Health Freedom, Right to Try, and Informed Consent

Starting with the Terrible Twos, when toddlers hear the word “No” on a regular basis, people don’t like to be told they can’t do something. They often believe government regulations interfere with their rights. The government requires vaccinations for school attendance; parents complain that they should be able to make their own decisions about whether

Health Freedom, Right to Try, and Informed Consent

Starting with the Terrible Twos, when toddlers hear the word “No” on a regular basis, people don’t like to be told they can’t do something. They often believe government regulations interfere with their rights. The government requires vaccinations for school attendance; parents complain that they should be able to make their own decisions about whether

The Case That CAM Is Unethical

Edzard Ernst is arguably the world’s foremost expert on the claims and the evidence (or lack thereof) for Complementary and Alternative Medicine (CAM). Now he has teamed up with a medical ethicist, Kevin Smith, to co-author a new book, More Harm than Good? The Moral Maze of Complementary and Alternative Medicine. Much has been written on

The Ethics of CAM: More Harm than Good?

Edzard Ernst is arguably the world’s foremost expert on the claims and the evidence (or lack thereof) for Complementary and Alternative Medicine (CAM). Now he has teamed up with a medical ethicist, Kevin Smith, to co-author a new book, More Harm than Good? The Moral Maze of Complementary and Alternative Medicine. Much has been written

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

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

Chiropractic Strokes Again: An Update

The risk of stroke with neck manipulation has been addressed on SBM before by Dr. Crislip, by myself, by chiropractor Samuel Homola, and by Jann Bellamy. I have listed the links at the end of this article for the convenience of interested readers. Recent studies merit a followup. A case report published in the Annals of Internal Medicine July 17,

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

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