The Hippocratic Civil Disobedience and Health Care Reform Underground


  • Robert Macauley

    1. Interim medical director of clinical ethics at Fletcher Allen Health Care in Burlington, Vermont, as well as clinical assistant professor of pediatrics at the University of Vermont College of Medicine.
    Search for more papers by this author


Health care reform is bottled up. Socially responsible physicians, forced to curtail care to uninsured patients, should respond with organized, open defiance, by billing the costs of the care to the accounts of patients covered under Medicaid or Medicare. Reverse cost-shifting: maybe it could work, certainly it would be justified.