On "diagnosis", from an MD.

[Barack_America]

For every disease, every "diagnosis", there is one "gold-standard" treatment. Anything less is considered malpractice.

For the crises that face us, Bernie Sanders is proposing the gold-standard treatment.

Clinton's incrementalism amounts to malpractice.

If Hillary wants to claim "difficulty" as an excuse for not doing what is best, medicine is a poor analogy.

[Dem2]

1. The real issue is who can accomplish the most

With a Congress that is likely to be difficult to deal with, even if Democrats are somehow able get a slight majority in both houses.

I don't know the answer, but I do know it will be lot less than promised.

[Xipe Totec]

3. It will be lot less than promised. True

So pick the one that promises more.

In the end, you get more that way than if you choose the one who promises less, and still delivers a lot less than promised.

[Barack_America]

4. "I went with the second-best treatment, because it was easier"

Hard to defend in court.

My point is, Hillary seemed quite enamoured with talking about "diagnosing" problems vs. treating them.

I don't think this argument works for her.

[TM99]

5. No this is not.

In fact this 'real issue' is actually a false one demonstrating a lack of historical knowledge.

Name one time in American political history where the opposition party did not fight the party in power's attempts to enact their agenda?

You can't because that is politics. The GOP fought FDR and LBJ. The Dems fought Reagan and GW Bush. That is the reality of politics.

The real issue is which candidate will fight for their positions and which candidate will triangulate and over compromise on their positions. Recent history shows us that New Dems will triangulate and over compromise. Bill Clinton will work with the GOP to pass Welfare Reform, omnibus crime bills, overturn banking regulations, and push NAFTA. Obama will work with the GOP to water down universal health insurance until it is nothing but an insurance mandate JUST like HeritageCare. He will work with the GOP against his own fucking party to push another disastrous free trade deal, the TPP.

So, I don't want Hillary Clinton, yet another New Dem, anywhere near the reigns of power with so much control being held by the GOP. She will compromise and triangulate away my and my children's future. Sanders will fight them. He may not get all he wants, but him fighting will get other Dems fighting. New Dems will be primaried out. Other progressives will eventually take back the congress, and then, he will have a chance to get it done.

I want a chance at that reality as opposed to the triangulated one that I know will come if Clinton, another New Dem, is elected.

[Broward]

19. Great post, nt.

[Scuba]

18. A: No, the real issue is who can accomplish the most that will actually help the American people.

B: Regarding your "less than promised" statement, what has been promised and by whom?

[Xipe Totec]

2. Decapitation? Take two aspirin and call me in the morning nt

[hill2016]

6. lol

what about branded vs generic? Is it malpractice to prescribe generic drugs?

[Barack_America]

8. Your post makes no sense.

Generic and branded drugs have the same chemical structure and accomplish the same goal.

Hillary and Bernie do not.

If she wants to claim "difficulty" as an out for doing what is best, medicine was a poor analogy.

[hill2016]

10. ok

what about biosimilars and biologics?

if a given biologics is the standard of care, isn't biosimilar an inferior version and be malpractice according to you?

[hill2016]

11. you would also know

that standard of care depends on the specific circumstances at hand SUCH AS medical resources available.

In a MCI, Is it malpractice to triage patients and let the black-tagged die?

Whoops here's real-world issues coming in. That's the problem with Bernie. Never acknowledges real world practical issues. Such as lack of resources.

[Barack_America]

12. Requires recognition of the gold-standard...

...and meticulous proof it could not be followed.

[hill2016]

13. or what about

patients in the experimental arm in a clinical trial? Is it malpractice if you have no idea whether the new drug is better or worse than existing standard of care?

[Barack_America]

14. Such trials go through extensive scrutiny by an IRB and patients receive full...

...informed consent before participating. Otherwise, absolutely. But such behavior is blatantly illegal in this country, beyond civil malpractice.

[hill2016]

15. what about

a patient awaiting a transplant...but there are no organs available.

Can he sue for malpractice?

[Barack_America]

16. Hillary's position would be "there aren't going to be any organs, so I won't bother...

...putting you on the donation list".

And, yes, that would be malpractice if he/she were eligible to be listed.

[hill2016]

17. ok what about letting

residents treat patients? If they screw up due to their inexperience, can they get sued for malpractice?

[bvf]

23. If your aim here was to come across

like a five-year-old, you get a gold star.

[lumberjack_jeff]

7. Dammit Maddie, the cure is leeches! n/t

[Barack_America]

9. For polycythemia vera, yes. This would be akin to "bleeding" the 1%.

I would readily prescribe this treatment.

[Zira]

20. I don't believe she'll increment anything. I believe she'll take the votes and ignore the voters for

3.5 years - until she's campaigning again. I'm saying this because that's what she did as a senator.

[HereSince1628]

21. Every disease has a treatment standard...which doesn't mean a cure or even an ameliorative...

what that means is there's an accepted path to compensation for the medical profession if they do the standard treatment.

The problem with Clinton's incrementalism is it's -all about maintaining- the paths to unwarranted levels of compensation and welfare for corporations in exchange for giving the ailing people in the economy -nothing-.

[winter is coming]

22. Why talk about gold standards when you're still struggling with, "First, do no harm"? n/t

[baldguy]

24. The best treatment is that which can be done practically at any given time.

Holding out for the one "gold-standard" treatment is often fatal to the patient.

[hill2016]

25. what about

this http://www.reuters.com/article/us-express-scripts-abbvie-hepatitisc-idUSKBN0K007620141222

Gilead's HCV drug was taken off the formulary and replaced with Abbvie's drug. Gilead's regimen is superior but more expensive. Is it malpractice to prescribe Abbvie's drug?

[northernsouthern]

26. What is so funny...

The Nurses unions are all for him, my lady is a nurse, a majority see the problem that is going on...we should listen to them.