Medicine, a high-energy consumer and generator of much waste—some of it toxic—must scale back the health care enterprise in the interest of preserving a livable environment.
The Institute of Medicine's ground-breaking report on medical errors has helped to make patient safety a priority goal, but the findings of the report are often interpreted by the media.
Health care policy changes are needed to minimize the risk to physicians responding to public health emergencies and aid in their longer-term responsibility of protecting and promoting the nation's health.
While physicians have a duty to treat even at the risk of their own personal safety, citizens also have minimal obligations to assist those protecting them during bioterrorism or natural disasters.
Physicians can ethically withhold information in situations where full disclosure of a diagnosis or treatment would cause great psychological harm to the patient.