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Doctor-Patient Relationship

Doctor-Patient relationship is an important step of medicament as the doctor one of the main support circles that surround the patient which give him hope and care

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  • Jan 2 2014: The doctor-patient relationship is similar to the teacher-student relationship. Both of them can't be equal to the shop-customer relationship since the customer has the authority to purchase what he wants and could change the shop for his order with another provider. However, the service provided by the teachers is different. They have a responsibility to teach the student's learning the REQUIRED KNOWLEDGE TO IMPROVE HIS/HER ABILITY TO MAINTAIN HIS/HER FUTURE LIFE IN THE SOCIETY. This responsibility is imbedded into the teacher's job duty so that he/she can't just do whatever the student(s) "told" him/her to do. Of course, the teacher can't order an individual student what to do, but most educators would agree that if a student doesn't learn the minimum requirement for the proper level of the particular grade, the student could be dismissed from the class, or sent to another school facility.
    The situation for doctor-patient relationship, even though it's not the same as the teacher-student relationship, is still similar in the sense that the doctor has some implicit responsibility to the society at large. For example, the doctor shouldn't give a subscription for narcotics, simply because the patient ask him to do. For ordinary medication or procedures, the doctor could offer alternatives with the advantages and disadvantages with each explained and let the patient to choose. Of course, the patient could even refuse all the treatment offered, but again, the patient can't dictate what he/she wants, such as the restricted narcotics, or demand whatever he/she wants.
    With the new ObamaCare law in effect starting this year in the U. S., the situation becomes even more complicated. There are stipulations that the physicians should persuade the patients to reduce body weight to save his medical expense. The law also says that if the doctor doesn't perform, his fees will be reduced. This would be another dilemma for the doctor and patient, if they don't cooperate.
    • Jan 11 2014: Bart,

      your analogy is flawed. As a patient, I choose the doctor and I can fire the doctor. I also on serious thing demand a 2nd opinion. Can a student in k-12 select a teacher? Fire the teacher?
      • Jan 11 2014: : Wayne, my emphasis is the statement that the doctor has to do what the patient wants him to do, that is in contrast to what the doctor, in some legal or conventional sense, is not allowed to do. The legal or ethical binding can be illustrated by the case of Rx of hard dopes and in the case of assisted suicide, etc. This of course is almost certainly applicable to the student teacher relationship obviously. When you say you fire a doctor, you could only mean that you change a doctor by going to another hospital or clinic. This is again analogous to change a class under the system of electives, or otherwise you change a school. (This was quite easy to do 60 years ago, but now the artificial restrain by the government makes it relatively difficult, but the option is still available in certain area)
        In other words, you can't FIRE A DOCTOR, or "ORDER" the hospital/clinic to change an attending physician ESPECIALLY WHEN YOUR DISSATISFACTION IS BASED ON WHEN THE DOCTOR DOESN'T DO WHAT YOU "ORDERED" HIM TO DO. I am not so sure that the hospital will normally agree to furnish a second opinion from the physicians on the staff of the same hospital. As I said before, if the suggested procedure involves serious risk, the hospital usually give you the alternative choices when suggest their treatment method, instead of a second opinion. If you want a second opinion, you have to go outside of the hospital..
        Look, the doctor-patient relationship is simply not analogous to the shop-customer relationship. For instance, can you demand a government employee be replaced because he is too slow or not to do what "you demand him to do"? The best possibility is probably to change a window in the same office. Even that probably couldn't be successful for the "customer".
        • Jan 11 2014: Hate to tell you but doctor shopping is quite prevalent in the US, looking for a doctor to do what the patient wants. The patient has the option to not allow the doctor to do a procedure,

          In k-12 public schools, it is not easy to move from 1 school to another unless you count private school, which could cost 47k per year. I agree that you can switch undergraduate schools easily with little penalty except possibly time. In Grad school that is another issue. If you switch phd programs, it can be the kiss of death to your academic career.

          I know one individual that dropped out of a post doc and join another. It cost him a lot.

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