We really can't promise both more transplants and better outcomes. The controversies over organ allocation really represent intellectual exhaustion in the face of a long series of inadequate policy responses to the decade-long trend of the kidney supply increasing only at the expense of organ quality and patient outcomes.
When a would-be living organ donor wants to accept risk in the name of altruism when there is little chance for benefit or significant chance for harm, physicians are justified in limiting that altruism.
This month, Virtual Mentor's theme issue editor for March 2012, Alon Neidich, interviewed Dr. Al Roth about the growing importance of paired kidney exchanges for incompatible patient-donor pairs.
When the tension between solidarity and individualism hardens into entrenched oppositional politics, attempts to widen health care coverage are stymied.
An interview with Allan Ramsay, one of the five appointed members of the Green Mountain Care Board, which oversees the development of Vermont’s single-payer health care system.
Physicians will have a greater impact on health if they advocate for changes needed to prevent illness and harm than if they simply patch up those who are sick or harmed.
By virtue of their education and expertise, physicians have a responsibility to challenge scientifically inaccurate information about sexual health, but they may not opine about sexual norms for society in their professional capacity.
Physicians have a duty to educate lawmakers and the public about misinformation but they should not advocate for specific policies and thereby foreclose social dialogue on issues related to public health.