Is it unethical for the physician to compromise patient care in order to stay enrolled in the managed care organization? Why or why not?

Dr. Berkeley, a primary care physician, works for a managed care organization that requires prior approval for diagnostic services and treatment. In many cases, medically indicated care has been denied to one of his patients because the individual did not meet the statistical profile the managed care company uses to establish criteria for health/disease/illness. Dr. Berkeley is outraged, but realizes that he will lose significant income if he breaks his contract with the managed care organization, or if they remove him from their list of physicians.

In your essay, explore the pros and cons of using non-normative standards of health and disease in this case. Do the same with normative standards.
Is it unethical for the physician to compromise patient care in order to stay enrolled in the managed care organization? Why or why not?

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