William Martinez, MD, MS and Thomas H. Gallagher, MD
Running away from the problems and inefficiencies of our current health care system and into the comforts of concierge medicine does little to advance health and well-being for the vast majority of people.
Paul J. Christine, MPH and Lauris C. Kaldjian, MD, PhD
Shared decision making requires that physicians acknowledge their responsibility to the patient, their responsibility to be true to their own clinical judgment about the patient's best interest, their accountability to society, and the uncertainty of the evidence.
A patient's request or demand for treatment does not obligate a physician to provide the treatment if the physician thinks it will cause more harm than good.
When deciding whether a pregnant woman will take antidepressants that pose a slight risk to the fetus, the patient and doctor must each make value-based determinations about whether absolute protection of the fetus is more important than preventing the mother’s probable suffering.
When a patient requests an unfamiliar treatment, the physician should not hesitate to research it before giving a categorical reply about its safety or efficacy.
Karen Uhlenhuth, Angira Patel, MD, and John Lantos, MD
A statin drug will not give a 10-year-old a high level of energy, the freedom to interact with peers without fear of being bullied, or a generally happy outlook on life.
Lawrence J. Cheskin, MD, Scott Kahan, MD, MPH, and Gail Geller, ScD, MHS
Many health professionals harbor negative biases toward individuals who are obese. Cultivating an awareness of our own biases is the best way to avoid acting on them.
The guidelines for patients’ eligibility for bariatric surgery have not changed since 1991, although recent data suggest there may be indications for broadening application of the surgery.
A discussion of the ethical issues raised by a patient’s request for off-label, prophylactic bariatric surgery to prevent diabetes mellitus type 2 (DM type 2).