Ethics question.. [first aid]

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anbuitachi

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A coupple of things mentioned in first aid confused me.
1) First aid says "Patient can revoke anytime patient wishes (regardless of competence)" for medical power of attorney.

So when they say regardless of competence.. they mean a patient can take decision making agent off, even if the patient doesn't know what they are doing? So if a pt is hallucinating, he can take the agent off as his decision maker?

2) Under confidentiality, first aid says "if a pt is not present, disclosing info to family and friends should be guided by professional judgment of patients best interest'..

This sounds rly.. weird... i thought doctors are not supposed to tell them anything w/o patients permission? Unless the patient is incompetent or something.. Can someone clarify this? First aid is making it sound like as long as the doctor thinks its for the patients best interest, he can tell whoever he wants..

3) First aid says 'never limit or deny care because of expense in time or money'.. What does this mean? That the physician should always treat the patient even if the doctor will go broke or has no time?

4) "A drug company offers a referral fee for every pt a physician enrolls in study", First aid says "it's never acceptable for physician to receive compensation from a drug company. Patients must be told about the existence of referral fee".. What does this mean? Does this mean the doctor can not take the referral fee? Since it says NEVER acceptable. And at the same time the doctor needs to tell the patient about the referral fee even though the doctor can't get it?! Or is first aid trying to say you can take it if you tell the patient about it???
 
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3) First aid says 'never limit or deny care because of expense in time or money'.. What does this mean? That the physician should always treat the patient even if the doctor will go broke or has no time?

4) "A drug company offers a referral fee for every pt a physician enrolls in study", First aid says "it's never acceptable for physician to receive compensation from a drug company. Patients must be told about the existence of referral fee".. What does this mean? Does this mean the doctor can not take the referral fee? Since it says NEVER acceptable. And at the same time the doctor needs to tell the patient about the referral fee even though the doctor can't get it?! Or is first aid trying to say you can take it if you tell the patient about it???

3) I am pretty sure they mean in a hospital setting and/or during an emergency where the patient would need immediate care. Its really vague.

4) I did the UW and Kaplan Qbanks and both had questions regarding that. UW basically only said to inform the patient that there is a referral fee and Kaplan SPECIFIED that you need to disclose the referral fee and DENY the compensation, because of ethics? I am not really sure how this works in real world but according to this only ethics stand between you and compensation.
 
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