On the one hand, Barefoot Bum’s solution intuitively makes a lot of sense to me. If one knows that one cannot perform all of the typical duties of a job or profession, one should not work in that field.

On the other hand, it seems that if pharmacists, doctors, etc., want to offer limited, selective services in their field, they should be able to do so. Of course, they should also inform the public of the limits to their services so that the public can make informed choices about care providers. The problem with this solution is that it only works in situations (such as densely populated urban and suburban areas) in which consumers have an abundance of choices readily available. There are too many locales in which this is not the case. Therefore, it seems that the fairest thing to do is to revert to Barefoot Bum’s solution.

Actually, the entire situation can be boiled down to the special ethical system that controls medical care, a system that has evolved over thousands of years. We demand that *everyone* in the medical profession act in the patients’ best interests, not their own. Full stop, no exceptions. If you can’t do that, go sell used cars.