Guest Post by Mark Toynbee, Adam Al-Diwani, Joe Clacey and Matthew Broome [Editor’s note: Events in the real world have moved more quickly than David or I have; the facts of the junior doctors’ strike have moved on since the paper was published and this post submitted. Still, the matters of principle remain. – IB] A […]
Category: Professionalism
R-E-S-P-E-C-T
Here’s an intriguing letter from one John Doherty, published in the BMJ yesterday: Medical titles may well reinforce a clinical hierarchy and inculcate deference in Florida, as Kennedy writes, but such constructs are culture bound. When I worked in outback Australia the patients called me “Mate,” which is what I called them. They still wanted me to be in […]
Stop What You’re Doing: This is Important.
I’d not realised it, but the latest iteration of the erstwhile Medical Innovation Bill – colloquially known as the Saatchi Bill – is up for debate in the Commons on Friday. This is it in its latest form: to all intents and purposes, though, it’s the same thing about which I’ve blogged before. In a […]
Flibanserin and Regulatory Failure
Guest Post by Adriane Fugh-Berman On August 18th, 2015, the FDA approved flibanserin (brand name Addyi), a purported aphrodisiac that can drop blood pressure so precipitously that users sometimes pass out and require medical intervention to regain consciousness. The labelling for flibanserin indicates that it is for: the treatment of premenopausal women with acquired, generalized hypoactive […]
On the other hand…
… the phenomenon of apologising for the wrong thing comes alongside people taking umbrage at the wrong thing. Last week, the BMJ ran a head-to-head feature on the “question” of whether doctors should recommend homeopathy. This was the latest in a series of articles in which a question is posed, apparently strictly on the understanding that it’ll accommodate […]
Bad Surgeons and Good Faith
This is a bit of a strange post, not least because it involves citing sources – a blog post, and a whole blog -that have since been taken down from the net, for reasons that will become clear. It’s also going to involve a pair of fairly hefty quotations, largely because it’s the absence of […]
Jeremy Hunt and Costs to the Taxpayer
“Personal responsibility” is a strange phrase: while not as slippery as some, it can mean any number of things, and be put to use in any number of political contexts. It was the title of the speech that the Health Secretary, Jeremy Hunt, gave yesterday. In that, he spoke of three aspects to the concept. First […]
Flogging and the Medic
You must, by now, have heard of the Saudi Arabian blogger Raif Badawi. Just in case you haven’t (really?), here’s a potted biography: having set up the secularist forum Free Saudi Liberals, he was arrested for insulting Islam and showing disobedience. Among the formal charges he faced was one for apostasy, which carries the death penalty in Saudi. […]
Rescuing the Duty to Rescue
Guest post by Tina Rulli and Joseph Millum It is commonly thought that individuals have a moral duty to rescue others in peril. Bioethicists have leveraged this duty to rescue for a variety of purposes—including to criticize the use of placebo controls in trials in developing countries; to defend duties of researchers to return urgent […]
Who’s the SilLIer?
It’s funny how things come together sometimes. A few months ago, I mentioned a slightly strange JAMA paper that suggested that non-compliance with treatment regimes should be treated as a treatable condition in its own right. The subtext there was fairly clear: that there’s potential scope for what we might term “psychiatric mission-creep”, whereby behaviour gets […]