Bob Arnold
speaker
679 appearances
4 recordings
1 series
first heard Oct 2021
last heard Oct 2023
Bob Arnold’s voice in public audio — every appearance, attributed to the second.
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Appearances
What do you think, Susan?
see your hand raised, Bob.
Yeah, you know, again, there's a history, Russ, and that was that advanced directives that I think we're all agreeing on, that advanced directives or advanced care planning hasn't achieved the goal concordant care that in the original publications, that was the argument for it.
Russ Caloric wrote something in SJM, oh, in the early 2000s, sort of saying in Jijam that there are a lot of other goals that one could posit for both advanced care planning and advanced directives.
And those might be, we might say those are important enough that it's worth making them a quality metric.
That's a whole different argument.
The argument can change.
That's okay with me.
I also think, I want to go back to Alex's comment, which is if people misunderstand what we say, we shouldn't say it because it has unintended consequences.
I think what we should do is we should say, could we have said it better?
And in retrospect, I think, as Susan points out, there are certain things that I would have said a little differently that would have been more
And yet the fact that people misunderstand it
Doesn't mean that we shouldn't say what we think the data says.
That would be like saying that you can't do science because people might misunderstand science and use it for nefarious purposes.
I don't think we want to go there.
I think that would be a very bad cultural moment.
I want to separate palliative care, which is a medical health care, nursing, doctors, pharmacists, social workers from specialty palliative care.
They're very different things.
I think we often conflate them.
Second, I can make recommendations for how I think that governmental bodies ought to spend their money.
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