Although physicians do not have legitimate authority over patients, professional associations may have such authority over physicians, even nonmembers.
AMA J Ethics. 2017;19(2):207-213. doi:
10.1001/journalofethics.2017.19.2.sect1-1702.
Given the well-established correlation across cultures between poverty and unhealthy lifestyles, can it be just to hold individuals responsible for choices typical of their socioeconomic sector? Aren’t patient-responsibility programs simply conspiracies to shrink benefits to the poor?
Pharmacologic interventions might help physicians overcome cognitive deficits resulting from loss of sleep while on call or help them retain more details about the patients under their care.
Industrialized nations could benefit from strategies emerging in developing nations such as respectful collaboration between traditional out-of-hospital birthing practices and maternity units in partnering hospitals.