Author Affiliations: Department of Medicine, Texas A&M Health Science Center, College of Medicine, Temple.
When I pick a bottle of wine in the store, I pay for décor and the attention of a salesperson, perhaps to the detriment of quality. The goal of businesses is to maximize profit, even by catering to my other preferences if I am unable to judge quality. This is not immoral because I end up drinking a product approved for sale; no harm done.
My patients are the “wine drinkers” of health care. They are not supposed to know about medicine more than I know about wine when we are acting as average citizens. However, selling lesser quality medicine is immoral because it has the potential for harm.
Elijovich F. Of Sommeliers and Wine Drinkers. Arch Intern Med. 2012;172(14):1110–1114. doi:10.1001/archinternmed.2012.2057
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