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APIECE OF A NORTH CAROLINA DOCTOR'S MIND Our Country's Mania for Medical Care Is Separating Us from Our Constitutional Heritage James P. Weaver, M.D. "Nothing in this title shall be construed to authorize any federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided, or over the selection, tenure, or compensation of any officer or employee of any institution, agency or person providing health service, or to exercise supervision or control over the administration or operation of any such institution, agency, or person." If you have never read the above paragraph, I suggest you go back and read it again. It was written in 1965, as one of the provisions of the Medicare Law (Title Eighteen, "Health Insurance for the Aged"). This paragraph on "Prohibition Against Federal Interference" was mtended to cahn fears about government mtervention mto the delivery of medical care. You should reread it so that you are absolutely certam of the original political promises upon which we began our 1965 journey toward national health insurance. Those promises against "federal interference" must have seemed appropriate and obtainable in 1965. We did not know then what direction our national journey would take. But now we are a nation of 260 million people, 12.6% of whom are over 65 years of age. Those over 85, the fastest growing segment of the population, have the largest per capita consumption of medical care. We are a different nation than we were m 1965, and we have failed to adjust our goals. We have based our pursuit of medical care for the elderly�and now medical care for all of our citizens�on the promises of the 1960s. If we continue to pursue the idea of universal access to medical care, 1 believe that we will necessarily violate many basic principles upon which this country was founded, and that the violation of those principles will leave poor quality, diminished medical care for fiiture generations. Physicians in Chains Our profession is in prison. Physicians are imprisoned because we, like most inmates, have made serious errors ui behavior that have put us there. Not only 1, but all practicing From 4125 Ben Franklin Blvd., Suite 100, Durham 27704. physicians in this country, have lost our previously guaranteed right to practice as professionals in a firee economic and intellectual envnonment. Our imprisonment was not unforeseen. Rep. Durward G. Hall (R-Mo.) saw it coming on April 7,1965, whenhe told the House of Representatives: "Mr. Speaker, the basis for quality medical care is the voluntary relationship between the doctor and patient. This would begin to disappear as the government supplants the individual as the purchaser and provider ofhealth services. The result will inescapably be third-party mtrusion m the practice of hospitalization and medicme. The physician's judgment would be open to question by others, not responsible for the patient's well-being. His diagnostic and therapeutic decisions would be subject to disapproval by those controlling the expenditure of tax money. As physicians and health facilities become more and more subject to intervention in then work by Government, a decline of professionalism will be certain."' I hear the echoes of this warning now that we physicians, like prisoners, have lost many of the basic rights enjoyed by other professionals in this country. We have lost our right to free speech and our right to enter into an unencumbered economic relationship with our patients to charge for our services. Physicians Have Lost Their Right to Free Speech Today's physicians have no right to discuss the business of medical practice. The Federal Trade Commission took that NCMJ / September 1993, Volume 54 Number 9 463
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-Present] |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1993 |
Identifier | NCHH-17-054 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 54 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-054.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-054 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 463 |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1993 |
Identifier | NCHH-17-054-0185 |
Form General | Periodicals |
Page Type | all; article; article title |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | ncmed541993julydecember_0185.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 54 |
Issue Number | 9 |
Page Number | 463 |
Health Discipline | Medicine |
Full Text | APIECE OF A NORTH CAROLINA DOCTOR'S MIND Our Country's Mania for Medical Care Is Separating Us from Our Constitutional Heritage James P. Weaver, M.D. "Nothing in this title shall be construed to authorize any federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided, or over the selection, tenure, or compensation of any officer or employee of any institution, agency or person providing health service, or to exercise supervision or control over the administration or operation of any such institution, agency, or person." If you have never read the above paragraph, I suggest you go back and read it again. It was written in 1965, as one of the provisions of the Medicare Law (Title Eighteen, "Health Insurance for the Aged"). This paragraph on "Prohibition Against Federal Interference" was mtended to cahn fears about government mtervention mto the delivery of medical care. You should reread it so that you are absolutely certam of the original political promises upon which we began our 1965 journey toward national health insurance. Those promises against "federal interference" must have seemed appropriate and obtainable in 1965. We did not know then what direction our national journey would take. But now we are a nation of 260 million people, 12.6% of whom are over 65 years of age. Those over 85, the fastest growing segment of the population, have the largest per capita consumption of medical care. We are a different nation than we were m 1965, and we have failed to adjust our goals. We have based our pursuit of medical care for the elderly�and now medical care for all of our citizens�on the promises of the 1960s. If we continue to pursue the idea of universal access to medical care, 1 believe that we will necessarily violate many basic principles upon which this country was founded, and that the violation of those principles will leave poor quality, diminished medical care for fiiture generations. Physicians in Chains Our profession is in prison. Physicians are imprisoned because we, like most inmates, have made serious errors ui behavior that have put us there. Not only 1, but all practicing From 4125 Ben Franklin Blvd., Suite 100, Durham 27704. physicians in this country, have lost our previously guaranteed right to practice as professionals in a firee economic and intellectual envnonment. Our imprisonment was not unforeseen. Rep. Durward G. Hall (R-Mo.) saw it coming on April 7,1965, whenhe told the House of Representatives: "Mr. Speaker, the basis for quality medical care is the voluntary relationship between the doctor and patient. This would begin to disappear as the government supplants the individual as the purchaser and provider ofhealth services. The result will inescapably be third-party mtrusion m the practice of hospitalization and medicme. The physician's judgment would be open to question by others, not responsible for the patient's well-being. His diagnostic and therapeutic decisions would be subject to disapproval by those controlling the expenditure of tax money. As physicians and health facilities become more and more subject to intervention in then work by Government, a decline of professionalism will be certain."' I hear the echoes of this warning now that we physicians, like prisoners, have lost many of the basic rights enjoyed by other professionals in this country. We have lost our right to free speech and our right to enter into an unencumbered economic relationship with our patients to charge for our services. Physicians Have Lost Their Right to Free Speech Today's physicians have no right to discuss the business of medical practice. The Federal Trade Commission took that NCMJ / September 1993, Volume 54 Number 9 463 |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-054.pdf |
Document Sort | all; nchh-17 |
Article Title | Our Country'S Mania For Medical Care Is Separating Us From Our Constitutional Heritage |
Article Author | James P. Weaver |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-054 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
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