Re: vbac on demand

From: DoctorJoe@aol.com
Fri May 23 10:41:38 2008


In a message dated 5/23/08 9:54:06 AM, ajfields@pine-net.com writes:

> Would that be that the physician's right to do whatever he wants trumps
> the patient's right to informed consent? Or that the physician's legal
> and financial risk are more important than the patient's physical risk?
> Because I really can't see how the relative risks aren't important to
> this woman's decision about her body.
>

There are two "rights" here (if you ignore the baby's right):

1) The woman's right to take whatever risks with her body (after being informed what the risks are).

2) The physician's right to practice what he feels is good medicine (i.e. not be forced against his better judgment into a course of action that he feels is unacceptable, given the standards, the circumstances, etc.).

How you balance those two "rights" is the question.

We all talk of #1 a lot, as we should. But #1 does NOT automatically overrule #2, by any means.

And sometimes, although I may be getting ahead of the argument here, there is no easy solution to the problem and it ends up being decided on policy grounds (e.g. you can't have patients willy-nilly showing up at hospitals and demanding unacceptable procedures or treatments when the doctors don't think they're warranted -- it would make the "system" unworkable).

Joe P.

(http://food.aol.com/tyler-florence?video=4& ?NCID=aolfod00030000000002)





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