It’s hard to generalize, but when reversals are based on better quality evidence, we should presume they’re in the public interest. However, when they are based on manufacturers pushing for a new market and other invested agencies, can we be sure?
Cycles of Enthusiasm, Reversal, and Revival in Medical Practice Continue Reading
The United States was the land of the free. Limited government. Checks and balances. Separation of powers. The Bill of Rights. But America has instead become a managed society. Its government dominates its people. How did it go wrong?
How the American Republic Became a Managerial State Continue Reading
This automation of human work poses a real existential crisis. Giving up these wonderful ritualistic habits that translate to being able to eat that day, or being with our loved ones, has lead us nowhere but isolated and dependent.
Has Automation Stolen What It Means to Be Human? Continue Reading
Forty years ago I watched a hospital disappear. What emerged from its ruins was not simply the physician I would become. It was the understanding that fear is inevitable and the greatest privilege in medicine has never been avoiding catastrophe.
Academics refer to this period as the “reading revolution.” Reading was as much an indulgence as carnivals and music halls. And this habit lasted, in one form or another, until recently when reading for enjoyment started to tank.
The emergence of birthright citizenship introduces a notion concerning individuals and the state that is contrary to the entire American idea. For the majority of the court to do this on the 250th anniversary of the Founding adds to the insult.
Subjects and Citizens: A Treatise by Justice Clarence Thomas Continue Reading
John Adams stated that “Our Constitution was made only for a moral and religious people. It is wholly inadequate to the government of any other.” Are we modern Americans composed of the stuff needed to save our Republic?
The Declaration of Independence at 250: What Does It Tell Us? Continue Reading
America was founded on a set of beliefs and convictions—what Thomas Jefferson described as self-evident truths that were proclaimed in the 1776 Declaration of Independence and then protected by the Bill of Rights and the Constitution.
The Army ROTC Taught Me to Never Call Independence Day ‘The 4th of July’ Continue Reading
Arguably, the most critical question for medicine is, “How certain are we that our actions are justified?” The response to this question may determine whether medicine continues to honor its commitment to healing or shifts toward the exercise of power.
Biotech is in the driver’s seat of global health and public health workers and the media know who butters their bread. Each public health worker who goes along with the narrative is part of the problem.
Physicians can define brain death. Legislatures can codify brain death. Courts can adjudicate brain death. None of them can fully explain life. The greatest physicians I have known understood that distinction. They recognized that wisdom begins where certainty ends.
Reflections on Brain Death, Hope, and the Limits of Certainty Continue Reading
True consent must be voluntary and free from coercion, deception, or informational manipulation. Without full disclosure and comprehension, consent becomes mere compliance, negating the principle of autonomy and transforming medicine into a form of technocratic control.
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