Euthanasia for psychiatric patients was rare in the early years of the law, but patients complained that they were being unfairly stigmatized: psychic suffering, they argued, was just as unbearable as physical pain. Like cancer patients, they were subjected to futile treatments that diminished their quality of life. Dirk De Wachter, a professor of psychiatry at the University of Leuven and the president of the ethics commission for the university's psychiatric center, said that he reconsidered his opposition to euthanasia after a patient whose request he had rejected committed suicide. In 2004, she set up a camera in front of a newspaper office in Antwerp and set herself on fire.Rachel Aviv traveled to Belgium, where euthanasia has been legal since 2002, to report on the complications and consequences that surround the practice of assisted suicide and euthanasia for psychiatric patients: The Death Treatment.
The New Yorker's take on Dr Mehmet Oz.
The public’s experience is that we have amazing clinicians and technologies but little consistent sense that they come together to provide an actual system of care, from start to finish, for people. We train, hire, and pay doctors to be cowboys. But it’s pit crews people need. - Atul Gawande’s commencement address at Harvard Medical School.
The Hot Spotters examines the possibilities of a strange new approach to health care: to look for the most expensive patients in the system and then direct resources and brainpower toward helping them. — by Atul Gawande [more inside]
Does american football unavoidably lead to brain damage over time? Does a culture favoring perseverance at the expense of well being begin in high school?
The Cost Conundrum: What a Texas town can teach us about health care. Via Musings of a Distractible Mind.