Fees

By and large, ethics consultants have not charged patients or third-party payers for their services. This may be explained by at least two factors. First, the efficacy of ethics consultations has not been clearly demonstrated; and second, ethics consultations are called as frequently to assist health professionals as they are to help patients. Generally, ethics consultants have been paid by the institutions where they practice, either directly for their consultations or indirectly, as part of their overall responsibility in directing ethics programs or committees.

As our healthcare system becomes increasingly constrained by economic factors, healthcare institutions may find it more difficult to support clinical ethics consultation.

This will put pressure on ethics consultants to charge patients or third-party payers or to demonstrate that their activities save money by decreasing litigation or reducing resource consumption.

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