How should a physician discuss the cost of care with a patient who has financial concerns while ensuring appropriate treatment?

• A. Dramatically reduce recommended care regardless of efficacy.
• B. Hide costs and avoid discussing financial concerns.
• C. Show empathy, discuss options, aid in accessing assistance programs, and consider alternative therapies when feasible.
• D. Advise the patient to forego care until costs are resolved.

Answer: (C)

Discussing costs with a patient who has financial concerns requires open, empathetic communication that centers on the patient’s needs while maintaining appropriate medical care. The physician should acknowledge the financial burden, clearly outline the costs and potential consequences of treatment options, and work with the patient to find feasible paths. This includes presenting alternatives that are still effective when possible, helping access assistance programs, and involving social workers or financial counselors. If there are cost-effective therapies or staged approaches that can achieve similar outcomes, these should be discussed as part of shared decision-making. The goal is to balance beneficence and respect for patient autonomy, ensuring care is both medically appropriate and financially workable rather than compromising treatment or withholding information.

Why this approach works: it maintains trust through honesty, supports informed choices, and actively reduces financial toxicity by connecting patients with resources and feasible options. In contrast, reducing care solely due to cost, hiding costs, or urging patients to delay or forego treatment undermines patient welfare, trust, and evidence-based care.