A Medscape poll found that of the physicians surveyed on whether they would “cherry-pick”  patients ”to avoid those with co-morbid disease or those who won’t follow treatment regimens,” 63 percent  said no. But 17 percent said definitely yes, and another 20 percent said that it would depend on the clinical situations.

Many physicians say that cherry picking is unethical,  wrong, that physicians should make an extra effort to care for “high-maintenance” or “difficult” patients. However, the practice may be gaining more support as  the healthcare system moves toward more reimbursement based on outcomes and away from fee for service.

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