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Patient Driven Medicine

Medicine won't protect patients until patients know when they don'tObjective information is the foundation for reducing the unacceptable rates at which medicine bankrupts, injures and kills patients. Patients must be able to learn where safety, efficacy and affordability lie. Doctors do not even steer the patient community around dangerous caregivers and dangerous facilities, let alone around incompetent and/or outrageously expensive care. They never will until patients know when they don't.

Neither providers nor patients can make informed decisions without knowing what providers never have and never will report. Health Care Professionals do not have the objectivity necessary even to recognize it. The information necessary to make safe decisions can be collected only by people who are not in the employ of medicine.

Clicking NEXT here and on each succeeding page leads through condensed versions of pages about how to make it so that patients can know what must be known to make informed decisions. This is not fixing medicine. This is changing the world around medicine so that it will have to fix itself.

Solutions ..........|.......... Problems
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......................... | ............ Myth #1
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Patient Agency... | .........................
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Nequamitis ....... | ........................
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......................... | Conflict/Interest
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........................ | ............. Loyalty
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......................... | ..Wall of Silence
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.................. ...... | .......Blacklisting
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........................ | ....Psych of Care
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........................ | ... Transparency
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........................ | .. Charles Cullen
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........................ | Orville L Majors
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........................ | ......... Kayshyap
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........................ | .............. OSMB
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........................ | ..... Semmelweis
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........................ | . Benjamin Rush
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Patients Boards. | ........................
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Campaign ... | ..................

"If we can get just 10% of people to be smart patients, it will change the system." - Mehmet Oz, surgery professor.


Patient Driven Medicine Versus
The Benevolent Overlord Model

by Joel

Put ten doctors in a room to talk about patient safety and what do they come up with? In the last couple of decades they came up with the liability limitations for themselves that increase their position as the overlords of powerless patients.

Is anyone working on a plan that does not further entrench us in that paradigm? All of the talk about Patient Centered Medicine only further entrenches us in that model.

And Transparency - the thing benevolent overlords are supposed to provide in spite of their conflicts of interest and the self serving lens through which they see the world - keeps all of the information about medicine in their hands.

When medicine makes patients better it is advertised. When it makes them worse 93% of the time no record is made of it at all. That is what overlords do when they are not benevolent.

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Loyalty is the core operating ethic of medicine, not integrity, and not safety. When things go wrong, disloyalty is what ends careers. Failing or refusing to report problems does not end careers. Failing or refusing to help patients does not end careers. But being disloyal to colleagues does. And loyalty is maintained through self-serving delusion, denial and silence about the people and problems harming patients.