RT Journal A1 Cassel CK T1 PAtient requests for nonbeneficial care JF JAMA JO JAMA YR 2012 FD May 2 VO 307 IS 17 SP 1797 OP 1798 DO 10.1001/jama.2012.3572 UL http://dx.doi.org/10.1001/jama.2012.3572 AB To the Editor: Drs Brett and McCullough articulated the need for physicians to take responsibility for steering patients away from unnecessary or harmful tests and procedures by “making reasoned judgments about what is beneficial and appropriate and then practicing accordingly.”1 Patient requests for tests that may not be necessary, and the acquiescence by physicians to these requests,2 have helped lead to an inefficient health care system in which resources are often overused—some say as much as 30% of Medicare spending is wasted—at a substantial cost and with little benefit.3