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Daniel Flora, MD, PharmD's avatar

There comes a point where silence becomes complicity.

When governments enforce policies that limit access to care, ignore evidence, or put vulnerable patients at risk, we should not sit quietly. We owe it to our patients to speak the truth, to push back when science is dismissed, and to protect the integrity of care.

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Paul D. Thompson, MD's avatar

I agree. Democracy is fragile and a reposibility.

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Chris Fehr's avatar

I believe the US has done a lot to advance science that has benifited the rest of us, I'm Canadian, it's a shame to see this ending.

As a private citizen with knowledge in the field your opinion should be heard.

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Paul D. Thompson, MD's avatar

I have a t shirt that I bought last week in Vancover that says, "Elbows up". Thank you for your comment.

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Paul D. Thompson, MD's avatar

I appreciate your reading the blog and offering comments. I always pay attention to them. I agree there has been waste, and I greatly appreciate your considering my 77 years young. I am also grateful we can both keep a sense of humor through it all. We'll see where it all goes, and I honestly hope it goes well for us and the world. Paul

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H. Robert Silverstein's avatar

Paul: I have concerns also. But as you MUST be aware, there has been an incredible amount of $ wasted on stupid and unnecessary guidelines and studies. Your "worry" is mannerly but not even handed here and shows a lack of patience to see how things spell out that have previously & often been mishandled-I blame your response on your youth

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Steve Schoenbaum's avatar

I generally enjoy and learn from your post, but special thanks for doing this particular column on an extremely important subject. Silence is not an option, and it is wonderful that you are using the platform you have created to speak out.

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Paul D. Thompson, MD's avatar

Dr. Schoenbaum - Thank you for your note. I looked you up (hope I found the right "you") and want to thank you for your work in novel physician education. I have always thought that one of the best ways for clinicians to improve medical care is to be a good, and innovative, teacher. I am honored you would read the blog.

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Steve Schoenbaum's avatar

I find it an honor to read the blog. You remind me of the wise clinicians to whom I was exposed in the years of my training (1960s) and early years as a faculty member (1970s), people who understood the basis behind clinical diagnosis and treatment rather than just memorizing or depending on mechanical test ordering and someone else's specialized interpretation of a particular test result. I'm sure it is an honor for a person to be one of your patients.

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