Fudge phrases—rich, thick, gooey

“Experts agree. . . “

“The new model recognizes that. . .”

“While data are limited. . . “

“The answer probably has to do with. . .”

“While outcomes data on alternatives are limited. . . “

“Consistent with this proposal, . . .”

“It is also possible. . . “

These were all in Dr. Ezekiel J. Emanuel’s (Rahm’s brother and Obama’s house doctor) first third of a paper arguing for shortening medical training by 30%.  I have no opinion on this. However, once he’d warmed up to the topic with vague generalities, he then became very dogmatic and authoritarian about values and ethics.  On that, I do have an opinion.  It’s dishonest.  It should be noted that these are his opinions not based on data or a high power from which ethics flow.

“Efficiency has its own value.”

“Waste, especially wasting the time of some of society’s most highly educated and talented people, is unethical.”

“Changing the structure of training would force medical leaders to eliminate unnecessary and repetitious material and emphasize training physicians to become part of a care team.”

In the first half of his article he lists 3 medical schools, University of Pennsylvania, Duke University, and  Harvard, that have rearranged different parts of medical training, and one, Texas Tech that offers a 3 year program.  Then at the conclusion, he confidently states, “many medical schools and residency and fellowship programs have already shortened their training in various ways. . .” 

You can tell he’s worked in government (for both Obama and Clinton) can’t you? But that isn’t noted in the JAMA, March 21, 2012 “Viewpoint,” only that he’s in the Department of Medical Ethics and Health Policy at University of Pennsylvania.  His NIH web site: “Ezekiel J. Emanuel is Head of the Department of Bioethics at The Clinical Center of the National Institutes of Health and a breast oncologist. He is on extended detail as a special advisor for health policy to the director of the White House Office of Management and Budget. “ According to a quote at Wikipedia, he believes you and I have an obligation to participate in biomedical research as a civic obligation.