[quote name='BigT']
Why?
The vast majority of patients are reasonable people looking for help.
However, some patients are assholes. They come in for visits late chronically, don't call to cancel their appointment, seek narcotics and benzos, and have unrealistically high expectations.
I would not fault a plastic surgeon refusing to perform a scar revision on a patient who has axis ii diagnoses and will likely be unhappy with the result.
I would not fault an internist from discharging a patient from his clinic who consistently misses appointments and goes to various ERs and other doctors in an effort to score oxycontin or percocet.
The list goes on...
I don't agree with the urologist making his political stand because I find it tacky and unprofessional, but I don't see anything inappropriate or unethical about it...[/QUOTE]
It is

ing scary that you're trying to become a doctor and have a hope of suceeding.
The fact that you cannot differentiate between the cases you cite above and this urologist is proof to me that you are currently unqualified to be a professional healer. I agree that a professional doctor should have the right to decide that a patient's requested treatment is unnecessary when he bases that decision on medical facts. As to the chronically late patient, that is interfering with the ability of other patients to get timely treatment, so just charge them the fee anyway and make them reschedule, that's my doc's policy and he keeps his office running like a clock.
Both of these cases are intrinsicly different from the case of the wayward urologist. When a doctor arbitrarily decides that he will not treat a patient because they have a certain political, religious, or ideological belief, then that doctor has clearly and unequivocally violated his Hippocratic oath. How would you feel if you had an urgent urologist problem, made an appointment, and then saw this sign on the door. If you had a political job in a small town, it might make you a wee bit nervous.