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Originally Posted by DakotaDeer
- - - - Do you-all realize that these boards meet and do this work all the time, every day in this country, for all sorts of medical problems for which there is short supply, at every hospital and regional medical center everywhere?
Yes, but realization of and familiarity with the concept, as well as existence of longstanding practice, does not mean that the most proper, compassionate and equitable goals are being met. Being the group and playing the role does not always produce the highest outcomes - existence of guidelines and going through the "process" is no guarantee of efficacy and positive results. Your statements seem knowledgeable, but not much responsive to the core and spirit of the inquiry.


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Originally Posted by CCCC
Originally Posted by DakotaDeer
- - - - Do you-all realize that these boards meet and do this work all the time, every day in this country, for all sorts of medical problems for which there is short supply, at every hospital and regional medical center everywhere?
Yes, but realization of and familiarity with the concept, as well as existence of longstanding practice, does not mean that the most proper, compassionate and equitable goals are being met. Being the group and playing the role does not always produce the highest outcomes - existence of guidelines and going through the "process" is no guarantee of efficacy and positive results. Your statements seem knowledgeable, but not much responsive to the core and spirit of the inquiry.


I truly am not following what you're trying to say here. We don't live in a perfect world, but these sort of decisions are made every day for all sorts of scenarios (such as Dutch noted above concerning organ transplants). The process that is followed currently in the USA was codified under the Reagan administration specifically to deal with kidney transplants, then widened to apply to other situations of medical scarcity and even triage at times.

Such a process is the ONLY way of insuring that "compassionate and equitable goals" are met that are "responsive to the core and spirit of the inquiry." Without such a process, it is simply will-to-power or finances that drive the choices.

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Originally Posted by DakotaDeer
Originally Posted by CCCC
Originally Posted by DakotaDeer
- - - - Do you-all realize that these boards meet and do this work all the time, every day in this country, for all sorts of medical problems for which there is short supply, at every hospital and regional medical center everywhere?
Yes, but realization of and familiarity with the concept, as well as existence of longstanding practice, does not mean that the most proper, compassionate and equitable goals are being met. Being the group and playing the role does not always produce the highest outcomes - existence of guidelines and going through the "process" is no guarantee of efficacy and positive results. Your statements seem knowledgeable, but not much responsive to the core and spirit of the inquiry.


I truly am not following what you're trying to say here. We don't live in a perfect world, but these sort of decisions are made every day for all sorts of scenarios (such as Dutch noted above concerning organ transplants). The process that is followed currently in the USA was codified under the Reagan administration specifically to deal with kidney transplants, then widened to apply to other situations of medical scarcity and even triage at times.

Such a process is the ONLY way of insuring that "compassionate and equitable goals" are met that are "responsive to the core and spirit of the inquiry." Without such a process, it is simply will-to-power or finances that drive the choices.


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"Death panels", "Ethics boards" are what you get under 2 situations:

- A shortage of medical resources or
- situations where the patient is a cost center rather than a revenue source, i.e. socialized medicine.


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Originally Posted by Tyrone
"Death panels", "Ethics boards" are what you get under 2 situations:

- A shortage of medical resources or
- situations where the patient is a cost center rather than a revenue source, i.e. socialized medicine.



Then all medicine practiced in the United States is already "socialized medicine" unless your paying the veterinarian on the side to take your appendix out or something.

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Originally Posted by CCCC
Originally Posted by DakotaDeer
Originally Posted by CCCC
Originally Posted by DakotaDeer
- - - - Do you-all realize that these boards meet and do this work all the time, every day in this country, for all sorts of medical problems for which there is short supply, at every hospital and regional medical center everywhere?
Yes, but realization of and familiarity with the concept, as well as existence of longstanding practice, does not mean that the most proper, compassionate and equitable goals are being met. Being the group and playing the role does not always produce the highest outcomes - existence of guidelines and going through the "process" is no guarantee of efficacy and positive results. Your statements seem knowledgeable, but not much responsive to the core and spirit of the inquiry.


I truly am not following what you're trying to say here. We don't live in a perfect world, but these sort of decisions are made every day for all sorts of scenarios (such as Dutch noted above concerning organ transplants). The process that is followed currently in the USA was codified under the Reagan administration specifically to deal with kidney transplants, then widened to apply to other situations of medical scarcity and even triage at times.

Such a process is the ONLY way of insuring that "compassionate and equitable goals" are met that are "responsive to the core and spirit of the inquiry." Without such a process, it is simply will-to-power or finances that drive the choices.



Do you have an alternative method that works better to maintain care for those who need it in a situation of limited resources?

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I do not have such an alternative (not working in the healthcare field) and, more to the point, do not see any emphasis on striving for better practice - that is why I asked the questions. A practitioner describing the long history of "the process" and praising the current practice - which is NOT applied consistently here and there - is not a satisfactory response. Then, the statement that IT IS THE ONLY WAY exemplifies limited thinking and might explain lack of effort toward better performance.


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