There are pitfalls with IVF that are not discussed. And, this business end of reproduction is more often than not cash only. There are virtually ZERO long term studies regarding what effect-impact freezing, and a host of other ‘things’, that are done to the egg, or sperm, or the embryos that have (or could have) on the child that is produced. This 'miracle of modern medicine' could be good ... or just OK ... or it could be very, very bad. Science has rubbed the lamp and we cannot put the genie back in the bottle. After counseling many women in my career, the great emotional toil let alone the finances are not discussed. The ethical check is also missing regarding instances of doctors using their own sperm such as the Indiana doctor who in 2016 used his own sperm at least 50 times.
As the character Dr. Ian Malcom (played by Jeff Goldblum) said in the 1993 movie Jurassic Park, “Your scientists were so preoccupied with whether they could (create life) that they didn’t stop to think if they should.”
by Karen F., (Ret) RN, NP OB & Palliative Care
CEO of health system, "Not every patient needs a primary care physician." A response from patients, the population.
The June 29, 2018 BECKER'S Hospital Review article shares the viewpoint "Froedtert CEO Cathy Jacobson: Not every patient needs a primary care physician" (PCP). The article is the perspective from the viewpoint of a health system CEO, requiring reading of the full article. Full story The following is a perspective, counterview from patients, the individuals in the population.
Health systems are relying on data analysis, defining as population health, as Froedtert is quoted, "As we start stratifying our patients into distinct populations based on their health needs." The issue with this premise is that the data is not always clean, and it will never tell the story, the whole story, of the realities going on with the patients. (See I Wish I Had Known stories.)
Her quote continues, "... insight further into consumer driven wants, we are finding that a substantial sector of the population does not want or need a primary care physician relationship. People need primary care but not necessarily a physician relationship." The issue is the primary care physician practices have been acquired by the hospitals with the biggest complaint from people, of not being able to find a PCP, and those now under health systems, the doctor only giving 15 minutes of time and then passing off with no plan of care, simply writing another prescription. Many in the public just find it faster or are being told to just go to the ER. From the perspective of health system CEOs, it would appear primary care is not wanted or needed. But when actually speaking with individuals across the country, it is the opposite from the lack of care coordination, and "the doctor doesn't know me and is not taking the time to listen to figure out an actual diagnosis."
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