Posts Tagged ‘professionalism’

Personal Care vs. Individual Care vs. Herd Care

Tuesday, October 20th, 2009

The science of medicine can identify genetic, biochemical, physiological, and anatomic characteristics and measure how they are modified by disease in each individual. For example, the combination of hypertension, diabetes, and liver disease may be unique in one person and require treatment quite different from others with the same disease manifestation. Addressing these differences is the basis of individual medical care.

Many important differences that affect disease manifestations and responses to treatment, however, are difficult to quantify. Every person has his or her personal theory regarding the maintenance of good health and the nature of illness. These result from the combination of cultural background, education, vocation, standard of living, experience, and world view. As you can imagine, they are difficult to quantify.

These personal attitudes enhance or impair the responses to drugs and other treatments. A good example would be (more…)

The Assault on Medical Professionalism

Saturday, October 10th, 2009

Medical care is not a trade.  The professional commitment required is more than simply a calling to a discipline. It involves ethical conduct that recognizes the contract between the patient and the physician. The welfare of the patient always takes precedence over the doctor’s self interest.

Most people have turned their medical care purse over to third parties, who now negotiate with the doctor over care.  These insurers and managed care entities pressure the doctor to act as “gate keeper” and ration the patient’s care in ways that may not be in the patient’s best interest.  Doctors have a conflict of interest and are placed in an unethical position.

Doctors still interested in doing things in the best interest of their patients are concerned about the poor quality of care. The third parties blame the doctors.

Caveat Patiens.” Patient, beware. An increasing number of doctors have succumbed to turning medical care into a business for profit.

The third parties have wrested control of medical care from the physician community and turned medicine into a free market commodity. This is an assault on medical professionalism and independence.