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How to Make People Think Robots and Corpses Have Feelings
The right to die has played a critical role in the development of the doctor/patient relationship. It was families clamoring for the right to allow their loved ones to die who forced the world to recognize that physicians’ medical decisions aren’t just medical decisions, but involve enormous value judgments. In 1975, Karen Ann Quinlan’s loving…
If Costs Are Unknown, Can Doctors Still Talk About Them?
I have been writing a bit lately on the need for healthcare providers to talk with their patients about healthcare costs, if for no other reason than to enable patients to determine whether they can afford to pay for the healthcare that their doctors are recommending them to receive. I have been criticized for this position, on…
I Miss Ike
Here is Eisenhower drawing out the connection between science and liberty: “Love of liberty means the guarding of every resource that makes freedom possible—from the sanctity of our families and the wealth of our soil to the genius of our scientists.” I would love to see a presidential candidate pick up this theme.
Using More and More Medical Care
Recently, Dr. R. Adams Dudley, director of the UCSF Center for Healthcare Value, circulated a picture illustrating rapid growth in the use of tests and other imaging procedures between 2000 and 2013. I thought it deserved further circulation. It reveals 60-80% expansion of testing and imaging, with only – only? – a 40% increase in…
A Surprising Way to Stop Eating so Many Brownies
I know why I sometimes eat too many brownies. They taste great! The same goes, of course, for a whole slew of desserts–I love me my strawberry rhubarb pie, and I never say no to a ginger snap. And while a touch of dessert is often a fine way to top off dinner, many of…

People With Chronic Pain Deserve Better Than To Be Told There’s Nothing Wrong
I am going to be writing about chronic pain: diagnosis, treatment, mistreatment, etc, in upcoming posts. In my first post, i describe part of my own pain journey. The post is here. And it starts with me standing “in the back of the conference hall panicked that I was going blind.”