6 Burst results for "Division Of Medical Ethics"

"division medical ethics" Discussed on No Agenda

No Agenda

07:45 min | 7 months ago

"division medical ethics" Discussed on No Agenda

"Okay and under what circumstances. I am kaplan limit. The division medical ethics. The nyu grossman school of medicine in new york city. Couple of weeks ago. A physician in alabama said he'd had enough he would not be seeing any more unvaccinated patients in his practice. A lot of other doctors are starting to think about following in his footsteps. Is it ethical to say. I'm not gonna treat you if your not vaccinated sticky issue and a complicated issue. Let me try and work through a little bit of the thinking alabama. Doctor said it was too hard on him. He suffered too much worrying about what was going to happen to unvaccinated patients. I don't think that's a good reason. I do think a better reason might be. I have to protect my staff from unvaccinated people. I wanna keep people safe in my waiting room. I don't want to be exposed to people with kovin for fear of a breakthrough infection. It also make some sense to say if you want following medical advice and do what i tell you to do. There's no point in me taking you on as a patient under those terms i think primary care people talk family doctors Nurses who do primary care could say. I'm not taking on any patients who won't vaccinate man. I mean he's he's making it. Okay the ethics guy. That's an unbelievable clip balmy. Everyone has to stop in their tracks. When you hear that because what's operate this. Entire medical system is out of control. If you're not taking prep than you might have aids. So i don't want you in my office. And that's the same thing in essence to same thing as you won't take a tb patient. Do people not take tb patients. Well i mean yeah they do. But i thought maybe not anymore. I'm not gonna take anybody into my office that sick. I don't want people who might see. I don't want any sick people coming into the office and exposing people to the sick sick in general whatever sick you have words you gotta cold. Get out. You think doctor. I'm a scientist kim. Well doctor dr this. This guy is clearly under the spell of the mass formation. And i can't. It's so hard to blame everybody. I really want to humanize. I really want to humanize. And i got another professor to to part of this as she is the g. foster. She's a professor. At university of new south wales so she's in the middle of of australian lockdowns to cetera and. She has an opinion except she doesn't call mass formation she calls it crowds and Let's listen to her. Set us up for. This can take our these wild sacrificial actions again in service to this perceived threat or whatever. The narrative is so in the case of the nazis. It was well we just have to kill off. Massive massive humans apparatus on the basis of this. One obsession with covert. I mean. i won't say it was literally people being shot or or gas but it was definitely people being deprived of basic human freedoms of happiness and it was being done by a by krause. That were that were populated particularly by fanatical. People who themselves suffered from having some kind of repression. So i noticed in this period that some of the most radical fanatical jane types who are belonging to this proletarian crowd. Were actually quite lonely. People who don't seem to be dysfunctional. Psychologically they they weren't really happy on the they react really settled or found place. What she's talking about. Obviously everybody on twitter themselves. They didn't have a facebook perhaps by they had to kind of saiful all this stuff in their normal lives but in a crowd they could sort of leading all out and visit all of this massias. It was almost in line with what bathe himself had a press or suppress previous times onto others. So it was. It was a vehicle for mass bullying mass deprivation of basic rights and freedoms that james phelps in some sense was again a worthy sacrifice may because they themselves had to suppress these these problems they had in all works together to create an extended period of massive welfare destruction. So i think what is interesting. She basically saying the same things professor was telling us only in different terms And you know this is not just democrats by the way. It's not just people in blue states. It people who are all into well. I wouldn't even take on but just people who are into other forms of pretty pretty nutty stuff you know. Thousands of seals indictments kind of stuff. Which i enjoy listened to all of it to make sure i'm not missing on anything that might become by. I think they're also in a state of hypnosis and for them. It's like this. Is the answer this this dream this. He's coming back. You know. trump is going to appear from the missed. the and they are totally in the same state. would i don't think they were and maybe they were just as unhappy before it all happened. I mean this is very evil stuff. and so here she is the second part describing the mass hysteria. Crowd is something that most of your viewers won't be familiar with accepts in relationship to kobe period but was quite evidence in previous generations on one of the types of crowds that you may be familiar with with the nazi germany crowds so when hitler had those rallies so crowd is distinguished five. It's focus on one particular thing. Find an obsession about one particular thing and everybody is obsessed about vaccine all at once together and there's a sense of community about it right. We are linked in with each other. We are close to each other. We are secure. We are not lonely because we all that. Here's this one obsession. You think this is the most important thing and an a sort of glue. That is extremely difficult to dislodge. Aw right very difficult and in crowd the people who belong who have this shared obsessions kind of have sort of fluid morality and a fluid sense of what really is true and an when you saw in these hillary's for example right some by the way that's all that's exactly trump rallies. I think the people show up at trump rallies. We know that a lot of those people are seville. Were severely depressed before things happened. You know they had a shit time in in fly over states and they're also grabbing onto one thing. This is what's happening should mention that. The last trump rally which is gonna hit that one clip of They were they were discussing a didactic company. That does these broadcasts on. Youtube are btv whatever's called. They mentioned that about ninety percent of the people that trump rally was at the previous trump rally as the irs rally was the same people and so it's becoming like a grateful dead group away. Yeah well it's also he pretty much does all of his.

nyu grossman school of medicin alabama tb saiful kaplan james phelps university of new south wales new york city krause aids kim foster twitter facebook trump kobe germany hillary Youtube
"division medical ethics" Discussed on KGO 810

KGO 810

06:18 min | 1 year ago

"division medical ethics" Discussed on KGO 810

"And ongoing medical center, and he's also the founding director of the division. Medical ethics are thank you for being with us again. Kinda crazy day. I know for everybody and I know everybody's time is tight. So thank you so much. Let's talk about vaccines and the the The ethics behind who gets them first, but also the ethics behind what the FDA supposed to dio and involving political pressure to get them out quickly. Well, the other government side there has been under a lot of pressure from the light in trouble already. Probably they just issues. There are guidelines on backseat literally an hour ago, Chip Basically blew after way, So I'm pleased about that. Aren't you going to do Yielding the White House pressure to weaken them. We're gonna have a meeting coming up October Group's Take a look at where the different vaccine candidates columns there trying o R. So this will be the government. In terms of what the FDA expects. So that's a little bit of good news for once not taking the pressure. They're so here's what we expect of actually to be able to do. You know, it's it's interesting because there's two real issues here. Number one is you know what's vaccine People are saying now I don't want the trump vaccine. I want the other person, but there's going to be more than one vaccine. Probably. And you know, Johnson and Johnson is hoping they can just have one that doesn't have a booster shot. And then, of course, then there's others that will involve a booster shot. But the real question is where will The United States and then in the United States. Regionally, who gets first shot at this do we know? Okay, well, even if we started soon would get approved. Gonna take a while, but it is not a troop sometimes suggests the day that we can all run in front of our houses and Ripper. Massa Moore knows who. Well, you will take many, many months to distribute vaccine. What Some of the candidates have to be refrigerated, almost hope or cold temperatures. So I'm going to be where the refrigerators are not thieves of the most who might benefit most. If you're in You could have a place with a kind of refrigerator that acting wouldn't Ifyou're Ah University you thought we could. And I'm sure that the government the governor in California, for example, will have to set up some senators with regulators are it's more likely for some of this. Who goes first is driven by the kind of vaccine how much surgery Dr Adrian, Do We have a refrigerated trucks? I know that No, no, I get it makes sense. And, of course, that's the sad part of that for Africa and some of these other sub sub Saharan nations. That won't have refrigeration. Let me ask you. We have kind of a bad connection here, so we might have to cut this short, but The what about a lot of people that protest of vaccines protest it because of the preservatives that we have to put in them. Do we know exactly what we're going to put into the this Koven 19 vaccine to preserve it, But we can't keep it cool or in periods of flux. Yeah. What you're talking about is sometimes they put in substance abuse immunity, but they look pretty safe. There are no vaccines that could make you sick. They're using ports of the genes or other tricks so you wouldn't get the disease from the vaccine. They were people who worry about side effects. Where the fuck scenes adequately tested. If the FDA stays tough and home to it. You know guns and says no cutting corners. I think we'll be in better shape. I think most people would take the vaccine. And again we go back to this. Is there going to be any kind of geographic distribution that's more favorable to someone some part of the country than others. So we don't have a system to talk about the military getting involved to distribute vaccines, but it felt like there's international distribution. Don't assume office. We'll try to get a piece of the queen. In a big state like California. Outbreak. Let's say won't necessarily get more than in the state of small and kwon. Unfortunately, hopefully administration will be able to organise distribution that we were all 50 states was a squabble. That's Trump. Well, yes, there's going to be squabble anyway. Last question again and appreciate your time. Dr. Again. Our captain with this here will people who are more vulnerable, be able to get to the front of the line like the elderly people with underlying conditions. On what people who have had it before. Will they be back a little bit? I mean, will there be some sort of triage here? I think there will be triage. I think you're gonna see their workers on the front law, right nursing home workers on the front lines of exposure. And then I think we'll try older people, You know, sometimes older people don't respond to vaccines so well to flu vaccine has that problem. Maybe bigger doses, so that may make him less of a priority than remember. You get a vaccine vaccine hit of accolade of that clean manufacturers, truckers to move these things around. And when you talk healthcare workers, you're also talking laundry, security food. People who move the patients around again and bring them in to you don't have a hospital..

FDA flu vaccine California United States founding director Johnson Africa October Group White House Massa Moore Dr Adrian Dr. Again
"division medical ethics" Discussed on KGO 810

KGO 810

08:27 min | 1 year ago

"division medical ethics" Discussed on KGO 810

"Join the conversation at 80 88 10 now Chip Franklin kgo 10. Well, so a Category four hurricane is going to hit it and we're dealing with fires, and CDC apparently is being commandeered by politicians. And there's another horrible shooting and ah riding and protest ng all coming together in Wisconsin, but a couple things number one Kudos to the N ba. For deciding not to play showing that what matters really in life. This is life. And the protecting innocent people. I guarantee the NFL would never in a million years to that and and Major league baseball, either. The N B A is a much more socially active group, and it's not just black people. It's white people. You know, Steve Kerr is by by far one of my favorite Ah quasi sports political figures He stands up and says what he believes, and there's a bunch of others to We'll get to that in a little bit. Okay, So the other thing I want to talk about is I had to go to the doctor's today and for my foot. Nothing bad. I just want to get an X ray and boy the first responders of people there on the front lines, all incredible attitude. Really nice people. You know, we all had our r 95 masks on and you know, and I was, You know, I went in with a certain amount of trepidation to go into a hospital, but it was Boy. It was a real experience to see these people all they're you know, working to help people in such a dire times. It is remarkable. There's a lot to talk about today and we're going to get to all of it. And we welcome your phone calls and and your contributions. I think it's important. Teo say that every time to thank you because I know I get a lot of valuable emails and texts. Incites. Somebody just sent me a great the email about the post office boxes, a story that will have it today and or tomorrow there's such such an important time. I look at this time is obviously it is a time of great trepidation. For many of us, I know for you. But also that of an opportunity for us to grow and to get closer as a nation and let me just say this just right at the top of the show that I'm not conservative, but have conservative friends. We both love America and we accept facts. We just disagree sometimes, and that's okay. I have zero Trump supporter friends. The only love a cult leader and they despise fax. They enjoy other's pain. Most times. They're not okay. So that's why I want to say that up front, But I know we have conservatives it listen to us and Ana. Someone call and we have good conversations. We disagree on some Some some facts and not facts, but the policy and approach to it. This thing's convalescent plasma announcement that Trump had making it sound like he just invented it. And again that the the CDC being Used as a political organization now. Me. Just tell you what happens without a good vaccine. We have about 0.3% fatality rate with this. That's with three and 30 million people. That'll be about 1.1 million deaths. Not to mention the damage to lungs and hearts and internal organs and brains, Possibly This is not a small thing. Joining right now is Dr Arthur Caplan. He is professor of bioethics at New York University's Langone Medical Center. The founding director of the division, Medical Ethics and Doc, Always great to have you along. I appreciate it. And you're so nice whenever I ask you to come on. You do. I think what you have to say is really important and I appreciate that said, Let's talk about this. This convalescent plasma and its effectiveness against Cove in 19 Take it before we go there. Can I just say much in this emerging sports boycott? A around the events in Kenosha, and I really think you've got to give some props. These men sort of went out of the way. You know, they're rich. They're playing the game. You don't have to do this, and I think they're really showing some leadership. We haven't heard anything about this is that whatever it is that white power festival that the GOP is running on the air. I'll be really interested to see if they say anything tonight, but good good for these guys. And I think that boycott's gonna spread and I think it's really an important ethics statement. Well, their language. The language coming from the RNC has already led to the deaths of two people. Because of this white supremacist that showed up with, you know, 17 year old with an ar 15, you know, anyway, but thank you. I totally agree. In fact, I just said that before you came on the air, So it's funny. We're some simpatico. A couple things. I want to talk to you about it. I don't want to hear about this convalescent plasma because way don't know just how effective it will be against Cove in 19. And with the emergency authorization authorization, as you say, we might never know. Well, that's right. So the president heard some news from some of his scientists that maybe there was some value for some people for Plasma transfusions. That's basically getting a blood donation from someone who's had covert and survived and obviously has some immunity now in their bloodstream, and you take it. You get that by having them donate blood. Then you extract the plasma, which is the white blood cell part basically where the immunity molecules live, and you give it to somebody you said, hoping to boost their immunity. So it is true that there's been a couple of scattered reports that show that this might work a little bit. Trump went nuts, told his FDA commissioner, get out there and approved this for everybody. It's a wonder breakthrough. It's a miraculous cure. It isn't the FDA commissioner actually said, Chip that of the people dying of Cove it if you'd give this to him, 35% get better. That's why there's no such number. What we do know is for people who get a transfusion within three days after being diagnosed and getting into the hospital, they had a tiny increase in survival over miserable people. So Yeah, There's a little bit of hope. If you got this right away that it might go to a little bit Maybe. Um, but this whole idea that there's a breakthrough and a wonder cure. That's all politics, and he was just using that to hype up the convention and for the record, you and I have been speaking from long before Trump. And you're not a political guy. This is about about public brawl. Science. Yeah, and the the CDC. Has been. You know, we found out that the latest About. You know the testing, and some of the significant announcements from them came without Dr Fauci, who was being it was in surgery. When these decisions were made to explain if you will just the danger of moving forward with telling people things they just kind of go over. What they're saying now is is that the coronavirus testing guidelines have been changed and they're saying make people have been exposed to the car in virus, though through close contact with someone do not necessarily need a test if they're not experiencing symptoms. Um, can you can you talk to that? Speak to that police? Yeah, I believe the description for that is stupid on steroids. Scientifically, not politically course you need to test people who have been exposed to see if they infect others. We know there are plenty of people are capable of infecting other people. Kids, by the way, seemed to be able to not show symptoms but be spreaders and inspectors And happily there people get the virus and it doesn't make them safe, but they give it to others. So we need more. Testing. This is part of this crazy idea that if we test left, the numbers will go down and the pandemic will go away. It's like saying, you know, I don't want to be pregnant, so I don't think I think a pregnancy test. I mean, it's ridiculous. Well, just absolutely stupid. And you know this is something Trump is said before that we don't need testing. And, of course, every infectious to see a specialist. An epidemiologist has said..

CDC Trump Cove Chip Franklin Steve Kerr Wisconsin FDA NFL baseball Dr Arthur Caplan Major league commissioner Langone Medical Center RNC N ba Teo America Kenosha
"division medical ethics" Discussed on WTVN

WTVN

07:14 min | 2 years ago

"division medical ethics" Discussed on WTVN

"Friend to the show founding head division medical ethics at NYU school of medicine in New York City Dr arch great to have you back on for everything absolutely so you've got a piece of and you seem to be a little put out that the Surgeon General he sure king his job walk us through what do you think that well we've got a bunch of public health crises you know no high JYJ opioid problem yes terrible problems with gun violence get all kinds of issues coming up about access to healthcare and I could go on on the list but you know the question is is anybody ever heard of the Surgeon General of you heard him speak up even though his name I imagine for most people the answer is no no no I'm sorry that that's true and so basically we think my coworker Ford box and I think that he's just not doing the job is the ministration is notoriously into a science we don't like it when experts come in and talk about climate and global warming and all that but even more troubling you don't like it when the Surgeon General speaks upper health care experts speak up about these public health problems and we need somebody to speak up the Surgeon General supposed to be responsible not to the president but to the American people it's supposed to be an office where you fight the horde to make sure that the the health of Americans protected and we think it's a must see changes course and start speaking up here to quit so he I I think back on you know names that people might remember every coop yeah Jocelyn elders what is it that they did that the current Surgeon General isn't doing was it more like Hades there were softer issues we can come out and have a little fun with it was it when you say I am the main guy so I've got a hit whatever we've got going on what is it that made them memorable where the current one just be going now well basically stepped up to the plate started the aids epidemic Ronald Reagan administration they weren't sure what to do they were taking an attitude that it wasn't a big deal and cool who is very religious very conservative personally religious man says and and opposed I think out of wedlock sex and so forth he said we got to take this on we had a fight the aids epidemic we have to do something about this is going to threaten that only the gay community but people who your neighbors and your friends and we can't be biased and we can't be burning down houses and all this sort of thing we had a just like any other medical problem very brave got the administration to change its course got the American people to understand that the way to meet that epidemic and sold it was not just through you know dislike of lifestyles but really taking on is just like you would any other public health epidemic this Surgeon General just isn't doing any of that I wonder too you mention the opioid crisis in the course you know they got the big cases Startin up in Cleveland this morning that wouldn't right now feels more like a money story than it does at health story you feel like if the Surgeon General was in on it we would have a different attitude about the story yeah trying to think it is more money story right now who's paying for the epidemic not that it's not a relevant question but general should be out there saying here's how we go after this the outbreak should we be the two in the safe injection site thing has some Philadelphia's men do in Vancouver's been doing is that something that nationally should be tried to reduce the the epidemic chin everybody stock the antidote for overdose should that be yet and the police have it schools have it everybody carry it that's important have if you have an addict in the house should you keep it in the house there's a lot that that role could do to educate us to really try to get out there and prevent the problem to try and you draw attention to the problem before it got to the dimensions of it has so I think there's much that could be done beyond just trying to figure out who's paying our guest in it's it's funny Dr are you know when you talk about that I I wonder if you know because it seems to me that doctors are just so beat down on so many things you know you they get upset thrown out because you know the insurances and paying for stuff and we get all this confusing information about certain medicines what was good yesterday isn't good today and dosages and all that stuff I just wonder if maybe the Surgeon General is just an extension of that is like the medical profession right now is just so put upon and so like you guys can't get anything right he's just like taking a backseat let kinda let the blow over well there may be that going on but I don't think it's an excuse I know what you mean there's plenty of push back and angered medicine these days the prices are high the drugs cost too much doctors are mad they have to spend too much time of the electronic computer put in information we can't talk to patients patients get mad at them see their head stuck in the computer when they come to visit and all that there's plenty of problems out there but the surgeon general's happily in the role where they don't have to back down from any of that they could speak up they can complain they can educate everything from vaccines all the way over to you know that recent fight about should we eat red meat or not eat red meat where is the Surgeon General wis that's the job so yeah it may be easier to you know duck down in the trench but I think this is the one job where you gotta stand up and yell I think I hear you loud and clear doctor are Kaplan true she ate the time in the perspective very much were a coming up on six nineteen give me just a little more in a minute we'll get you update on traffic and weather still wet south and east of the city for sure you know it's interesting with what's going on there's been a fair bit of coverage ons you know strikes me the U. A. W. looks like they're close to getting that ratifying getting everybody back to working on the picket lines and all that meanwhile up in Chicago you've got teachers of I mean they basically said the mayor's lying they want to sixteen percent bomb they want smaller classes and all the things that you hear from teachers right one of the things that gets me about that and I don't know if you've noticed this or not but you know one TV does that story of course what do they show well they show the head person talking those show teachers and students right so you see pictures of classrooms in those classrooms a cloud crowded to you I'm watching video after video after video of that story this class is a click you get twenty twenty five kids and I'm I'm like what are we talking about so I was one of those things that you know you hear the talk and sometimes it like it doesn't click you don't draw the lines together that's what we we try to do here is like we read stories and hear what people are saying and then you try to sit back and think like does that make sense or not is what they're saying true or not and then maybe you consider some other sources and go from there that just that just jumped out at me today when you hear what they're complaining about the look of the classrooms like they look nice they're bright they've got plenty gizmos and gadgets teaching aids and such and done look I mean the kids are sitting on top of each other I don't not just really not sure whether with their moping.

"division medical ethics" Discussed on WTVN

WTVN

01:35 min | 2 years ago

"division medical ethics" Discussed on WTVN

"The business only fiber network the believe business deserves better ever stream full service approach to business connectivity delivers the speed and reliability that businesses demand ever stream faster fiber better business traffic and weather every ten minutes on the tens from temp starring classic their necks of dated six twenty I'm John Hill newsradio six ten WTVN six first warning weather we still have some rain just south just south east and just east of the city so if you're coming in seventy coming up thirty three or twenty three don't talk about your on the wipers for sure north and west of the city of start to dry out already this morning and that's kind of the way it is arranged pushed off to the east so gradually will see clearing skies overtake the city is going to be a breezy slash windy day and temperatures will get to sixty three for the afternoon high will stay clear for the overnight we get down to forty two still breezy so you'll feel in the morning so we've got sunshine for tomorrow should be a dandy tomorrow's I goes to sixty to push even warmer for Thursday forecast is powered by the basement doctor down Lancaster right now it's wet and fifty six we've got fifty eight your severe weather station newsradio six ten W. the end back to the live one this time we find doctor art Kaplan friend to the show founding head division medical ethics at NYU school of medicine in New York City Dr arch great to have you back on for everything absolutely so you've got.

"division medical ethics" Discussed on WTVN

WTVN

05:43 min | 2 years ago

"division medical ethics" Discussed on WTVN

"Friend to the show founding head division medical ethics at NYU school of medicine in New York City Dr arts great to have you back on absolutely so you've got a piece up and you seem to be a little put out that the Surgeon General he sure king his job walk us through what do you think that well we've got a bunch of public health crises you know no high JYJ opioid problem yes terrible problems of gun violence get all kinds of issues coming up access to healthcare and I could go on on the list but you know the question is is anybody ever heard of the Surgeon General of you heard him speak up even though his name I imagine for most people the answer is no no no sorry that that's true and so basically we think my coworker Ford box and I think that he's just not doing the job is the ministration is notoriously into a science they don't like it when experts come in and talk about climate and global warming and all that but even more troubling you don't like it when the Surgeon General speaks upper healthcare experts speak up about these public health problems and we need somebody to speak up the Surgeon General supposed to be responsible not to the president but to the American people it's supposed to be an office where you fight the horde to make sure that the health of Americans protected and we think unless he changes course and start speaking up here to quit so he I I think back on you know names that people might remember every coop yeah Jocelyn elders what is it that they did that the current Surgeon General isn't doing was it more like Hades there were softer issues we can come out and have a little fun with it was it when you say I am the main guy so I've got a hit whatever we've got going on what is it that made them memorable where the current one just people even know well basically stepped up to the plate started the aids epidemic Ronald Reagan administration they weren't sure what to do they were taking an attitude that it wasn't a big deal and cool who is very religious very conservative personally religious man says and and opposed I think out of wedlock sex and so forth he said we got to take this on we had a fight the aids epidemic we have to do something about this is going to threaten that only the gay community but people who your neighbors and your friends and we can't be biased and we can't be burning down houses and all this sort of thing we get a just like any other medical problem very brave got the administration to change its course got the American people to understand that the way to meet that epidemic and sold it was not just through you know dislike of lifestyles but really taking on is just like you would any other public health epidemic this Surgeon General just isn't doing any of that I wonder too you mention the opioid crisis in the course you know they got the big cases Startin up in Cleveland this morning that wouldn't right now feels more like a money story than it does at health story you feel like if the Surgeon General was in on it we would have a different attitude about the story yes trying to think it is more money story right now who's paying for the epidemic not that it's not a relevant question but Surgeon General should be out there saying here's how we go after this outbreak should we be doing the safe injection site thing is some Philadelphia's men do in Vancouver's been doing is that something that nationally should be tried to reduce the the epidemic chin everybody stock the antidote for overdose should that be yet and the police have it schools have it everybody carry it that's important have if you have an addict in the house should you keep it in the house there's a lot that that role could do to educate us to really try to get out there and prevent the problem to try in draw attention to the problem before it got to the dimensions of it has so I think there's much that could be done beyond just trying to figure out who's paying our guest in it's it's funny Dr are you know when you talk about that I I wonder if you know because it seems to me that doctors are just so beat down on so many things you know you they get upset thrown out because you know the insurances and paying for stuff and we get all this confusing information about certain medicines what was good yesterday isn't good today and dosages and all that stuff I just wonder if maybe the Surgeon General it's just an extension of that is like the medical profession right now is just so put upon and so like you guys can't get anything right he's just like taking a backseat let kinda let the blow over well there may be that going on but I don't think it's an excuse I know what you mean there's plenty of push back and angered medicine these days the prices are high the drugs cost too much doctors are mad they have to spend too much time of the electronic computer put in information I can't talk to patients patients get mad at them head stuck in the computer when they come to visit and all that there's plenty of problems out there but the surgeon general's happily in the role where they don't have to back down from any of that they could speak up they can complain they can educate everything from vaccines all the way over to you know that recent fight about should we eat red meat or not eat red meat where is the Surgeon General wis that's the job so yeah it may be easier to you know ducked down in the trench but I think this is the one job where you gotta stand up and yell yeah it it sounds like your spot on with that doctor are always appreciate the time and perspective Dr art Kaplan founding head division medical ethics at new York's school of medicine he's in the Big Apple this.