It is not a Physicians job to play economics. My care is based on the best, safest and most effective therapy irregardless of cost, but am willing to and understand that patients economic status is a reality, but will still fight to do the ultimate right thing irregardless of patients status. I believe in utilizing the latest technology and study on a daily basis to make sure I keep up with that technology. I believe that patients see you for answers and to get better. Not to be impressed by your social standing. To me, rich, poor, we are all equal and I treat people accordingly.