Word: relman
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...objections of physicians do not center on money alone. As Dr. Arnold Relman, editor of the New England Journal of Medicine, explains: "The risk'of [using] nurse practitioners or any other kind of nonphysician is that they do not have a broad and deep enough training to be aware of what they don't know. Nurses and doctors ought to work together as a team, but I am concerned about the idea of a team without a team captain." For the patient, says Relman, the important issue is always "am I getting the best possible care...
...Most doctors are very much opposed to this," Dr. Arnold S. Relman, professor of Medicine and editor of the New England Journal of Medicine, says. 'This is an area where the courts have no business operating." Any danger of a family disregarding the best interests of the patient can be avoided by requiring second and third opinions, he added...
...There is no case that a judge and lawyers could handle any better than doctors," Relman says, noting, "the adversary climate of the courtroom is not geared at getting at the best medical decision...
...Relman adds, "I think in this whole series of court cases, doctors have been made more cautious, and that is not necessarily a good thing." He adds that "the emphasis is in the wrong place here." He feels courts can play a role in ensuring that doctors act responsibly, by maintaining high standards in performance and education. "Doctors are the people whom society ought to be able to count on to consider the welfare of the patient. And if not, they ought to be held accountable," Relman says...
...Relman said the AMA has been slow to give the public the factual information they need to choose a physician...