In striving to do the right thing, we sometimes fall short. I refer to this as the pernicious idea of the best. Doctors naturally want the best for their patients—the best medicine, the best treatment, the best diagnostic tools. However, if a patient can't afford the best, are we truly helping them by prescribing it? Wouldn't it be better to prescribe the third or fourth best blood pressure medication that they can actually afford and adhere to, rather than the best one that they cannot? It's crucial for physicians to have these conversations because while they might believe they're doing the right thing, the reality for the patient could be quite different.
Neill Slater is an emergency physician.
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