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!
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!
Eighteen years out of training, and I still find myself struggling to understand the moral imperatives of medical practice. Not long ago, as part of my hospital duties, I cared for a man who could no longer swallow. This dysphagia was his only medical complaint, one that had sneaked up on him over the course…
Obamacare gave employers permission to charge smokers up to 50% more for health insurance, as a way to incentivize healthier behavior. But to make sure smokers had a fair chance to avoid these penalties, the law required employers to provide tobacco cessation programs to anyone facing such a surcharge. Almost half of the companies who charge smokers…
Steve B. wasn’t going to be fooled twice. He’d recently seen an ear, nose, and throat specialist for a “tickle in the throat” that wouldn’t go away. He’d forked over a co-pay at check-in, but then the doctor said he needed “to put a scope down there” and check his throat. He later received a…
African Americans make up 13% of the country’s population, but only 4% of American physicians are black. This lack of racial diversity in the profession is tragic, denying this prestigious career to many worthy people and undermining the health of many African Americans, who are more likely to receive important medical services when they’re cared for by black…
In 2010, the state of Rhode Island decided to tackle high healthcare costs. It did so by requiring insurers to meet affordability standards. The plan worked, but not for the reasons you probably suspect. Let’s start with what Rhode Island’s standards look like. It required several things of insurers: Premium caps – with annual inflation equal…
Not looking my best…but here is a blog post I wrote for the Hastings Center, in which I try to get to the root, so to speak, of an often overlooked issue: cutting dental coverage when trying to lower the cost of health care.