In the commentary headlined "Money, medicine and ethics" (July 28, p. 24), I agree with Dennis Brodeur's assessment "that while market forces may create economic efficiencies, they have never been known to guarantee sound ethical values." But I disagree with his conclusion that the "distance between money and medicine is a prudent thing to create and protect."
Doesn't most of the fraud and waste in healthcare take place in third-party arrangements, where market forces are generally absent from the doctor-patient relationship? Would not a reunification of the consumer and payer restore the most ethical allocation of resources? Doesn't the professional who acts in the long-term interest of the patient or client reap the greatest long-term reward?
W. Seth Crone
Vice president, healthcare investment banking
Chase Securities of Texas, Houston