Abstract

Case presentation of a 62-year-old woman patient with chronic pathologies and multiple symptoms, who consulted the internist for several symptoms associated with chronic conditions. The doctor ordered several exams and required their completion in the institutions that he indicated to the patient, despite she insisted on performing them at a known clinic near to her home. The patient learns that her doctor receives economic incentives for the referral and reports it. The ethical lack that is configured is analyzed, denominated dichotomy with its different variants, the risk it generates for an exercise with professionalism and ethics and the prohibition of the same is explicit by Law 23 of 1981 or Colombian medical ethics law.