A patient has been coming into the dinic for years complaining of generalized pain, but the doctor could never find anything wrong Eventually, he prescribed a placebo-a pill that doesn't do anything. Studies have shown that this can help patients feel better. The patient feels much better, but I know the pill isn't actually doing anything to her body, and her insurance is paying for it. What is the ethical issue in this scenario?

the treatment of other conditions (e.g., cystic breast disease) and for other medical reasons. Mastectomy is most effective when the cancerous tumour is discovered at an early stage and the malignant cells are localized. In order to best ensure the removal of all cancerous tissue, however, a margin of tissue surrounding a tumour and, sometimes, other nearby structures are also removed. Thus, there are several types of mastectomy, the selection of procedure depending on the location and extent of the disease (determined by X ray, thermography, and other diagnostic techniques) and the nature of the cancerous cells (determined by biopsy).

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