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April 14, 1993

What Are We Teaching About Indigent Patients?-Reply

Author Affiliations

University of Minnesota Minneapolis

JAMA. 1993;269(14):1790. doi:10.1001/jama.1993.03500140040025

In Reply.  —I agree with Drs Stram, Moore, Tchertkoff, and Reinstein about the need for a clear medical ethic to define the obligation of the medical profession to the sick of our society. However disappointed Dr Jones may be, these physicians stated that they refused this patient because of the funding. Even if physicians may refuse indigent patients with basic care needs, I share Dr Kaufman's belief that this should not occur during medical education when the moral modeling of the physician-patient relationship is taught. Like Dr Stram's experience, the public university and affiliated hospitals where I now work accommodate indigent patients. The large role of private medical schools (such as the one where my case occurred) and private teaching hospitals1 and their greater reliance on internal financial support are a formidable obstacle to implementing an antidumping standard for medical educators.I agree with Dr Eade that most physicians