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To think that way, you have to assume that everyone will give equal care. Bad assumption.
Why they want to become a doctor is not the real question; it's more about what they are willing to do to get in....but it can be related. True, people exagerate all the time, but making up entirely untruthful stories just to get attention.......unethical? If you're doing unethical things to get in, will you still be doing unethical things once you are a doc?
Case in point: One of our hospitalists has ownership in a practice that is run by a PA. When he treats patients without a PCP, or if they ask for a referral, he refers them to the practice he owns....unless they are self pay or Medicaid. Then, they get the address of the free clinic.
OTOH, the hospitalist group I'm working with refers patients with no PCP to several different PCPs. Probably 3 out of 4 referals have insurance, so they are only asking the referals to "eat one" once in a while. And, they have no problem with it. Everyone expects to have to "eat one" on occasion.
Knowing that, I wouldn't be surprised if the first guy is doing some other shady things as well. He's clearly in it for the money-- but his patients are also recieving sub-par care, unless they have good insurance.
So, the reason why this one particular doc got into it, does make a difference in the quality of patient care in many cases.
Good post.
Unethical? Probably but not much more then it is lying to your parents about your drug use.
I consider the whole essay to be nonsense for reasons clearly expressed in the original post(i.e. people can write whatever they want). I personally sure as hell will lie on my essay because i don't want one silly essay to be in the way of me becoming a doctor. What if the truth would not get me in?(i.e i have no tragic or inspirational story to tell) What then? Just give up on being a doctor? I don't think so. I will do whatever it takes and i consider that to be a good quality.
Not all ethical violations are equal. Just because a person will lie in the essay does not mean he will conduct unethical behavior in situations where people can get hurt as a consequence. I personally lie to my parents ALL the time but i would not even consider scamming someone for money for example, yet i do care about money a great deal.