Really nice summary and I wholeheartedly agree with your prescription.
I would add that we need to hold physicians more accountable, as well. As one who practices primarily in a hospital setting, I see much chemotherapy administered in situations where the benefit is zero-to-negligible. Moral and ethical issues abound.
It makes me think of that old pitch-black joke about why they put nails in coffins (to keep the oncologists from giving chemo).
What a joke (first time hearing it)! It is interesting and frustrating that we haven't really figured out the best & efficient way to police our own. We have state boards, specialty licensing, hospital credentialing, and professional societies -- yet there are still poor quality docs falling through the cracks. Also, for everyone else, it is a enormous amount of time, energy, and money to keep all those regulatory bodies happy.
Institutionalization of unethical practices, constitutionalization of immorality. This practice extends to ESRD, transplants, and many other chronic conditions.
Really nice summary and I wholeheartedly agree with your prescription.
I would add that we need to hold physicians more accountable, as well. As one who practices primarily in a hospital setting, I see much chemotherapy administered in situations where the benefit is zero-to-negligible. Moral and ethical issues abound.
It makes me think of that old pitch-black joke about why they put nails in coffins (to keep the oncologists from giving chemo).
What a joke (first time hearing it)! It is interesting and frustrating that we haven't really figured out the best & efficient way to police our own. We have state boards, specialty licensing, hospital credentialing, and professional societies -- yet there are still poor quality docs falling through the cracks. Also, for everyone else, it is a enormous amount of time, energy, and money to keep all those regulatory bodies happy.
Institutionalization of unethical practices, constitutionalization of immorality. This practice extends to ESRD, transplants, and many other chronic conditions.
Very true. Thinking about docs who own infusion centers, GI, Nephrology, and Rheumatology come to mind.