Kenneth V. Iserson, MD, MBA
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Physician voices

Despite protests from the medical community contained in multiple amicus curiae briefs, the Pennsylvania Superior Court recently ruled that the term "cause of death" on death certificates is ambiguous and should include any physician errors that contributed to the death…
Despite protests from the medical community contained in multiple amicus curiae briefs, the Pennsylvania Superior Court recently ruled that the term “cause of death” on death certificates is ambiguous and should include any physician errors that contributed to the death — they were correct.
What they failed to consider was that, without an autopsy, the listed cause of death is often wrong, so using it to determine precipitating …
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Do we really know why they died? The inaccuracy on death certificates.
Physician voices

How do people respond to a gift, especially if it is lifesaving? Pretty much as they would many millennia ago. Over the past five months, while helping inoculate about 100,000 people at one of Tucson, Arizona’s COVID vaccination centers, I…
How do people respond to a gift, especially if it is lifesaving? Pretty much as they would many millennia ago. Over the past five months, while helping inoculate about 100,000 people at one of Tucson, Arizona’s COVID vaccination centers, I was constantly reminded of Passover’s story of the four children. Each differs in personality, knowledge, and response to the ceremony.
Originating in Exodus and Deuteronomy, their descriptions mirror the people we …
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The fifth child: Succeeding with the COVID vaccination program
Health policy

My patient was very upset. The 34-year-old mother of two young children had come to the emergency department (ED) with abdominal pain despite her COVID-19 concerns. I had just told her that she had a benign ovarian cyst rather than…
My patient was very upset. The 34-year-old mother of two young children had come to the emergency department (ED) with abdominal pain despite her COVID-19 concerns. I had just told her that she had a benign ovarian cyst rather than the life-threatening condition that she had imagined. She was happy with the diagnosis, but she feared that her employer-supplied health insurance would not cover this “non-emergent” diagnosis. How could it …
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Retrospective refusal of payment based upon final diagnosis compromises patients’ welfare
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