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“We cannot communicate with other physicians,” says Ralph Nobo, MD and president of the Florida Medical Association. “Sometimes we cannot communicate with other entities, like labs or radiology services unless we pay a large monthly fee. That presents a challenge when you’re a small practice like I am and you’re trying to survive in these difficult times.”

Obese patients are more likely to die at home, with their weight often directly impacting their access to end-of-life care. Researchers surmise that health care professionals still harbor bias against such patients.