A fellow geriatrician received an unusual letter from a patient. Enclosed was one of those many forms Medicare sends its beneficiaries, the one with the beguiling header “THIS IS NOT A BILL” and yet, enclosed as well was a check for $331.00 made out to my colleague.
This patient was paying for a recent visit where the physician had diagnosed her with Alzheimer disease (the dollar value of the check was the Alzheimer disease International Classification of Diseases, Ninth Revision code). The disease was quite plainly costing her money. Her error was both a sign of the disease and the need to rally her caregivers to address her failing financial capacity.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Karlawish J. Desktop Medicine and the Practice of Wealth Care. JAMA Intern Med. 2021;181(2):227–228. doi:10.1001/jamainternmed.2020.6441
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: