« There is a lot of talk about Accountable Care Organizations (ACOs) just now, even though the regulations are incomplete. Are you already involved in ACO planning? If so, how is it going? | Main | »

December 07, 2010

Comments

Joseph J. Neuschatz M.D.

THE NEW, NON-HYPOCRITIC OATH

I swear:

To obey the law and practice medicine to the best of my knowledge and according to my local judges, medical malpractice lawyers, jury decisions, mandatory second opinions, liability insurance companies and HMO limitations.

If abortions remain legal, I will or I will not produce them, depending on my own personal beliefs, on the number of abortion clinics burned in my immediate vicinity, and on the number of anti-abortion people picketing the local hospitals.

I will give no deadly medicine to anyone if asked, nor suggest any such counsel. Unless, of course, a euthanasia law is finally passed and I will then make such desperate decisions case by case.

Whatever in connection with my professional practice, or not in connection with it, I see or hear, in the life of men or women which ought not to be spoken of here or abroad, I will not divulge, as reckoning that all such should be kept secret.

Unless of course, their charts are subpoenaed by medical liability attorneys, requested by Medicare or Medicaid, checked by the hospital peer review committees or investigated by the department of Health.

While I continue to keep this Oath unviolated, may it be granted to me to enjoy life and the practice of the Art of Defensive Medicine.

(from the medical-liability novel "terrO.R." (fiction?)

Evsono

Riddle me this - Trial Lawyers have assured me that the purpose of the Tort System is Patient Safety. However, there has been no appreciable decrease in serious adverse hospital events since the Institute of Medicine Study in the 1990's. Clearly, Plan A aka the Tort System is not working and it is time for Plan B. Med Mal Reform IS Healthcare Reform.

Paul S Kruger

What if, in order to save money, each specialty had to give up its most wasteful activity? As an obstetrician, I would nominate Medicaid payment for testing gravidas with no relevant family history to see if they have a gene for cystic fibrosis. This test costs over $200. The chance of finding a CF gene is 1 in 25 for caucasians. The baby can only be affected if its father also has a gene, also a 1 in 25 chance. If both parents have a gene, one in four babies will have CF, which might be diagnosed by prenatal amniocentesis. Office time explaining this to patients could be better spent on lifestyle counseling. Taxpayer money would be saved if the mother elects a pregnancy termination, avoiding the expense of a handicapped child. Where is the documentation that this testing saves money? It is only driven by the fear of a "wrongful life" suit.

The comments to this entry are closed.

May 2013

Sun Mon Tue Wed Thu Fri Sat
      1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30 31  

Disclaimer

  • Terms of Service
    The Medical Society of the State of New York (MSSNY) is not responsible for material posted by any individual on this site and does not warrant nor guarantee the content, accuracy, or use of the content in the communities. MSSNY specifically disclaims all liability for claims or damages that may result from any posting by members or non-members. MSSNY reserves the right to remove any materials it considers objectionable and that are posted by any individual on this site or that are e-mailed by site users to any other persons. MSSNY accepts no responsibility for the opinions and information posted on this site, whether by MSSNY or any third party. Such opinions do not necessarily reflect the policies of MSSNY. In no event shall MSSNY be liable for any special, indirect, or consequential damages or any damages whatsoever resulting from loss of use, data, or profits arising out of or in connection with the use or performance of any information posted on this site. MSSNY Community Forum Guidelines 1. MSSNY members and non-members can post messages. MSSNY members and non-members must enter their name and e-mail address, or they cannot be accepted. 2. Users should not attempt to sell or post unsolicited advertising, promotional materials, or other forms of solicitation to the group. MSSNY does not accept advertisements and/or product announcements from outside publishers, producers of software, or other vendors or commercial entities posted by members. Announcements of resources or conferences are acceptable as long as they are relevant to the interests of the community membership. Try to keep these brief. Questions and discussion initiated by community members about products or services are appropriate, but please keep in mind the common courtesies described in the Etiquette section. This provides a forum for help and recommendations among colleagues on the list. 3. Members should not post any information or other material protected by copyright without the permission of the copyright owner. By posting material, the posting party warrants and represents that it owns the copyright, if any, with respect to such material or has received permission from the copyright owner that covers such posting. In addition, the posting participant grants the MSSNY and its users of the community the perpetual, non-exclusive right and license to display, copy, publish, distribute, transmit, print, and use such information or other material. Any hypertext links and any reference to any products, services, or other information by trade name, trademark, supplier, or otherwise do not necessarily constitute or imply its endorsement, sponsorship, or recommendation by the MSSNY. MSSNY expressly disclaims liability related to the accuracy and content of other sites and use of any products or services referenced in the community or in a linked site. You are strongly encouraged to verify the accuracy and reliability of content of any other sites before posting links to such sites. 4. The MSSNY's policy is to comply with all antitrust laws, and the MSSNY reminds all users to guard against activity that could be construed as a violation of the antitrust laws. Do not post any material that:  references specific fees charged or paid for professional services.  discusses prices, discounts, terms or conditions of sale with regard to medical suppliers or other vendors or terms and conditions of provider agreements relating to reimbursement levels, bonus payments, and other price or cost-related items.  addresses salaries or terms of employment.  attempts to allocate patient markets or encourage collective or coercive activity with regard to third party payors, hospitals, other health care providers, or suppliers.  includes information that could otherwise be construed to impose a restraint on trade, inhibit free and fair competition, or organize a boycott. Do not assume that discussions are confidential or privileged. Do not post material without the permission of the copyright owner. MSSNY is not responsible for the accuracy or content of material on the communities. Etiquette on MSSNY Communities 1. Message Writing. Always use a clear, descriptive subject line. The more descriptive you are, the more likely people will read and respond to your posting. Please do not use generic subject lines such as "Help," "Need help," "Please help," "Need Info," "Request." When you respond to a posting, check the subject line to make sure it still reflects the topic at hand. If needed, retype an appropriate subject line. Please do not use ALL CAPS when submitting messages. Avoid (or explain) jargon, abbreviations or colloquial language that may be unknown to members. Try to keep postings as brief as possible. Avoid sending encoded messages and documents to the list. Post in plain text format. Do not send long documents directly to the list. Describe the document and give instructions for retrieving it, or offer to send it to those interested. If you have a web site, consider making long documents available for downloading from the web. When you wish to initiate a new discussion or request, do not use the "reply" feature of your e-mail program; instead, start a new message with an appropriate subject line. 2. Message posting. Proofread your messages before sending to make sure they are complete and say what you mean to say. Every posting should begin with a clear, concise introduction to the topic, or refer to the topic of a previous posting. There are often several "threads" of discussion going on simultaneously, which makes unreferenced postings confusing to readers. Please stay on topic when posting. The community is used for addressing what is related to that particular community's topics and issues. Comments concerning topics other than that, while interesting, belong somewhere else. A popular way of providing context is to quote verbatim from the original message. Please keep the quotations *short* and *relevant*. Cut out unnecessary text and repetitive signature information from previous senders. It would be a mistake for participants to assume that the community discussions are confidential or privileged. It is certainly possible, although highly discouraged, that comments made on the community could be forwarded to nonparticipants either by e-mail or hard copy transmission. Moreover, electronic communications are discoverable in legal proceedings. Likewise, statements made through the community could easily find their way into public policy debates about physician reimbursement, medical liability, or other topics affecting physicians, as well as specific coverage or reimbursement issues. Thus, participants should use discretion in forming comments, particularly with respect to confidential, proprietary, or otherwise sensitive information. 3. Common Courtesies. Kindness and consideration for others are prerequisites for community participation. Rudeness will not be tolerated. Members should not post defamatory, offensive, profane, threatening, abusive, or illegal materials on the communities. Debate about professional matters is welcome, but keep it polite. 4. Individual vs. public messages. If you want to respond to an individual and do not feel your comments are relevant to the group, please respond privately to that individual's e-mail address, not the community. Send personal messages directly to individuals by entering the individual's address in the "to" field. When you want to write to an individual, do not just use the "reply" feature of your e-mail system to respond to a message from the community - if you do, your reply will go to the whole list instead of the individual. Community members are often interested in others' queries, and appreciate reading answers to most questions; but, if you are soliciting multiple replies, such as in a survey or publication offering, as a courtesy you should ask for individual replies to your address. For some types of reference questions, you might want to solicit individual responses, but offer to summarize the responses for the whole list. This technique allows the information to be shared with the whole list, but in a summary form rather than in bits and pieces. Send individual "thank yous" privately; if you have received the information needed, it is courteous to send a "halt" message to the list to stop others from continuing to respond to a request (the person who provides the answer may also indicate that to the list). Other examples of messages that should be sent privately are requests for copies of offered materials, and "me too" messages (as in, "send me a copy of that, too"), survey responses, and very specific replies to questions that are not likely to be of general interest. Removal from MSSNY Communities The MSSNY reserves the right to terminate access to any member who does not abide by these guidelines.
Blog powered by Typepad