Policy & Ethics

Everyone should have a primary care provider (PCP), but not everyone does. There are myriad reasons why: some choose not to go to the doctor (hello, young people); some can’t afford care; others may live in provider “deserts” such as rural areas. Whatever the reason, a growing movement exists to expand who can act as a PCP. Chiropractors have been a part of this expansion, but is that wise?
Morbidity and Mortality (M&M) conferences are routinely held by hospitals to evaluate individual patient care, discuss/dissect interesting cases, and analyze adverse outcomes. It aims to teach, learn, and modify medical/nursing behaviors where appropriate so as to improve patient care. Meetings are confidential to facilitate frank discussion. But a recent case portends evisceration of the confidentiality rule. Plaintiffs are cheering. Defendant-doctors, not. Who’s right?
The New York Times devoted nearly a full page in the business section to “emissions.” Emissions of what? Presumably, CO2, which was not explicitly mentioned, nor were methane, black carbon, or other greenhouse agents. The U.S. has focused – even obsessed – on CO2, and we act as if the nation was the chief player on the planet. That makes us feel good and even self-satisfied in assuming that our diligence is helping to save the planet. But is it?
The BS that has been put out by the anti-opioid zealots has been more than bad enough. Then Senator Joe Manchin joined the fray, taking it to a new level. Disgusting.
On May 25, 2023, merely six weeks before the Wuhan Biosafety lab lost its NIH funding amid the controversy of possible lab leaks and connection with COVID-19, the U.S. proudly opened the doors of the National Bio and Agro-Defense Facility (NBAF), the 14th biosafety level-4 lab in the nation. It was also the first here capable of handling large animals. What is going on?
Science skepticism – my how it has changed over the past few decades.
The EU is about to ban the sale of body fluids, including breast milk, sperm, blood, and other “substances of human origin” (SoHO). Some argue this will decrease supply. Others claim the regulation protects human dignity. Who’s right? And how do we decide?
Evidence suggests that Tylenol isn't an effective pain reliever in many cases, so why do doctors rely on it post-surgery? When it comes to treating and discussing COVID-19, do doctors have the right to speak freely, even when they dissent from accepted medical wisdom?
Now that prospective parents have the option to genetically design their kids (at least to a point), what does this mean to society in terms of other responsibilities involved in child-making?
“Oregonians voted in November 2020 to stop incarcerating people for using drugs unapproved by the federal government and instead direct resources to harm reduction programs. The pandemic got in the way. Now, while this project is still in its infancy, a group of Oregonians wants to replace something that hasn’t had a chance to work with something that we KNOW hasn’t and won’t work.”
In the wake of Hurricane Katrina in 2005, a physician was charged with manslaughter for administering morphine and a sedative to patients who couldn't leave the hospital during the disaster. Was she alleviating their pain and anxiety or trying to kill them? Meanwhile, many news outlets are paid to slant their science coverage. How did that happen, and what do we do about it?
You may want to procure an air sickness bag before you read this. What's worse: A cigarette company portraying smoking as sexy (and it's not the least bit subtle) or a 1970 ad proudly proclaiming, "You've come a long way, baby" (as if the women's rights movement somehow empowered women by giving them their own brand of cigarettes)?