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Ethical Dimensions of Health Policy

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Marion Danis

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“Quicker than I ever hoped, I land at the other side of my illness: slightly battle-scarred, slightly hungrier, and a little wiser. I have flaws. I live with restrictions. I have to change. But those sacrifices now seem easy to make, knowing what they will give me. I feel as though I, too, have shed some leaves: those last shreds of belief in my youthful robustness, when I could do anything, endure anything, and bounce back.”

“For all the hoopla you read and hear about the overdiagnosis of ADD and the overuse of medication-indeed, serious problems in certain places—the more costly problem is the opposite: millions of people, especially adults, have ADD but don't know about it and there fore get no help at all.”

“How peculiar it feels to speak about health care in America taking care of people’s health while our government bombs the limbs off children in faraway lands. And starves and imprisons not a few of them at home. How odd that it seems not obviously known that true health care must mean, at minimum, deliberate non-harming of anyone?”

“A device can be considered FDA-cleared if the manufacturer and the FDA agree that it is very similar to another device already on the market and is deemed safe to use. Becoming FDA-approved is a more rigorous process, used for devices for which there aren’t other, similar approved models on the market. What makes it even more confusing is that some devices may be FDA-cleared for one indication but used and marketed by physicians for a completely different indication. For example, some devices may be FDA-cleared for pain reduction, yet plastic surgeons use them to reduce fat.”

“Either way, whether your anxiety is self-generated or externally-generated or both, your brain still needs to sound the alarm – and thank goodness it does! It’s essentially telling you: ‘Warning, something is sabotaging or might sabotage your goals, health, happiness and survival – find it, fix it!’ to which your mental response should be, ‘Gee, thanks, I’m on it!”