for "rationing" today appears to be based more on the nature of the process and on the fact that this process is being taken out of the hands of physicians. If American medicine does not rethink its own stance and develop not only a stronger resource allocation ethic but also a means of implementing it, it is unlikely that physicians will continue as the guardians of the quality of care and patient service.
传统上，医生们一直认为，参与“配给”或资源分配会违背他们为患者尽一切可能争取治疗的职责。然而，医生的行为记录却与此相悖，这表明他们一直在对医疗保健以及自己的时间和服务进行配给。如今，医生对“配给”呼声的抵制似乎更多地基于这一过程的性质，以及该过程正脱离医生掌控这一事实。如果美国医学界不重新思考自身立场，不仅要制定更强有力的资源分配伦理准则，还要找到实施该准则的方法，那么医生们不太可能继续担任医疗质量和患者服务的守护者。
