Claire Mowry was a 38-year-old, single woman who had worked intermittently over the past ten years as
Question:
Claire Mowry was a 38-year-old, single woman who had worked intermittently over the past ten years as an administrative assistant. She had had difficulty keeping jobs because she would regularly engage in disputes with fellow employees, accusing them of not carrying their load of the office work, criticizing their work, and in one case reporting a fellow worker to the supervisor for consistently showing up late for work.Currently out of work, she was seeing Martin Gaskell, a psychiatrist working with the mental health clinic of the health maintenance organization (HMO) of her previous employer. Ms. Mowry was currently paying out-of-pocket so her HMO coverage could continue.
Dr. Gaskell had now had four appointments with Ms. Mowry. He had identified patterns of what appeared to be paranoid thinking and had generally come to find her an unpleasant, difficult patient.
She clearly did not have a major psychiatric disorder. She was not psychotic—a paranoid schizophrenic—but she had personality traits that were causing her problems.
By the end of her fourth visit with Dr. Gaskell, Ms. Mowry had become convinced that Dr. Gaskell did not like her. She thought he seemed to be implying that her employment problems were her own fault and that she needed further therapy to address these issues. Ms. Mowry suspected that Dr. Gaskell was keeping notes on her that would reflect his poor opinion of her. She asked to see her medical record.
When Dr. Gaskell hesitated, Ms. Mowry indicated that she would report him to the management of the HMO. Patients in the United States have the right to review their medical records. However, some moral uncertainty still exists. In particular, many physicians, especially psychiatrists, are concerned that granting patients the right to see their records may harm patients as well as violate the privacy rights of the provider.
- Should physicians always disclose complete health information and medical records to patients?
Begin with a brief summary of interpretation of the laws that you think would be relevant in these two cases, if there are any.
Fundamentals of Investing
ISBN: 978-0133075359
12th edition
Authors: Scott B. Smart, Lawrence J. Gitman, Michael D. Joehnk