"All that is necessary for the triumph of evil is for good men to do nothing" Edmund Burke, 18th century Philospher.

"A long habit of not thinking a thing wrong gives it a superficial appearance of it being right." Thomas Paine

"The welfare of humanity is always the alibi of tyrants." Albert Camus

"Choice is the essence of ethics: if there were no choice there would be no ethics, no good, no evil; good and evil have meaning only insofar as man is free to choose." Margaret Thatcher, March 14, 1977

“It is difficult to get a man to understand something, when his salary depends on his not understanding it.” ― Upton Sinclair

Explaining the Cause

I am a practicing obstetrician who is a strong supporter of patients rights to informed consent and refusal. I believe a patient has the right to choose her own path given true and not skewed informed consent. Following that tenet, just as a woman should be able to choose to have an elective c/section she should be able to choose not to have one, as well. The American system of hospital based obstetric practice has been eroding those choices for women for quite some time. Due to concerns of economics, expediency and fears of litigation women are being coerced to make choices that may not be in their best interest.

I have had a long relationship collaborating with midwives and find the midwifery model of care to be evidenced based and successful. I was well trained at Cedars-Sinai Medical Center in the mid 80's to perform breech deliveries, twin deliveries, operative vaginal deliveries and VBACs, and despite evidence supporting their continued value, hospitals are "banning" these options. Organized medicine is also doing its best to restrict the availability of access to midwives.

Home birthing is not for everyone but informed choice is. Medical ethics dictates that doctors have a responsibility and a fiduciary duty to their patients to provide true, not skewed, informed consent and to respect patient autonomy in decision making. Countries with the best outcomes in birthing have collaboration between doctors and midwives. This is not what has been happening in the hospitals of America. Its time for a change and the return of common sense.

The midwifery model of care supports pregnancy as a normal function of the female body and gives a legitimate and reasonable alternative to the over-medicalized model of birth that dominates our culture. Through this blog I hope to do my part to illuminate what is wrong with our maternity care system and what is right with it. I do not expect all to agree and that is OK. We must all understand that given honest data it is not always reasonable to expect two people to come to the same conclusion. Our differences should be respected.

Monday, September 28, 2009

Dr. F on Health Care Debate Panel


What: Forum on Health Care
When: Oct. 1, 7:00 p.m.
Where: Calvary Chapel, 2697 Lavery Court, Suite 10, Newbury Park, CA 91320
Who: Conejo Coalition for Responsible Government.
Contact: 805-262-2477, cguillot@roadrunner.com

This Forum on Health Care will consist of a panel of medical professionals and others on both sides of the Health Care reform debate. The purpose is to exchange real ideas for reasonable reform that preserves liberty and choice for the individual.

Seats on the panel may still be available for professionals favoring government-run health care; suggestions are welcome.

This forum is open to the public at no charge. It is a non-partisan event; no signs or clothing displaying a point of view will be admitted. Security will be provided.

It would be great to see you there! SF


  1. I was disappointed to see this quote above, "Seats on the panel may still be available for professionals favoring government-run health care".

    No one is proposing government run health care! The public option, and even single payer are government run insurance. Health care providers will still work for whoever they work for now when either one goes into effect. The only thing that will change is who they bill.

    Referring to either the public option or single payer as government run is inaccurate and misleading. I fear that this health care reform is unlikely to offer a real debate on health care reform if misinformation is being distributed in its advertising.

  2. While the dilemma of who health care providers work for now versus who they really should represent is another issue, your point, Jessica, is respected. However, I believe there are those who support government run healthcare and their ultimate goal is to have choices dictated by panels and regulators and not patients and doctors. It will not matter who they bill if the care is not "approved" first. SJF