Tag: informed consent
Beyond Informed Consent: Shared Decision-Making
Happy New Year to all our readers! Today marks the completion of 5 years of SBM and the beginning of year 6. My contributions, at one a week, have now reached a total of 260. My first post on this blog, 5 years ago, was a review of an important book about science and alternative medicine, Snake Oil Science. This year I’d like...
True Informed Consent Is Elusive
Most of us would agree that doctors should not treat patients without their consent, except in special cases like emergency care for an unconscious patient. It’s not enough for doctors to ask “Is it OK with you if I do this?” They should get informed consent from patients who understand the facts, the odds of success, and the risk/benefit ratio of treatments....
Chiropractic Strokes Again: An Update
It's depressing that we have to keep revisiting the topic of stroke after chiropractic neck manipulation.
California Bill AB 2109: The Antivaccine Movement Attacks School Vaccine Mandates Again
AB 2109 in California makes it harder for parents to claim personal belief exemptions to school vaccine requirements by requiring that parents visit a physician or other enumerated health care provider to counsel them on the risks of leaving their child unvaccinated, thus providing informed consent. Not surprisingly, antivaxers do not like it.
South Dakota’s Abortion Script: The Hijacking of Informed Consent
In a previous post, I suggested that informed consent could sometimes be misused. South Dakota has provided a clear example of such misuse and has set a frightening precedent reminiscent of Big Brother in George Orwell’s 1984. A law went into effect in July, 2008, requiring that any woman seeking an abortion in South Dakota must be told that she is terminating...
Paternalism Revisited
Paternalism is out of fashion. Doctors used to have a parent-child relationship with their patients: they concealed the truth if they thought it was in the patient’s best interest, they dictated the treatment and did not have to justify it to the patient. “You have to take this pill because I’m the expert and I know what’s best; don’t ask questions.” Sort...