Once again: correlation does not equal causation. And it is possible that companies give lunches to physicians who are already inclined to prescribe their products, or who are already high prescribers. But why should we leave any of this up … Continue reading →
by Keisha Ray, Ph.D.
Like many other new assistant professors across America, I spent the weeks before the beginning of the new fall semester in orientations covering everything from my university’s tenure requirements to how to fill out my health insurance forms to how to get a campus ID card. Because I am a new assistant professor at a public university in the state of Texas, my orientation also included briefings on the new campus carry laws.
On August 1st students (who have met other requirements for owning a weapon such as age, permits, etc.) were granted legal permission to carry a concealed weapon on the grounds of public universities in Texas, making it the eighth state in the USA to do so.…
The JCHC determined treatment decision conflicts to be frequent. Data collected in July and August 2016 show 274 cases with ethics committee involvement from 44 reporting hospitals over the past year (roughly 6 per hospital per year). 93% were resolved through consensus, agent replacement, transfer, or death.
In September, a broadly representative JCHC working group made several recommendations for legislative changes that would make Virginia law much like Texas law. I am delighted to see several of my articles cited in the report. But I have submitted comments sharing my concerns about the fairness and due process problems with the Texas mechanism.
Public comments on the proposed options are due to JCHC by September 28. The comments will be considered by the JCHC at its October 5 meeting.
The complete list of recommendations is:
1. Require hospitals to maintain written policies on life-sustaining treatment decision conflict resolution procedures
2. Require hospitals to take standard minimum steps in cases of life sustaining treatment decision conflict
3. Provide qualified permission to physician to cease inappropriate treatment after 14 days
4. Provide physician immunity for following requirements
5. Stipulate that all actions under this section must conform to federal non discrimination standards
6. Revise “life-sustaining care” term and definition
7. Eliminate Durable Do Not Resuscitate Orders from applicable documents within § 54.1-2990
8. Form Working Group to study health care decisions more broadly, focused on preventing/improving resolution of treatment decision conflicts
But to improve TADA meant preserving it. And that was contrary to the mission of the Texas Right to Life Committee. They attacked Deuell and he was not reelected.
Specifically TRLC ran ads that said: "Before you trust Bob Deuell to protect life, please listen carefully. If your loved one is in the hospital, you may be shocked to learn that a faceless hospital panel can deny life-sustaining care . . . . Bob Deuell sponsored a bill to give even more power to these hospital panels over life and death for our ailing family members. Bob Deuell turned his back on life and on disabled patients."
Deuell sent cease and desist letters to the radio stations and they pulled the ads. But TRLC then sued Deuell for tortuous interference with contract.
This week, the Texas Court of Appeals affirmed a trial court’s denial of Deuell's motion to dismiss pursuant to the Texas Citizens Participation Act. So, TRLC's lawsuit will proceed.