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The
doctor is a powerful force in our lives, from the positive pregnancy
test through to the signing of our death certificate after the
autopsy. This authority is based on our trust - what the lawyers call a "fiduciary"
relationship.
We relinquish control to those acting in our interest.
In the publicly funded medical system, medical doctors are the primary
"gatekeepers", deciding who gets what and how soon. They marshall
armies of nurses and technicians, steward massive budgets, and dispense
tax-paid services.
However, the public wants and needs more than the government and
medical system is offering. How the issue of choice by the patient
is handled is very complex and controversial.
It
is increasingly difficult in recent years to leave a doctor’s care
when the relationship breaks down. Few docs will accept as a patient
one who has already seen someone else in the area. It is certainly
reasonable to squelch doctor hopping that is for a nefarious purpose
such as trying to get multiple prescriptions for narcotics.
Is
it reasonable in a just society to restrict obtaining a second opinion
for a serious concern, or force a citizen to remain under the control
of someone who has become jaded, uncaring, too busy, or even abusive?
When it comes to obtaining a true second opinion about treatment
options, from a licensed practitioner such as a chiropractor or
naturopathic physician, the interference is often blatantly bullying.
I understood that if I obtained the proper education, passed the
tests and fulfilled all the laws, that I could practice my healing
arts and sciences under the direction of the Board of Naturopathic
Physicians, answerable in turn to the Minister of Health. However,
many medics, without the benefit of training in my areas of practice,
routinely discourage the public making the choice of the services
the Medical Services Plan provides them, for which they have paid
their premiums.
It
is my beleif that I work for my patients, not the other way around.
We enjoy a pluralistic society, and we need to cherish our freedom
to be treated as we choose, based on informed consent.
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