Deck 22: Doctors Autonomy and Power

Question 1

When Liederbach refers to the "protective cloak" of physicians and the medical profession he means to include all of the following EXCEPT

A) trustworthiness.
B) high social status.
C) professional autonomy.
D) legal immunity.

Answer 1

legal immunity.

Question 2

The physician's altruistic image is associated with all of the following EXCEPT

A) patient trust and pattern of deference.
B) professional self-regulation.
C) code of ethics.
D) assumption of good will.

Answer 2

professional self-regulation.

Question 3

Two types of medical kickbacks include

A) sexual misconduct and prescription violations.
B) fee-splitting and self-regulation.
C) fee splitting and self-referrals.
D) prescription violations and self-referrals.

Answer 3

fee splitting and self-referrals.

Question 4

Medical offenses include all of the following EXCEPT

A) sexual misconduct.
B) prescription violations.
C) unnecessary treatments.
D) protective cloak.

Question 5

The problem with fee-splitting is that it creates a(n)

A) conflict of interest between a physician's commitment to patient and financial self-interest.
B) significant cost-saving for patients and hence, is no problem at all.
C) situation whereby the protective cloak becomes inoperable.
D) economic burden for physician because two doctors share one fee.

Question 6

Doctors opposed the initial Medicaid legislation because it

A) the program did not address the health needs of the poor and needy.
B) was designed many civil and criminal penalties for non-compliance.
C) forced doctors to split fees with other professionals through referrals.
D) posed a threat to autonomy by dictating the price of their services.

Question 7

Government intrusion via Medicaid into the status quo of the medical profession gave rise to a(n)

A) militant patient organization and lobby effort demanding health care.
B) spirit of cooperation among doctors and compliance with Medicaid.
C) aggressively defiant attitude among doctors resulting in a redefinition of Medicaid fraud and crime as a positive act.
D) new federal agency charged with oversight of the medical professional.

Question 8

Liederbach suggests that although Medicaid's challenge to the medical establishment extended health benefits to the nation's poor, paradoxically, it

A) created new opportunities and motivations for physicians to commit medical offenses.
B) had neither a positive nor a negative effect on the health of the poor.
C) resulted in a declining standard of health among the very segment of the population it was designed to help.
D) became extremely too costly and prohibitive to sustain.

Question 9

Discuss Liederbach's concept of a "protective cloak" as applied to the medical profession and the three associated elements he identifies. Do you agree with him that such a protective cloak exists and functions as he suggests-why or why not?

Question 10

Describe and explain EITHER the several types of medical offenses that Liederbach's identifies OR discuss and explain several dimensions of Medicaid abuse and fraud by doctors.

Question 11

Discuss how the small but growing cases of criminal prosecution against physicians may be taken as a sign of the weakening of the traditional protective cloak around medical practice. Do you agree or disagree that this represents a necessary and desirable change-why or why not?