Ancestors

Toot

Written by Hannu Ikonen, MD on 2025-01-21 at 18:36

The absolute worst thing that can be done right now is to cede ground in advance. Whether this is tug'o'war or Capitol Hill negotiations or anything for that matter, complying in advance sets up the zero sum fash type to take that ground and divert focus to more ground, keeping you on your back foot the entire struggle.

See also: 2009 Democratic House & Senate majorities and PPACA negotiations.

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Descendants

Written by Hannu Ikonen, MD on 2025-01-21 at 18:39

This goes for doctors providing care too.

You must continue to practice EVIDENCE based medicine. Your ethical duties are to your patient, their autonomy, doing right by them, and doing justly by them while not harming (or mitigating harm to) them. That's the four ethical pillars in a nutshell.

If you don't advocate for such, your patients will lose their rights, their medications, their dignity, their respect.

So keep writing for oral contraceptives, mentioning the treatment for an ectopic being an abortion, and continue to force hospital (facility) attorneys to enjoin you from doing so.

For example, if an oral contraceptive won't cause significant harm TO THE PATIENT (not to some mysterious magical theoretical cyst), and its indicated for PCOS, severe menorrhagia, etc, you are obligated by your ethical duties to treat them.

Let the hospital attorneys enjoin you from doing so or the pharmacist refuse to fill it or the insurance refuse to cover it.

Do not comply in advance if you give a single square shit about a single patient.

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Written by Hannu Ikonen, MD on 2025-01-21 at 18:45

Yes there is always the right not to prescribe, or therapeutic privilege. True.

But absent any bigoted law intended to strip someone of their autonomy, to harm them, to unjustly attack them, would the oral contraceptive be the treatment of choice?

Yes?

Then prescribe it.

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Written by Log 🪵 on 2025-01-21 at 18:56

@hannu_ikonen Let the physicians look after the health of the body, and let the cops look after the health of the police state.

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Written by Charlie the Anti-Fascist Dog on 2025-01-21 at 18:41

@hannu_ikonen the democratic party has already ceded ground and will continue to do so for the next 3 years at least. the party has shown no interest in stopping fascism or challenging the oligarchs. the democratic party will remain the single greatest obstacle to fighting back against fascism and fascists. if anyone is considering working with the democratic party thinking they'll make a difference. it's a waste of time, the donors run the party - period.

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Written by Matthew Merkovich? on 2025-01-21 at 18:50

@hannu_ikonen Are you taking new patients? 😂 I jest of course.

(My doctors are all pretty good, but they could all do better.)

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