Treatment FAQ

when is it ok for doctor to stop treatment

by Prof. Reginald Stanton V Published 2 years ago Updated 2 years ago
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A doctor cannot terminate care of a patient when the patient is at a critical stage of treatment, solely because the patient is unable to pay for the care. However, if the patient is in a stable condition and is given ample warning of the termination, a doctor may be able to stop treatment.

Full Answer

Is it okay to stop treatment?

But choosing to stop treatment isn’t the same as “giving up.” “Deciding to stop treatment, when it may be causing more harm or suffering than good, is incredibly courageous,” says Philip A. Bialer, MD, a psychiatrist at Memorial Sloan Kettering (MSK) in New York City. Some reasons why you might consider stopping include:

When is it time to stop chemotherapy?

If you’ve undergone three or more chemotherapy treatments for your cancer and the tumors continue to grow or spread, it may be time for you to consider stopping chemotherapy.

Can a doctor terminate a patient who is in critical condition?

A doctor cannot terminate care of a patient when the patient is at a critical stage of treatment, solely because the patient is unable to pay for the care. However, if the patient is in a stable condition and is given ample warning of the termination, a doctor may be able to stop treatment.

Can a doctor deny a patient treatment?

Other reasons why a doctor can deny treatment to an individual include: The patient is disruptive or otherwise difficult to handle; The doctor does not have a working relationship with the patient’s healthcare insurance provider;

What happens after you stop cancer treatment?

What to do if you are depressed?

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When can you stop treating a patient?

Patient non-compliance or bad conduct that impedes the doctor's ability to render proper care, or a patient's demand that the doctor engage in care that the doctor believes is fruitless or harmful or exceeds the doctor's own expertise are all valid bases to refuse to treat.

Can a doctor just stop treating you?

However, a physician can't simply stop providing care to a patient. In fact, once the physician-patient relationship is established, the physician must continue to provide care to the patient to avoid allegations of abandonment until one of the follow occurs: The patient terminates the physician-patient relationship.

Why would a doctor stop?

Failing to do so is a failure to comply with the standard of care for your condition, which is a form of medical negligence. A doctor may suggest stopping treatment if he or she feels the risks associated with treatment outweigh the potential benefit or if treatment would not improve the patient's quality of life.

Can a doctor refuse to continue treatment?

As a rule of thumb, if unnecessary delays in care may cause irreparable harm, physicians can face legal liability for their refusal to treat. If you need urgent medical attention, and a doctor refuses to treat you, you can pursue a medical malpractice suit against the physician and/or the establishment they work for.

What to do when a doctor dismisses you?

What to Do If Your Healthcare Provider Has Dismissed YouDon't get overly argumentative, obnoxious, or aggressive. It could result in you being denied medical care.Don't ask the healthcare provider who is dismissing you for a referral. ... Don't complain about the old healthcare provider.

What is medical abandonment?

Abandonment is considered a breach of duty and is defined as unilateral termination of the physician-patient relationship without providing adequate notice for the patient to obtain substitute medical care. The patient-physician relationship must have been established for abandonment to occur.

Why do doctors dismiss patients?

Common reasons for dismissal The most common reasons cited for dismissal were verbal abuse and drug-seeking behavior. Among physicians who dismissed patients, 40% cited verbal abuse and 40% cited drug-seeking behavior as reasons.

Can a doctor kick you out of their practice?

"From a malpractice and medical board standpoint, a physician can basically discharge a patient for any reason he wants, as long as it is nondiscriminatory and doesn't violate [the Emergency Medical Treatment and Labor Act] or other laws, or puts the patient's health, safety, and welfare at risk," says Kabler.

Can a doctor blacklist a patient?

Blacklisting can result in permanent harm or even death and can be criminally illegal.

Under what circumstances is a provider legally bound to treat a patient?

If the patient's condition should be treated, is the provider obligated to care for the patient? a. YES: unless a formal discharge has occurred, the provider is obligated to treat the patient.

Can a doctor refuse medication?

When, Why, and What are my Options? Yes, a doctor can deny you medical treatment. Private doctors have some more leeway to deny treatment to patients than those in Medicare-compliant hospitals, but there are circumstances under which even doctors serving Medicare patients may choose not to serve a patient.

Can doctors force treatment?

For the most part, adults can decline medical treatment. Doctors and medical professionals require informed consent from patients before any treatment, and without that consent, they are prohibited from forcibly administering medical care.

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Whether you or someone you love has cancer, knowing what to expect can help you cope. Here you'll find in-depth information on specific cancer types – including risk factors, early detection, diagnosis, and treatment options.

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Chemotherapy Kills more people than it helps. - www.CureYourOwnCancer.org

Ever since chemotherapy was introduced into the practice of western medicine, doctors and oncologists have been trying to answer this nagging question: Why does chemotherapy seem to work at first, but then cancer tumors cells grow back even more aggressively while the body becomes resistant to chemotherapy? It turns out that chemotherapy damages healthy cells, causing them to secrete a protein ...

What happens after you stop cancer treatment?

For instance, after you stop treatment, a new drug may come to the market, a clinical trial could open, or you may hear of a doctor who has a new way of treating the cancer you have. If so, you can always decide to start treatment again. No matter what you choose, your health care team can provide emotional and physical comfort and care along ...

What to do if you are depressed?

If you’re depressed, you may lose focus on your goals. Before you decide, speak to a counselor, ask your doctor about starting depression medication, or both. Look at other options. Some people like to exhaust all possible avenues for treatment before they make up their mind.

Consider Getting a Second Opinion

Speaking with another specialist about your condition and your treatment options can give you clarity about your prognosis. A second doctor might give you the same information you received from your first doctor, or he or she could have different ideas about your treatment.

Educated yourself About your Condition and Treatment Options

Along with your second opinion, do independent research about your condition and your treatment options. Ask your doctor about unconventional or experimental treatments – you could potentially be part of a clinical study that might not only help you, but would contribute valuable knowledge to the medical field.

Consider Palliative Treatment

When it is certain that curative treatment will no longer help you, consider seeking palliative treatment. This is treatment meant to minimize your symptoms and keep you comfortable, both physically and mentally. You may consider seeking hospice care, which you can receive at home or in a hospice care facility.

Work with an Experienced Medical Malpractice Lawyer

Your doctor’s job is to act in your best interest. If he or she suggests that you stop treatment, you have the right to seek a second opinion. You also have the right to challenge your doctor’s suggestion if you feel you can benefit from continued treatment.

What happens when a doctor ends a patient relationship?

When doctors end the doctor-patient relationship, patients may feel abandoned.

What to do if you are behind on medical bills?

If you are behind in paying your medical bills, your doctor should give you advance notice about the problem and give you a chance to get the payments up to date. Some physicians do not accept your health insurance and may want to end the doctor-patient relationship for that reason.

Can a doctor cut ties with you?

For example, if you have had chronic chest pain for 3-4 months, your doctor cannot simply cut ties with you…or at least he/she is not supposed to. Your doctor violates basic principles of his profession by discontinuing medical care while you are in the midst of an ongoing medical problem that has not resolved.

Can a doctor stop treating you for no reason?

Can My Doctor Stop Treating Me For No Reason? Yes, your doctor can stop treating you for any non-discriminatory reason . However… (there’s always conditions), there is a protocol that should be followed by your doctor before the doctor-patient relationship is terminated. While you have every right to end the doctor-patient relationship ...

How do you tackle this difficult decision?

Start by having an honest conversations with your care team, advises Dr. Marcus. “Your opinion about continuing treatment will be very different, depending on whether it will bring a high likelihood of remission, or will add only a few months or weeks to your life.”

Planning ahead for end-of-life decisions

The best way to navigate circumstance like these is to start having conversations with your loved one before either of you become ill.

Why should a doctor not be liable for abandoning a patient?

In some cases, doctors have argued that they should not be held liable for abandoning a patient because there was no intent to abandon. This argument has failed almost without exception because a doctor has a duty to continue treatment of a patient until the patient is properly released. The only difference between an intentional and an inadvertent abandonment case is that punitive damages might be available in a case where there is evidence of an intent to cause harm.

What is the law that requires a hospital to treat a patient?

If a patient arrives at a hospital in the midst of an emergency health issue, federal law requires the hospital to treat the patient, regardless of the patient's ability to pay and other factors such as the patient's citizenship or immigration status. This law is called the Emergency Medical Treatment and Active Labor Act.

How to win a medical malpractice lawsuit?

In order to win a medical malpractice lawsuit, the patient must prove that the doctor's negligence caused foreseeable harm. This harm can take many forms, including: 1 pain and suffering 2 cost of additional treatment 3 loss of earning capacity, and 4 loss of the ability to enjoy life

What is a doctor liable for?

Proving Malpractice. A doctor can be liable for medical malpractice when he or she fails to provide treatment that meets the applicable standard or care, and the patient is harmed as a result of that failure.

What is abandonment in emergency situations?

Abandonment in Emergency Situations. If a patient arrives at a hospital in the midst of an emergency health issue, federal law requires the hospital to treat the patient, regardless of the patient's ability to pay and other factors such as the patient's citizenship or immigration status.

What is the penalty for failing to comply with the hospital act?

If a hospital fails to comply with the act, the patient may sue the hospital for both the monetary equivalent of the harm caused by the failure, and for an additional penalty of up to $50,000.

Can a doctor be liable for malpractice?

A doctor can be liable for medical malpractice when he or she fails to provide treatment that meets the applicable standard or care, and the patient is harmed as a result of that failure.

What must a physician do before a course of treatment?

Before a physician can begin any course of treatment, the physician must make the patient aware of what he plans to do . For any course of treatment that is above routine medical procedures, the physician must disclose as much information as possible so you may make an informed decision about your care.

What is the best way for a patient to indicate the right to refuse treatment?

Advance Directives. The best way for a patient to indicate the right to refuse treatment is to have an advance directive, also known as a living will. Most patients who have had any treatments at a hospital have an advance directive or living will.

What are the rights of a patient who refuses treatment?

In addition, there are some patients who do not have the legal ability to say no to treatment. Most of these patients cannot refuse medical treatment, even if it is a non-life-threatening illness or injury: 1 Altered mental status: Patients may not have the right to refuse treatment if they have an altered mental status due to alcohol and drugs, brain injury, or psychiatric illness. 6  2 Children: A parent or guardian cannot refuse life-sustaining treatment or deny medical care from a child. This includes those with religious beliefs that discourage certain medical treatments. Parents cannot invoke their right to religious freedom to refuse treatment for a child. 7  3 A threat to the community: A patient's refusal of medical treatment cannot pose a threat to the community. Communicable diseases, for instance, would require treatment or isolation to prevent the spread to the general public. A mentally ill patient who poses a physical threat to himself or others is another example.

What is the end of life refusal?

End-of-Life-Care Refusal. Choosing to refuse treatment at the end of life addresses life-extending or life-saving treatment. The 1991 passage of the federal Patient Self-Determination Act (PSDA) guaranteed that Americans could choose to refuse life-sustaining treatment at the end of life. 9 .

How can a patient's wishes be honored?

Another way for a patient's wishes to be honored is for the patient to have a medical power of attorney. This designates a person to make decisions on behalf of the patient in the event they are mentally incompetent or incapable of making the decision for themselves.

What are the four goals of medical treatment?

There are four goals of medical treatment —preventive, curative, management, and palliative. 2  When you are asked to decide whether to be treated or to choose from among several treatment options, you are choosing what you consider to be the best outcome from among those choices. Unfortunately, sometimes the choices you have won't yield ...

Why do patients make this decision?

Patients make this decision when they believe treatment is beyond their means. They decide to forgo treatment instead of draining their bank accounts. Those who live in a country with a for-profit healthcare system may be forced to choose between their financial health and their physical health.

How many cancer patients died between 2007 and 2014?

The new study is an analysis of health claims data involving more than 28,000 cancer patients who died between 2007 and 2014.

Did Nikki Stienman's mother stop chemo?

Her mother stopped chemo after her doctor assured her that ending treatment didn't mean giving up. But her sister, Nikki Stienman, kept up the treatment and suffered severe side effects from what her sister thinks was a needless final round of chemotherapy before she died at 38 of metastatic lung cancer in 2013.

What happens after you stop cancer treatment?

For instance, after you stop treatment, a new drug may come to the market, a clinical trial could open, or you may hear of a doctor who has a new way of treating the cancer you have. If so, you can always decide to start treatment again. No matter what you choose, your health care team can provide emotional and physical comfort and care along ...

What to do if you are depressed?

If you’re depressed, you may lose focus on your goals. Before you decide, speak to a counselor, ask your doctor about starting depression medication, or both. Look at other options. Some people like to exhaust all possible avenues for treatment before they make up their mind.

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