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[Answered]: Case: When Babs, a hospital patient, was treated…

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Case: When Babs, a hospital patient, was treated for breast cancer, her physician obtained her informed consent to use a new treatment that he had helped develop. A drug was injected into her breast that targeted for destruction just the small malignant tumor; no healthy tissue was destroyed. Babs’s medical insurance company refused to pay for the procedure, claiming it was “experimental:” The procedure was new, but Bubs’s physiclan had used it many times with success. “Cont you furt syy thad stradional kimpectomy” Rabs asked Oristine, “so my insurance company will pay for it:” We had to explain to Babs that this would constitute insurance fraud, and we couldn’t do it,” Christine explains. From Babs’s perspective, she warited her insurance company to help pary for the expensive procedure. From Christine’s perspective, lying about the procedure performed was not only illegal, but it was also unethical. Why did Christine see Babs’s request as insurance fraud? What would you have recommended to flabs as a possible remedy for her dilemma over payment for the procedure?

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