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Frederick Smith

Responses to P. Chen, http://well.blogs.nytimes.com/2011/08/11/letting-doctors-make-the... - 0 views

1  . Old Colonial Texas, now August 11th, 2011 1:10 pm What is critical here is the concept of long-term relationships between doctors and their patients, which most states are now destr...

autonomy & beneficence doctor expertise nytimes.com pauline chen bioethics

started by Frederick Smith on 15 Aug 11 no follow-up yet
Frederick Smith

Healthcare-Reform - 1 views

Health care reform is an issue that has been on the political front burner for me this year - as it has been for so many others, now and in 1993-4, if not earlier. (The comments below draw in part...

health care reform FSmith posting

started by Frederick Smith on 10 Jan 10 no follow-up yet
Frederick Smith

Shortcuts (Your Money): Too Many Choices: A Problem That Can Paralyze - 0 views

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    >"...Offering a default option of opting in, rather than opting out (as many have suggested with organ donations as well) doesn't take away choice but guides us to make better ones, according to Richard H. Thaler, an economics professor at the University of Chicago, and Cass R. Sunstein, a professor at Chicago's law school, authors of "Nudge: Improving Decisions About Health, Wealth and Happiness". Making choices can be most difficult in the area of health. While we don't want to go back to the days when doctors unilaterally determined what was best, there may be ways of changing policy so that families are not forced to make unbearable choices. >Professor Iyengar and some colleagues compared how American and French families coped after making the heart-wrenching decision to withdraw life-sustaining treatment from an infant. In the United States, parents must make the decision to end the treatment, while in France, the doctors decide, unless explicitly challenged by the parents. >French families weren't as angry or confused about what had happened, and focused much less on how things might have been or should have been than the American parents.
Frederick Smith

ECONOMICS & UNIN - 0 views

ECONOMICS & UNINSURED An individual's lack of health insurance affects everyone in the country economically, so requiring it is constitutional.  When the uninsured person goes to the ER, t...

health care reform health costs health insurance uninsured constitution

started by Frederick Smith on 06 Jan 11 no follow-up yet
Frederick Smith

A TRAGIC TRAVESTY: I - 0 views

A TRAGIC TRAVESTY: INSURER DENIES COVERAGE FOR A 22-Y.O. WOMAN'S RHEUMATOID ARTHRITIS AS A "PRE-EXISTING CONDITION"     20 years ago I had an unforgettable patient experience that co...

health insurance health care reform pre-existing condtion

started by Frederick Smith on 06 Jan 11 no follow-up yet
Frederick Smith

When Doctors Become Patients - By ERIC D. MANHEIMER (Bellevue med dir) - 0 views

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    I refused further radiation and chemotherapy. I lay in my bed and watched the events around me - the distress of my family, the helplessness of my doctors - without anxiety, comfortable that I had made the correct decision. My doctors couldn't override it or persuade me to change my mind, but, luckily, my wife, Diana, could and did. From my mental cocoon in the hospital bed, I could sense Diana at my side. "You're going to finish the treatment," she said softly. I did not have the energy, or perhaps the will, to disagree. She wheeled me down herself to finish my radiation treatments in the basement of the hospital.
Frederick Smith

Well: Letting Doctors Make the Tough Decisions, by Pauline Chen - 0 views

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    Autonomy has limits - pts want docs to exercise expertise.
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