newszine

Waiting for medical records “after discharge” is of no help for decision making

6 years ago Bernard W Freedman, JD, MPH 0
  Medical records: Waiting for medical records “after discharge” is of no help.  Reviewing medical records  in the hospital allows the patient and/or a surrogate decision maker to obtain the greatest amount of information possible over the cross section of medical specialties providing care.  It provides a clear picture of the condition of the patient Read More

Can late stage abortions be murder ?

7 years ago Bernard W Freedman, JD, MPH 0
  Dr. Nicola Riley is being held without bail in Utah following her arrest on December 28. 2011. She worked for Dr. Steven Brigham in New Jersey, who owns abortion clinics.   Both of them have been charged with the crime of murder for performing late-term abortions in Maryland. Their apparent modus operandi was to “start” Read More

Withdrawing Life Sustaining Treatment – End of Life Care: the Doctor-Patient Relationship A Refusal to Communicate

8 years ago Bernard W Freedman, JD, MPH 0
  The New England Journal of Medicine recently published an article entitled: “ The Palliative Care Information Act in Real Life,” (NEJM 364;No.20 May 2011), regarding a New York statute that requires a physician to have discussions of end of life treatment options with the patient when the patient is “terminally ill.” Alan Astrow MD and Read More

Withdrawing Life Sustaining Treatment – Betancourt v Trinitas – Life, Not Policy

9 years ago Bernard W Freedman, JD, MPH 0
Ruben Betancourt, 72 years old, was unconscious following the dislodging of a ventilator breathing tube after surgery at Trinitas Medical Center, which resulted in anoxic encephalopathy. He was readmitted to Trinitas in July 2008 with a diagnosis of renal failure. He received dialysis treatments, remained on a ventilator, and feeding tube. The physicians at Trinitas diagnosed Mr. Betancourt Read More

Red Flag Rules and the Practice of Medicine

9 years ago Bernard W Freedman, JD, MPH 0
Red Flags Rules require financial institutions and businesses that give credit to consumers to establish some sort of program or procedure to identify customers who may be involved in identity theft. Since most medical providers provide medical services and allow the patient to pay their bill at a later time, and in concert with insurance Read More

Funding for physician discussion of end-of life decisions

9 years ago Bernard W Freedman, JD, MPH 0
  Each patient deserves more than a brief discussion about end of life decision-making. In  “A Piece of My Mind” section of this month’s JAMA (volume 303, No.13, April 7, 2010) Paul Kettl M.D. argues for monetary compensation to be provided to physicians for end of life discussion and planning. He fails to make clear, Read More

Poem: Denise Levertov

9 years ago Bernard W Freedman, JD, MPH 0
  This is the year the old ones, the old great ones                 leave us alone on the road.                                            –  Denise Levertov, September 1991 —– Read More

Publically Managed Care found to be Superior to Private Managed Care

9 years ago Bernard W Freedman, JD, MPH 0
  Boston University School of Public Health researchers reported that older, male patients receiving care from the Veterans Health Administration (VHA) health care systems had better health outcomes than those in privately managed care plans that are part of the government-run Medicare Advantage program using private contracted managed care.    Two surveys were done on Read More