Tag: gate keepers

Diagnosis Dilemma

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Not long ago I had a conversation with a psychiatrist. He told me about a diagnostic dilemma he’d run up against at work; When a judge makes an unfunded treatment mandate as part of her judgment, she pressures the doctor to make a “payable” psychiatric diagnosis. If the doctor stretches the truth out of sympathy and provides an inaccurate but payable diagnosis so that his patient can have access to medical care and money to live on, he is committing fraud that can mean heavy fines and incarceration for himself.