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Randy

Interesting post. We have friends who have not vaccinated their three kids for *anything*. If the topic of health care comes up, they steer it to vaccinations and go off on a rant about the dangers of vaccines.

It happens that we used to share the same pediatrician. Our friends say they "parted ways" with him over the vaccination issue. When we discussed our daughter's vaccinations with our doctor, we asked him what he thought of not vaccinating children.

He said if the current generation of parents could see first-hand what some of these diseases could do to their children, they wouldn't think twice about vaccination. I guess one of the strange outcomes of controlling a disease is that the next generation fails to appreciate its dangers, for lack of a better word?

Anyway, our doc indicated he's had parents who declined to have their kids vaccinated, and he's told them he would prefer not to continue treating their kids. Do you think that's ethical?

CodeBlueBlogMD

In the ideal world, in most situations, it would not be ethical to deny children further care if the parents are fully informed about the issues and then decide not to employ a currently advised treatment plan.

However, in this particular case, because the unvaccinated children are at elevated risk for life-threatening communicable diseases (pertusis, mumps, chcken pox, etc), it is ethical for the pediatrician to refuse these children access to his waiting room and office where they might infect other children who are yet to be vaccinated.


Chris Rangel MD

Absolutely I think that it would be ethical for a pediatrician to refuse to continue to treat children who's parents refuse to have them vaccinated (with the caveat that the physician do so only for non-emergent care and give the family a referral to another pediatrician, or continue to treat if there are no other pediatricians available to take up the case).

Vaccines against childhood illness are some of the most successful preventative treatments ever developed as well as some of the safest medications ever (the rates of adverse evens are extremely low). When patients (or their parents in the case of minors) refuse to follow their doctor's recommendations for good preventative medicine, I think that that patient needs to find another doctor. I know internists who have "fired" patients from their practices when the patients were noncompliant with their medications and follow-up office visits and generally refused to follow their doctor's advice to quit smoking, loose weight, and exercise.

From an ethical standpoint I raise the question of if, in such a case, the physician continues to see the concomplient patient then does this make the physician an accomplice in his/her patient's continued poor health habits?

brandirose

I am doing a power point presentation on the need for vaccinations in my health ed. class and found this article a wonderful bedfellow for it. If any one has more information I would appreciate it. [email protected]

george

Agree, agree, 100% agree

Dr. Erik

Vaccine's are death....look around you fools...can't you see....

i will not waist my typing on you, who so ignorantly denies the natural way of the body...

the end

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