February 16th, 2010 by DrRich in Better Health Network, Health Policy, Opinion
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In his past few posts, DrRich has offered a substantive criticism of the new code of medical ethics which has now been formally adopted by over 120 physicians’ organizations across the globe. (See here, here and here.) Fundamentally, the New Ethics abrogates the physician’s classic obligation to always place the welfare of their individual patients first, by adding to it a new and competing ethical obligation (called Social Justice), which requires doctors to work toward “the fair distribution of healthcare resources.”
The New Ethics was explicitly born of the frustration felt by physicians as a result of the multitude of coercions the payers have thought up to force them to place the needs of the payers (the proxy for “society”), ahead of the needs of their patients. Thanks to the New Ethics, doctors can now bend to this coercion without violating their ethical standards. Read more »
*This blog post was originally published at The Covert Rationing Blog*
February 16th, 2010 by Toni Brayer, M.D. in Better Health Network, Quackery Exposed, Research
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The internet is full of colon cleansing methods that tout the benefits of colon detox. I saw one website that showed long “worms” that live for years in the colon that “need” to be removed with special expensive potions. One of the most common questions for GI doctors is about colon cleansing and if it is beneficial. I don’t know any physicians who believe the colon needs “detoxification” or special cleansing, but until now I didn’t have a scientific way to answer that question from patients.
A study from the Am J. Gastroenterology now gives us the answer. The study authors looked at all relevant articles published between 1966 and 2008. They blinded the articles and measured outcomes and adverse events. Read more »
*This blog post was originally published at EverythingHealth*
February 16th, 2010 by DavidHarlow in Better Health Network, Health Policy, Opinion
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An often overlooked tool in health care providers’ struggle with the malpractice crisis is the medical apology. Two thirds of the states provide some form of protection for the medical apology (i.e., a simple apology is not admissible in court as an admission of culpability), and settlements reached post-apology are almost invariably lower than they would be otherwise. (In the current environment, articles on medical apologies are popping up everywhere … even in the NY Times business section.)
It is important to note that an effective apology policy does not stop with the simple apology — I’m sorry that this happened to you — but must include a commitment to conduct a root cause analysis, to communicate the results to the patient and/or patient’s family, to implement systems improvements based on the results of the root cause analysis, and to offer a specific apology once the analysis is complete, and an offer of monetary compensation if the provider or its systems were at fault. Of course, it’s easier to describe these steps than to actually carry them out. Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
February 16th, 2010 by DaveMunger in Better Health Network, Health Policy, Opinion
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Last November, the National Football League devoted the entire month to breast cancer awareness. Players like Reggie Bush wore pink gloves, armbands, even shoes, to promote efforts to fight the disease.
There were some heartwarming moments. Players brought their mothers, grandmothers, and other women who’d battled breast cancer to the games, all of them wearing attractive pink game-day jerseys. Announcers told their own stories of “courageous” battles against the disease waged by friends and family members.
It’s powerful and inspiring, these overpaid hulks of manhood showing they’re secure enough in their masculinity to don feminine-ish garb to support their sisters and mothers.
But try to imagine the NFL — or any sports league — launching a similar campaign to fight HIV and AIDS. Which player would trot out a brother, sister, or father who’s HIV positive? Which television announcer would proudly point to the afflicted and speak of their “inspirational” battle with HIV?
In an NPR interview last week, Theresa Skipper talked about why she concealed her HIV diagnosis for 19 years: Read more »
*This blog post was originally published at The Daily Monthly*
February 16th, 2010 by Dr. Val Jones in Audio, Expert Interviews, News
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Connoisseurs of Twitter feeds know when an account is being managed by interesting minds. So when I took a moment to express my appreciation to American Medical News for their contributions to Twitter, it was not surprising that a group of doctors immediately joined the chorus. We all knew that @amednews was a reliable source of entertaining and important information from multiple sources, but we didn’t know the person behind the account… until today.
Pam Wood is the Chief Copy Editor for American Medical News, and has cultivated a loyal following of healthcare professionals and patients on Twitter. I asked her to join me on a phone call to explain the secrets to her success. I’m sure you’ll enjoy getting to know the person behind the tweets @amednews.
[Audio:https://getbetterhealth.com/wp-content/uploads/2010/02/pamwood.mp3]
Dr. Val: Tell me a little bit about yourself – where you’re from, your educational background, and what you’ve been doing at the AMA. Read more »
