Autonomy, paternalism and understanding
I gave a talk Wednesday as part of an ethics series here at Duke. Here is one take on my presentation. See if you can spot the Far Side reference!
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Getting What You Want At The End Of Life – Lessons From A Dying Man
Many people die in ways, and even in locations, that go against their preferences. They don’t want to be put on ventilators and, yet, spend their last days in intensive care units tethered to breathing machines. They don’t want cardiopulmonary resuscitation (CPR), and, yet, receive full-on “codes” when their hearts stop.
Much of this unwanted care could be avoided if patients (aka: “people”) discussed their treatment preferences with their clinicians.
When Medicaid doesn't pay
Here is a link to a Marketplace report that discusses the Obama administration’s efforts to keep states from trimming their Medicaid budgets by cutting doctor payments, to the point where patients have insurance but no doctors would be willing to care for them. I am quoted early on, the first broadcast in which I have been able to spout the phrase “dirty, naughty.”
