An oncologist treats a cancer patient with large doses of radiation
throughout the body. This will all but guarantee the cancer is
eliminated, but will also do extensive damage.
A nurse practitioner prescribes the smallest effective dose of a
treatment, so as to minimize the risk of side effects, but a follow-up
treatment may later be necessary.
An attending physician orders his medical team to perform chest
compressions on a COVID-19 patient in cardiac arrest, exposing the team
to greater infection risk, even though it is unlikely to save the
patient.
A doctor prescribes a drug that she gains from financially. It is
effective, but not the most effective treatment available.
A hospital administrator decides to spend her remaining budget on ten
new hospital beds instead of a new diagnostic machine because the beds
will benefit more people.
A clinician only tells their patient about the most effective treatment,
leaving out others that have fewer side effects, including the option of
not being treated at all.
A surgeon performs a liver transplant on a patient who has the greatest
medical need and is a good match with the donor, even though other
patients on the wait list can pay more for the procedure.
A physician appears on a TV news show to discuss a public health issue.
He focuses on a simple measure most people can take to prevent the
issue, instead of the more effective, though costly and time consuming,
steps that only a few people can follow.