Fairness |
“Everyone is interested in keeping health care costs down and we’re trying to do so in a fair way. In this situation, I’d recommend a CT scan to any of my patients.” |
Shared sacrifice |
“It’s good for us to share responsibility for keeping health care costs down. At the end of the day, we all pick up the tab when we pursue expensive care because premiums rise. Keeping costs down for health plans or Medicare or Medicaid helps you personally in the long run.” |
Threshold of “good enough” rather than optimization |
“I really do think that a CT scan can be a reasonable option for you. It might not find quite as many things as an MRI, but I believe it will find the important things I am concerned about. It is certainly good enough for what we are trying to do.” |
Shared decision- making |
“What are your thoughts about going with the CT scan? Let’s talk about whether the MRI is worth the extra $500 that your insurer or Medicare or Medicaid would be paying.” |