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To the Editor: In the Clinical Crossroads section, the patient's insurance status often is described early in the case presentation along with the chief complaint.^1-2 For example, in the article describing the 52-year-old woman with diabetes and claudication, the first 2 sentences of the case presentation read: "Mrs D is a 52-year-old mother of 2 children who has progressive pain in her right leg while walking. She lives in Boston and has her health care insurance through Massachusetts Medicaid and Medicare."¹

I have been a staff physician at several different academic medical centers over the past 10 years. I read a wide range of medical journals and attend teaching conferences regularly in several different specialty sections. This is the first time I have heard a case presentation that mentions insurance status anywhere in the medical history, let alone immediately following the chief complaint. I wondered if insurance status was an . . . [Full Text of this Article]

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