imageMy knowledge of medical ethics doesn't extend much beyond confidentiality, but it seems that there's a difference between shilling for the great appendectomy you got and shilling for the great facelift you got.

The mechanism of reward for endorsements should always be made known, and perhaps some sort of restriction put on how soon a patient can endorse a doctor's treatment (i.e., after they've healed), but for voluntary cosmetic procedures it doesn't really seem as if there's a great moral quandary about people saying they got a great service, the same way they would say they got great aluminum siding or attentive service at a store.

Of course, you then run the risk of market-forces conservatives pointing to this and declaring that medicine can be a function of the marketplace, by gum, leaving the rest of us to wonder how fast we can pick up a wi-fi signal to look at YouTube videos for the best doctor in our area to stop us from vomiting blood. We can even make it a competition, as long as I can also look up Super Mario speed runs.