Word: rabkin
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...Mitchell T. Rabkin '51, general director of Beth Israel Hospital and associate professor of Medicine, says, unlike most of his colleagues, that "the Saikewicz decision was a wise one." But he, too, feels that doctors read the ruling too strictly--that every time one wants to withhold treatment from incompetents, one must seek the court's approval. Rabkin feels this is not appropriate for a dying patient...
...Rabkin comments, "It said, 'look fellows, you practice medicine.'" Doctors now feel free to treat terminally-ill incompetents without court interference and they are relatively free to define irreversible terminal illness. Yet, a survey of practices in local hospitals reveals that the Saikewicz experience has served its purpose in making hospitals and doctors more careful about the right-to-die decisons...
...Government should revise Medicare and Medicaid reimbursement formulas to pay hospitals a set amount for, say, removal of a gallstone, rather than costs-plus. Says Dr. Mitchell Rabkin, director of Beth Israel Hospital in Boston. "I'd like to see a system of incentives?say, if we saved money, that money could be split between the insurer and the hospital." Califano and some state regulators also are launching a drive to require that a majority of the directors of any Blue Shield plan be laymen. At present, many Blue Shield plans are dominated by doctors, who, to put it delicately...
...were concerned about the principle whether patients have a right to be freed from scurrilous literature," Rabkin says. He adds the pamphlets were "not only untrue, but irresponsible literature--unlike the unions, we can only say what is true during a union campaign." Rabkin and the hospital's lawyer, Robert Chandler, argue that the NLRB was outside its area of expertise in trying to rule on whether or not patients would suffer adverse health effects from reading literature criticizing the hospital...
...union also argued that the locker rooms provided inadequate room for employees to congregate and to distribute literature. Rabkin believes although "there could be more space in the locker rooms, there is plenty of informal access to the employees the union can have--that's just part of union rhetoric...