§ 166.046. PROCEDURE IF NOT EFFECTUATING A DIRECTIVE OR TREATMENT DECISION. My comments are interspersed and at the bottom. Emphases are mine. (a) If an attending physician refuses to honor a patient’s advance directive or a health care or treatment decision made by or on behalf of a patient, the physician’s refusal shall be reviewed … Continue reading
From a fellow family physician, more reasons to avoid expanding centralized, government insurance: The Joke’s On Us as ALWAYS! Remember that 4.4% Fee Schedule Reduction we had to start the year from Medicare? Remember we were given that back through all the efforts of the AMA and AAFP? Forget about the fact that the fee … Continue reading
And run off all the business left in the State. More on that insurance scam plan from Massachusetts, this time from the USAToday coverage: The plan hinges in part on two key sections: the $295-per-employee business assessment and a so-called “individual mandate,” requiring every citizen who can afford it to obtain health insurance or face … Continue reading
I wish I could applaud the Massachusetts initiative to require everyone to have health insurance. I haven’t seen much to recommend the government as a responsible regulator of insurance or healthcare. Healthcare too easily becomes an entitlement that can be used in the way that circuses and bread were in old Rome: If you play … Continue reading
It has long been possible to observe very premature babies pull away from painful stimuli and react physically as though they were in pain by crying, showing faster pulses and breathing rates and even changes in their blood hormone levels that mimic pain response in older human beings. But that pain has been dismissed as … Continue reading
Kevin T. Kevin questions my post concerning the rights of fathers to choose to be fathers or not to be fathers. Irony was the point, Kevin. There definitely is no child for hours to days after ejaculation. There’s not even an embryo or fetus. Where is the logic in determining the “personhood” based on one … Continue reading
Recently, this blog mentioned the advocacy of “death with dignity” for all humans who desire the help of physicians and modern medicine in their quest for self-induced death. But, there’s a worse ethical position, one I thought had died out (excuse the pun). Eric Pianka, Ph.D, a tenured professor in the Integrative Biology department of … Continue reading
No technical difficulties, just attendance at Trinity International University’s Master of Arts in Bioethics. This week marked the last of my classes. The program can be taken as an “executive” course, similar to many of the Master’s of Business Administration courses which are attended in a couple of blocks of a few days at a … Continue reading
An anonymous reader has noted that when I complained about CBS’ touting of destructive stem cell research, the example that I gave involved the use of patient’s own stem cells. These cells would not treat Batten disease, which is a inborn error of metabolism. This type of disease is a genetic defect in the metabolism … Continue reading
This above all: to thine own self be true, And it must follow, as the night the day, Thou canst not then be false to any man. This ancient proverb, phrased so beautifully by William Shakespeare in the form of fatherly advice (Polonius, in Hamlet) echos Socrates’ “Know thyself,” and Jiminy Crickets’ “Still, small voice … Continue reading