question: Q:A 68-year-old man is being evaluated in your radiation oncology clinic for treatment of a solid tumor. Your hospital has just purchased a new proton beam purported to deliver targeted radiation with fewer side effects than traditional radiation therapy. The patient expresses strong interest in receiving proton beam therapy, and you feel that he may have a better outcome with this new treatment modality. Later that day, an executive from the patient's insurance company calls to tell you that proton beam therapy will cost the company (but not the patient) a much larger amount of money than traditional therapy. They are willing to pay for proton beam therapy, but request that you convince the patient to undergo traditional therapy instead. You have a longstanding relationship with this insurance company as well as this particular executive. How should you proceed?? 
  {'A': 'Discuss the issue of cost to the insurer with your patient, pointing out that keeping his insurance company happy may make them more likely to cover additional treatments in the future', 'B': "Proceed with proton beam therapy as discussed at your patient's appointment", 'C': 'Tell the patient that proton beam therapy will not be covered by his insurance company, so you will need to proceed with traditional radiation therapy', 'D': "Discuss the issue of cost to the insurer with your patient, relaying the company's request to him without making further commentary or recommendation", 'E': "Call your hospital's ethics committee for a formal consultation"},