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Making its comeback appearance after a week off, I present, especially for you the reader, the very best of the internet to have crossed my path in the last week. Read the rest of this entry »

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For over 20 years our country and its undying commitment to capitalism have tried desperately to slow mushrooming healthcare costs, and failed miserably. HMOs, Capitation, things that business was confident would succeed where those fiscally incompetent doctors failed, fell flat. Patients, it seems, did not tolerate their health and well-being treated as a business. Read the rest of this entry »

Our technology has caused us to radically redefine our concept of death. The advent of the mechanical ventilator greatly prolonged our ability to preserve vital functions in comatose patients. We now have a arsenal of drugs that maintain the function of very sick hearts. In fact, we now have machines that can actually pump blood and oxygenate it on their own, called extra-corporeal membrane oxygenation. It is often used in babies with severe lung disease.

Death has historically, and continues legally, to be defined as the presence of the heartbeat. This technology presents a unique challenge to this idea. Technically, it we use a heart/lung machine during an open heart operation, we are operating on a dead patient. Thus the surgeon, legally if not in actuality, is raising the dead with the operation. Is this playing God, or was the patient really dead A legal rethinking of the matter was inevitable. Read the rest of this entry »

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