I worked for a couple of Fortune 500 insurance companies. I (and other nurses I worked with) did not want to be intercessors between patients and physicians. But at times it felt like that was exactly what we were doing, in a rather thinly-veiled way (McCaughey refers to it as "embedded clinical decision support -- computers telling doctors what to do").
Who is to say, ultimately, whether that decision is right or wrong? It might be right for you, but wrong for me. Or right for me now, but wrong for me later. Giving information to patients and families so they can make an informed decision is good. Creating a government panel that decides who gets what is very bad. (What kind of a physician would agree to serve on a panel like that anyway?)
Here's a link.
http://www.washingtontimes.com/news/...ome_editorials







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