Doctors and Vitamins Ethics Flashcards
Does taking Vit E improve cardiac function?
has no proven effect
Is there a benefit to taking beta carotene?
no
Is it good to take high doses of vit A?
no it can lead to lung cancer
Do multivitamins provide protection?
no proven effect, so no
Can doctors sell prescription meds?
no they cannot
What is the sunshine act?
it makes it so that pharmaceutical companies must release the names of the physicians that promote their drug
How do you know if something isn’t purely benevolent?
if it has an incentive for someone or gives a subsidy
Why would a doctor be discontent?
they are frustrated with bureaucratic obstructions to care
poorly designed financial incentives
restrictions on personal time (due to paperwork)
inability to maintain adequate outcome
What does Kassirer think doctors do to fix their discontent?
retire political activisim attempts to organize opt out of noxious managed care become a medical/business expert practice "alternative" medicine augment income by distributing products
Do insurance companies pay or alternative medicine?
no they dont (insurance companies dont like to pay for stuff that doesnt really have proven effects)
What are these:
A product other than tobacco intended to supplement the diet and contains one of the following:
Vitamin, mineral, herb, amino acid, a dietary substance to supplement the diet or a concentrate, metabolite, constituent or extract or combinations of these…ingested by mouth
dietary supplements
Can dietary supplements say they can cure things?
no, they can just say they support things
What is the responsbility of the doctor?
to put patient first
recognize they are revered and dont exploit this
provide patients w/ accurate info
use resources efficiently
(blank)i the duty to promote good and act in the best interest of the patient and society.
beneficence
(blank) is the duty to do no harm to patients
nonmaleficence
