tag:blogger.com,1999:blog-18943510.post8513710712245063484..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Appropriateness Criteria® and Our New Medical EthicDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-18943510.post-57989322808374547952013-12-14T12:15:38.257-06:002013-12-14T12:15:38.257-06:00Well said.
Individual patients want to make info...Well said. <br /><br />Individual patients want to make informed “cost/benefit” decisions about their own care, not to have some central committee decide that the mammogram yearly is too expensive.<br /><br />However, it gets even worse when you look “under the hood” of the cookbook writing process. <br /><br />Often unmentioned is the fundamental lack of any “price mechanism” in medicine and theW. Bondhttps://www.blogger.com/profile/11876061563314623223noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-25349795060525231302013-11-29T14:16:30.796-06:002013-11-29T14:16:30.796-06:00Do not forget that appropriate criteria is always ...Do not forget that appropriate criteria is always viewed through a political prism.<br /><br />When Bill Clinton was diagnosed with 3VD and preserved EF, you didn't see Steve Nissan protesting his CABG.<br /><br />Years later when George Bush has new onset symptoms (decreased endurance on his bike rides) consistent with USA treated with a stent. Dr. Nissan is screaming that this is Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-55354366489972854182013-11-27T08:27:54.853-06:002013-11-27T08:27:54.853-06:00Thank you. This is a topic I have been writing abo...Thank you. This is a topic I have been writing about and worried about for some time.This movement of conserving "society's resources" has been spearheaded by the ACP and the ABIM foundation in part with their "choosing wisely" initiative and their insertion of social justice into traditional medical ethics and the non sequitur of equating social justice with spending lessjames gaultehttp://mdredux.blogspot.comnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-84182774706130344992013-11-26T12:39:05.577-06:002013-11-26T12:39:05.577-06:00As a third year medical student, I would also argu...As a third year medical student, I would also argue that this is creating a generation of dumb doctors. My school (average US MD school in the Midwest) has almost abandoned teaching physiology and understanding. We have the virtues of guidelines shoved down our throats instead. Recognize a pattern, apply the appropriate guideline. That's medical school these days.... Anonymousnoreply@blogger.com