The practice of double billing is unethical it is at heart theft and as such illegal. The act violates the ethical principles of justice and fidelity, when a patient is seen there is an expectation that the doctor will properly bill them and provide services for in good faith for the agreed upon amount. TO double bill violates this trust, and constitutes breaking an agreement made between the doctor and the patient. To double bill medicaid is also unjust in that it removes from a system that is deigned to provide for the well-fare of a segment of society in this case the elderly. The funds taken constitute either less services being provided or the need to acquire further funds through practices such as increased taxes or co-pays.
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