Patients who are being kept alive by technology and want to end their lives already have a recognized constitutional right to stop any and all medical interventions, from respirators to antibiotics. They do not need physician-assisted suicide or euthanasia.
Anyone who lives in Washington and has an official position viscerally understands the cost of a lack of privacy. Every dinner - especially ones with a journalist in attendance - is preceded by the mandatory, 'This is off the record.' But everyone also knows, nothing is really 'off the record.'
In the 1950s and 1960s, many parents were generally standoffish with their male children and acted as if they were raising a generation of would-be soldiers. I remember some of my friends' parents who would shake their children's hands at bedtime.
Truth be told, for a 21st Century American Jew there is something hollow in the Seder's liberation story and the commandment to feel as if you were there.
Vaccines are the most cost-effective health care interventions there are. A dollar spent on a childhood vaccination not only helps save a life, but greatly reduces spending on future healthcare.
Childhood vaccines are one of the great triumphs of modern medicine. Indeed, parents whose children are vaccinated no longer have to worry about their child's death or disability from whooping cough, polio, diphtheria, hepatitis, or a host of other infections.
The situation around Terri Schiavo was a deeply held conflict over what to do if someone isn't going to return to consciousness or competence. Who will decide? Even there, where we had settled legal rules, we still had disagreement. We're torn about these things.
Having been an oncologist and having cared for scores, if not hundreds, of dying patients, when you don't have a treatment that can shrink the tumor and the patient will die, it's a very difficult conversation. It's emotionally draining.
We don't have enough solid organs for transplantation; not enough kidneys, livers, hearts, lungs. When you get a liver and you have three people who need it, who should get it? We tried to come up with an ethically defensible answer. Because we have to choose.
Physician-assisted suicide and euthanasia have been profound ethical issues confronting doctors since the birth of Western medicine, more than 2,000 years ago.
Americans tend to endorse the use of physician-assisted suicide and euthanasia when the question is abstract and hypothetical.
By establishing a social policy that keeps physician-assisted suicide and euthanasia illegal but recognizes exceptions, we would adopt the correct moral view: the onus of proving that everything had been tried and that the motivation and rationale were convincing would rest on those who wanted to end a life.
The assumption should be that we will not appear in print or the blogosphere. Having dinner should not be fodder for Facebook. And this is just as true for 'public personalities' as it is for the average person. After all, even people in the public eye have a right to a private life.
Our dad hugged us and kissed us so much that some friends and relatives complained that he was going to turn us into sissies or homosexuals. But my dad didn't care. Let them raise their kids in a reserved and reticent way. He grew up in Israel, and his boys were going to be hugged and kissed by their father and know they were loved.
The death of a 20-year-old woman is intuitively worse than that of a 2-month-old girl, even though the baby has had less life. The 20-year-old has a much more developed personality than the infant, and has drawn upon the investment of others to begin as-yet-unfulfilled projects.
It is terrible when an infant dies, but worse, most people think, when a three-year-old child dies, and worse still when an adolescent does.
Reasoning based on cost has been strenuously resisted; it violated the Hippocratic Oath, was associated with rationing, and derided as putting a price on life... Indeed, many physicians were willing to lie to get patients what they needed from insurance companies that were trying to hold down costs.
Medical school education and post graduate education emphasize thoroughness.
There's nothing to be gained, and much to be lost, in trying to bend every child to match a one-size-fits-all notion of what it means to be a boy or girl of a specific age. Better to set a few parameters and then go with the flow. Call it 'jazz parenting.'
I'm the son of a pediatrician, and I do believe that the most important resource we have is our kids. And I think the most important thing for America's future is to invest more in our children.
