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Two years after the zero tolerance policy was adopted, the New Zealand Medical Council released a further policy statement in which it stated that whilst complaints regarding sexual relations with former patients will be considered individually, it will be presumed to be unethical if the “doctor–patient relationship involved psychotherapy, or long-term counselling and support; the patient suffered a disorder likely to impair judgement or hinder decision-making; the doctor knew that the patient had been sexually abused in the past; [or] the patient was under the age of 20 when the doctor–patient relationship ended”.

This paper presents evidence from international medical and ethical literature to examine the validity of this position taken by the New Zealand Medical Council regarding the sexualization of relationships with former patients.

Simon Kunesh arrives at his physical therapy appointment hanging from his mother's neck, arms locked, swinging back and forth like a pendulum.

She's prying at his fingers, trying to put him down, but he stubbornly has retracted his long, spindly legs and flexed his feet to avoid touching the floor.

Nearly a third of Medicare recipients looking for a new primary-care physician had some trouble securing a regular doctor, according to a June 2008 report by the Medicare Payment Advisory Commission, an independent committee that advises Congress.

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