Ep. 65: Patient autonomy with Jeffrey A. Singer, M.D.

Jeffrey A. Singer, M.D., a general surgeon and senior fellow at the Cato Institute, joins the show to talk about patient autonomy — which also happens to be the subject of his new book, "Your Body, Your Health Care."

For more from Singer, read his article in Medical Economics, and find a copy of his book here.

Don't miss our previous episodes on malpractice law, healthy eating, physician financial mistakes and prior authorization.

Be sure to check out Medical Economics Pulse, a quick-hitting news podcast that keeps busy physicians in the know.

Music Credits:
Midnight Serenade by MORRIX Holyhold - stock.adobe.com
Relaxing Lounge by Classy Call me Man - stock.adobe.com
COCKTAIL by Mythical Audio - stock.adobe.com

Editor's note: Episode timestamps and transcript produced using AI tools.

Introduction to Patient Autonomy (00:00:00)

Discussion on the importance of respecting patient autonomy in healthcare.

Podcast Introduction (00:00:25)

Austin Littrell introduces the podcast and the guest, Jeffrey A. Singer, M.D.

Dr. Singer's Background (00:01:01)

Richard Payton introduces Dr. Singer and his credentials.

Origin of the Book (00:01:23)

Dr. Singer explains the inspiration behind his book "Your Body, Your Healthcare."

Linking Policy Areas (00:02:20)

Discussion on the overarching principle of autonomy in healthcare policy.

Informed Consent Evolution (00:03:58)

Dr. Singer highlights the shift towards informed consent in medical practice.

Historical Case: Sloan v. Society of New York Hospital (00:06:15)

Overview of the landmark case establishing patient consent rights.

Government Interference in Autonomy (00:07:56)

Discussion on how government regulations infringe on patient autonomy.

Clinical Information Query (00:08:02)

A question regarding the need for more clinical information in patient care.

Advancements in Medicine (00:08:15)

Discussion on the impact of technology and AI on medical practice.

Importance of Doctor-Patient Communication (00:08:53)

Dr. Singer emphasizes the need for effective communication in healthcare.

Empowerment through AI (00:09:38)

Dr. Singer discusses how AI can enhance patient autonomy and healthcare access.

Scope of Practice Issues (00:10:49)

Discussion on barriers created by licensing laws for healthcare providers.

Telehealth and Patient Autonomy (00:12:57)

Exploration of how telehealth intersects with patient autonomy and informed consent.

State Licensing Barriers (00:13:17)

Dr. Singer discusses the challenges posed by state licensing for telehealth services.

Proposed Solutions for Telehealth (00:15:15)

Suggestions for reforming telehealth regulations to enhance patient access.

Physician Shortage Concerns (00:17:23)

Discussion on the growing demand for healthcare amidst a physician shortage.

Government Mandates and Vaccination (00:21:06)

Dr. Singer addresses informed consent related to vaccine mandates during the pandemic.

Public Health vs. Personal Health (00:23:38)

Distinction between public health interventions and personal health choices.

Government Intrusion in Healthcare (00:24:42)

Discussion on government regulations banning food colorings without scientific evidence, affecting consumer choices.

COVID-19 Response Critique (00:25:45)

Criticism of public health agencies for their slow response and refusal to consider alternative strategies during the pandemic.

Testing Delays and Bureaucracy (00:26:49)

Overview of delays in COVID-19 testing approvals and the paternalistic approach limiting self-testing options.

Value of Primary Care Physicians (00:28:34)

Acknowledgment of primary care physicians' importance and the challenges they face in the healthcare system.

Balancing Clinical Judgment and Autonomy (00:30:11)

Advice for medical professionals on respecting patient autonomy while managing personal biases and clinical responsibilities.