The second group of articles, focusing on specific gifts, includes an article by Nelms (5) that beautifully articulates all that we "give" to patients in terms of family education, helping them have healthier lives, and helping them use their common sense to make decisions. In another article, Miksanek (6) asks the question, "Should I give money to my patients?" While acknowledging that the literature on the topic is scarce, he observes that the practice of giving money to patients is probably uncommon, that practitioners who do it "tend to keep it a secret," and that most do not feel comfortable, because "they are uncertain about the professional boundaries." He further outlines a number of drawbacks to giving money to patients: there is no guarantee that the money will be spent for legitimate needs, the gift might result in expectations about future gifts, it might violate the principle of equal access, there might be legal consequences, giving money is often a short-term fix that fails to address a long-term need, and it often oversteps the boundaries of the physician-patient relationship. He concludes that giving money is rarely recommended: "it is almost always more preferable to supply the actual item or service needed."