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Listen to how some doctors comment on an article in one of the GP house magazines outlining the Five Year Forward View: "I no longer believe a single word from NHS England... who I hold in well deserved contempt".
Contrast that with your article about how some doctors and dentists are steering their patients to use medical credit cards, which allow the provider to be paid in full right away, while potentially placing patients in harm's way from increasing credit card debt burdens.
While fans of his work may be disappointed to find they've already read half of the chapters in The New Yorker (where Gawande is a staff writer) or elsewhere, Gawande's meditation on performance is not only an absorbing collection of essays on how some doctors manage to do better but also an exhilarating call for the rest of us to do the same.
Re "The Concierge Doctor Is Available (at a Price)" (July 31), which described how some doctors are turning to concierge practices -- where patients pay annual fees and doctors see fewer patients: It should come to no surprise that America is moving to a two-tiered system for health care based upon ability, or willingness on part of the patient, to pay.
Rene Diekstra, a pioneer of PAS in the Netherlands, described how some doctors coming before a committee that reviewed PAS cases were prematurely ready to provide PAS when feelings of helplessness about the patient's condition influenced them to overestimate the rationality or inevitability of the patient's suicide [ 32].
The tension between the role of the patient and that of the doctor was also discussed by McTevitt 17 who described how some doctors find it difficult to cede control and thereby cease being the 'expert' in a two-person relationship.
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It was unclear how much some doctors knew about hormone replacement, Dr. Stafford said, and, just as important, how well they educated their patients.
But if it were duplicated elsewhere, that would raise questions about how some of the most vulnerable patients in the medical system are being treated, and how seriously some doctors take the tools that science works hard to deliver to them.
My own work (here) and (here) has contributed to these label changes, adding to my disappointment at how little attention some doctors pay to these warnings.
HOW do doctors diagnose A.D.H.D.? HOW did some of the interview subjects claim they convinced their doctors to prescribe drugs to treat it?
The use of prescription narcotics, and the problems associated with them, are so pervasive that, last month, the Food and Drug Administration recommended tightening regulations for how doctors prescribe some of the most commonly used narcotic painkillers.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com