Health insurance companies commonly limit services that patients receive by paying for services only if a patient meets certain requirements. For example, an insurance company may pay for a particular drug only if the patient has tried all less expensive alternatives without success. If an insurance company denies service, the doctor has several options: accept the decision and let the patient go without the service unless the patient pays for it; appeal the decision (a time-consuming option that can involve much paperwork and many phone calls); or tell the insurance company that the patient meets the requirements for the service, even if he or she does not. Several studies have shown that doctors are willing to deceive insurance companies in certain circumstances. However, no published study has looked at how the general public feels about doctors misrepresenting the facts to insurance companies in order to obtain health services for their patients.