RT Journal
A1 Tilburt JC, Cassel CK
T1 WHy the ethics of parsimonious medicine is not the ethics of rationing
JF JAMA
JO JAMA
YR 2013
FD February 27
VO 309
IS 8
SP 773
OP 774
DO 10.1001/jama.2013.368
UL http://dx.doi.org/10.1001/jama.2013.368
AB 
Various groups have championed the cause of medicine practiced leanly, consistent with the professional responsibility to use resources wisely. These initiatives, which champion “parsimonious medicine,”1 have highlighted the 20% of routine practices in US medicine that add no demonstrable value to health care but that persist in the inertia and rituals of clinical work.2 The specialty societies and the Choosing Wisely collaborative3 outline commonsense principles for avoiding unnecessary, wasteful care.