Your patient is a teenager who requests confidential care (eg, STI dx & tx) but is not able to pay for provided services. However, the patient’s parents refuse to pay unless they know what they are paying for. Obviously, you have no right to break your patient’s confidentiality. You also can’t force the parents to pay. So… what are your options?
P.S. This hypothetical situation takes place in the US, not in Germany or some other country where such a situation would seem dystopian.