UMA Economic Code of Medical Ethics For Utah Physicians

The physicians of Utah hold to their work in the practice of medicine and surgery in all of their branches to be that of an ancient and honored profession, the goals of which are to alleviate suffering, to cure sickness and disease insofar as it is humanly possible, and to prolong meaningful life. We acknowledge that the cost of medical care recently has risen faster than the general rate of inflation and that it is reaching a level which society may not be able or willing to afford without the sacrifice of other necessary goods and services. We further acknowledge that, because the practice of medicine and surgery is an art as well as a science, there are neither dogmas nor certain formulae for delivering simultaneously the optimum and most cost effective care in every case. We realize, however, that it now behooves every physician to conduct his or her practice so as to reduce waste and over-utilization. Therefore, in order to deliver the highest quality care at the lowest cost to society, we the physicians of the Utah Medical Association, do hereby affirm the following precepts:

1. We will deliver only indicated medical care. We will neither make referrals, perform tests or diagnostic procedures, perform operations, give medications or prescriptions for medications, nor give opinions to support delivery of such medical care unless it is specifically indicated.
2. We will distinguish clearly between necessary and elective care or procedures and convey such distinction to each patient.
3. We will encourage our patients to receive necessary health care in an economically competitive setting consistent with high quality medical care.
4. We will, after having admitted a patient to a hospital or other health care facility, make every effort to discharge the patient as soon as it is possible to do so, provided the quality of medical care is not compromised. We will encourage administrators of hospitals and other health facilities to be cooperative in this endeavor.
5. In any case where we are not certain as to whether medical care is necessary we will seek advice and/or consultation from peers before delivering said medical care unless the delay of seeking consultation would compromise necessary emergency care.
6. We consider it our duty to society and to other members of the medical profession to point out any physician or other individual or institution which may be, in our opinion, delivering unnecessary medical care.
7. We invite review by our peers of our practices of health care delivery.
8. We will fully discuss with our patients or their legal guardians the expected cost of any procedure, tests, operations, medications, or other aspects of health care insofar as it is possible. We will also fully explain to patients or their legal guardians the known substantial and serious risks of alternative treatments, procedures and therapies before their undertaking insofar as it is possible. We urge all health care providers to do the same. We invite the participation of all patients in the decision-making process of his or her health needs as regards cost of care and the options open to them. We expect the patient to do his or her part in controlling costs bythis discussion.
9. We will be fair in our professional charges for our services. We will relate these charges to the community in which we practice and the financial resources available for health care. We will not withhold necessary medical care from the needy regardless of their ability to pay.
10. We will not exploit third-party payors by charging more or performing more services for insured patients than we would for patients who are not insured.

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