The doctor wanted to have the patient admitted for observation, yet the patient didn't meet criteria according to the insurance company. Still, the doctor didnt' feel comfortable sending the patient home.
So, what he did was write on the chart, "Recommended patient be kept for observation for best interest of patient."
That way, he said to me, the insurance company is liable if something happens to that patient and now the doctor. He also wrote on the chart, "Patient was sent home against my better judgement."
This is a perfect example of how cook book medicine does not work, and how doctors and nurses should be able to do what's best for the patient, and money should not be a factor.