Ethical Principles - Choosing Wisely: Is Parsimonious Care 'Just' Rationing?

Original Release Date: 1/26/2016 and Expiration Date: 1/26/2019

Re-Release Date: 1/31/2020

Enduring Material Author:

Leonard M. Fleck PhD
Professor of Philosophy and Medical Ethics, MSU College of Human Medicine

The author does not have a relevant relationship with a commercial interest. (Click here
to view the Faculty Disclosure form

- PDF (1 hour)

Educational Objectives

  • Critically assess the degree to which there is a distinction between parsimonious care and health care rationing
  • Distinguish between just and unjust forms of health care rationing, as well as just and unjust forms of parsimonious care
  • Distinguish parsimonious care choices that are congruent with the role of a physician as a loyal patient advocate from those that are not congruent with that role

Instructions for Participation

  1. Start Here to register and complete the CME activity.
  2. Note: Plan for one hour of committed time. If you exit the activity before completion, you must begin again.
  3. Take the pre-test, view the material, and complete the post-test.
  4. Complete the evaluation and receive your CME certificate.

Hardware / Software Requirements

PDF: To view the material in a portable document file (PDF) format, you will need a PDF reader, which you can download for free at Nitro Reader or Adobe Reader (or from your App store if you are using a mobile device).


No charge

Accreditation Statement

Hurley Medical Center is accredited by the Michigan State Medical Society to provide continuing medical education for physicians.

Designation Statement

Hurley Medical Center designates this enduring material activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Target Audience

Primary Care Physicians, Allied Health Professionals, and Residents within the state of Michigan and its bordering states of Wisconsin, Indiana, and Ohio only.

Privacy and Confidentiality Policy

To view, click here.

2018 Hurley Medical Center. All rights reserved.

Provider Contact Information

Hurley Medical Center, Institute for Continuing Medical Education, One Hurley Plaza, Flint, MI

Phone 810-262-9142, Fax 810-760-9956, or Email

Provider Disclosure

Planning Committee Members –
Hemant Thawani, MD, has a financial relationship with Pfizer as Grant/Research Support, but there is no relevance to the educational topic. Regina Waller, and Michelle Landis do not have a relevant financial relationship with a commercial interest.

Reviewers –
Jennifer Godlesky, MLIS, Susumu Inoue, MD, Brenda Lovegrove Lepisto, PsyD, Julia Moses,
Quality/Patient Safety Director, Elmahdi Saeed, MD, Kay Taylor, PhD, Diane Welker, RN, and Omari Young, MD do not have a relevant financial relationship with a commercial interest.

The mechanism to Resolve Conflict of Interests of a relevant financial relationship with the educational topic by planning committee members, and/or reviewers of the CME activity would be resolved by not allowing planning, reviewing, and approving of the CME activity. Dr. Hemant Thawani’s financial relationship has no relevance to the educational topic.


(Click here to view)