(April 10, 2015 at 4:13 am)Pandæmonium Wrote:(April 9, 2015 at 5:27 pm)Heywood Wrote: This is another form of coercion, but I am not opposed to it. People have a right to assemble and speak peacefully. However I would not recommend it. All it does is create doctors who serve people they do not want to serve. Instead of being focused wholly on the patient in front of them, at least on a subconscious level their mind is still dealing with disgust and anger at being forced to do something they don't want to do.You can't quantify any of that aside dealing out assertions. It is entirely bunk and not backed up with anything credible.
By letting people serve the people they want to serve you increase the quality of service.
Higher Quality of Service > Preventing Butthurt
RE: Bold.
You should never be a doctor who doesn't want to serve people, ever, period. If you are, you shouldn't be a doctor. You are acting unethically and would be struck off in any enlightened society with a coherent medical system in place. It increasingly seems like either the US isn't, or you're advocating an unethical and thus unworkable system.
RE Italics. Complete and utter bull. Medicine is not a bank. You (shouldn't) be able to chose who to treat based on a credit rating. Simply saying 'higher QOS' without anything to evidence what that is or what it would look like means it's total nonsense. Higher QOS could stem from a system where people know they will be treated with dignity and without fear of prejudice or discrimination. It could stem from a system people know is well funded through a comprehensive tax system and where patients aren't living in constant fear of getting ill or being injured because they are unable to pay for private healthcare insurance which in many cases won't cover them even if they do have it.
Again, to keep reiterating, you subscribe to a higher ethical code than anything you may personally adhere to once you've completed your medical degree and pre reg with the aim of practising. Personal preference for who you want to treat may come into your decision for when you, say, set up a clinic or surgery, but you can't reject people who come into your surgery seeking treatment. That would be unethical, and there is a very good chance one would lose their license to practise if they acted in that light.
What if there wasn't another pediatrician to treat this child? What if the child died following the refusal of the given pediatrician to heal? What if this behavior was not only allowed but supported and endorsed through a medical ethical board or chartered body responsible for regulating medical ethics? "Do whatever you want".
It's complete garbage and junk pseudo-business discourse shoehorned into medical ethics.
Your whole argument is an expression of your values. Your values are not a compelling argument.