"A Principled Heart, that's what we needed. Just someone with a principled heart." I could hear the anger through clenched teeth as someone described a dehumanizing experience in a hospital with a dying relative in severe pain as they reflect on "the cartel that used to call itself a hospital."
A FAMILY PHYSICIAN in the best sense is called to have a principled heart. We care. We serve. We'll protect our patients from unnecessary suffering. We'll preserve their humanity when they crawl through the muck of sickness and ill health and impending demise.
Or will we? Are we there? Or are we communicating in real time with the admitting hospitalist, cardiologist, intensivist, oncologist, etc. if we're no longer admitting to hospitals? Would they let us know if our patient is stuck and in need of a translator or decision maker who is a broad based generalist, able to dance across the confusion of our non-system of health care? (Like us).
I know we have principled hearts. BUT, are they connected where they are needed?
What do you think?