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They told me that I'm a traitor to my own profession,
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that I should be fired,
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have my medical license taken away,
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that I should go back to my own country.
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My email got hacked.
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In a discussion forum for other doctors,
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someone took credit for "Twitter-bombing" my account.
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Now, I didn't know if this was a good or bad thing,
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but then came the response:
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"Too bad it wasn't a real bomb."
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I never thought that I would do something
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that would provoke this level of anger among other doctors.
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Becoming a doctor was my dream.
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I grew up in China,
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and my earliest memories are of being rushed to the hospital
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because I had such bad asthma that I was there nearly every week.
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I had this one doctor, Dr. Sam, who always took care of me.
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She was about the same age as my mother.
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She had this wild, curly hair,
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and she always wore these bright yellow flowery dresses.
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She was one of those doctors who,
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if you fell and you broke your arm,
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she would ask you why you weren't laughing
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because it's your humerus. Get it?
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See, you'd groan,
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but she'd always make you feel better after having seen her.
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Well, we all have that childhood hero
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that we want to grow up to be just like, right?
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Well, I wanted to be just like Dr. Sam.
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When I was eight, my parents and I moved to the U.S.,
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and ours became the typical immigrant narrative.
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My parents cleaned hotel rooms and washed dishes and pumped gas
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so that I could pursue my dream.
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Well, eventually I learned enough English,
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and my parents were so happy
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the day that I got into medical school and took my oath of healing and service.
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But then one day, everything changed.
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My mother called me to tell me that she wasn't feeling well,
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she had a cough that wouldn't go away, she was short of breath and tired.
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Well, I knew that my mother was someone who never complained about anything.
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For her to tell me that something was the matter,
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I knew something had to be really wrong.
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And it was:
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We found out that she had stage IV breast cancer,
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cancer that by then had spread to her lungs, her bones, and her brain.
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My mother was brave, though, and she had hope.
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She went through surgery and radiation,
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and was on her third round of chemotherapy
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when she lost her address book.
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She tried to look up her oncologist's phone number on the Internet
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and she found it, but she found something else too.
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On several websites,
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he was listed as a highly paid speaker to a drug company,
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and in fact often spoke on behalf
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of the same chemo regimen that he had prescribed her.
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She called me in a panic,
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and I didn't know what to believe.
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Maybe this was the right chemo regimen for her,
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but maybe it wasn't.
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It made her scared and it made her doubt.
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When it comes to medicine,
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having that trust is a must,
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and when that trust is gone, then all that's left is fear.
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There's another side to this fear.
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As a medical student, I was taking care of this 19-year-old
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who was biking back to his dorm
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when he got struck and hit,
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run over by an SUV.
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He had seven broken ribs,
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shattered hip bones,
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and he was bleeding inside his belly and inside his brain.
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Now, imagine being his parents
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who flew in from Seattle, 2,000 miles away,
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to find their son in a coma.
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I mean, you'd want to find out what's going on with him, right?
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They asked to attend our bedside rounds
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where we discussed his condition and his plan,
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which I thought was a reasonable request,
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and also would give us a chance to show them
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how much we were trying and how much we cared.
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The head doctor, though, said no.
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He gave all kinds of reasons.
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Maybe they'll get in the nurse's way.
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Maybe they'll stop students from asking questions.
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He even said,
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"What if they see mistakes and sue us?"
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What I saw behind every excuse was deep fear,
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and what I learned was that to become a doctor,
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we have to put on our white coats,
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put up a wall, and hide behind it.
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There's a hidden epidemic in medicine.
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Of course, patients are scared when they come to the doctor.
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Imagine you wake up with this terrible bellyache,
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you go to the hospital,
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you're lying in this strange place, you're on this hospital gurney,
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you're wearing this flimsy gown,
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strangers are coming to poke and prod at you.
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You don't know what's going to happen.
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You don't even know if you're going to get the blanket you asked for 30 minutes ago.
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But it's not just patients who are scared;
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doctors are scared too.
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We're scared of patients finding out who we are
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and what medicine is all about.
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And so what do we do?
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We put on our white coats and we hide behind them.
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Of course, the more we hide,
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the more people want to know what it is that we're hiding.
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The more fear then spirals into mistrust and poor medical care.
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We don't just have a fear of sickness,
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we have a sickness of fear.
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Can we bridge this disconnect
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between what patients need and what doctors do?
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Can we overcome the sickness of fear?
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Let me ask you differently:
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If hiding isn't the answer, what if we did the opposite?
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What if doctors were to become totally transparent with their patients?
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Last fall, I conducted a research study to find out
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what it is that people want to know about their healthcare.
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I didn't just want to study patients in a hospital,
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but everyday people.
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So my two medical students, Suhavi Tucker and Laura Johns,
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literally took their research to the streets.
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They went to banks, coffee shops, senior centers,
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Chinese restaurants and train stations.
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What did they find?
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Well, when we asked people,
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"What do you want to know about your healthcare?"
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people responded with what they want to know about their doctors,
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because people understand health care
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to be the individual interaction between them and their doctors.
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When we asked, "What do you want to know about your doctors?"
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people gave three different answers.
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Some want to know that their doctor is competent
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and certified to practice medicine.
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Some want to be sure that their doctor is unbiased
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and is making decisions based on evidence and science,
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not on who pays them.
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Surprisingly to us,
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many people want to know something else about their doctors.
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Jonathan, a 28-year-old law student,
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says he wants to find someone who is comfortable with LGBTQ patients
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and specializes in LGBT health.
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Serena, a 32-year-old accountant,
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says that it's important to her for her doctor to share her values
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when it comes to reproductive choice and women's rights.
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Frank, a 59-year-old hardware store owner,
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doesn't even like going to the doctor
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and wants to find someone who believes in prevention first,
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but who is comfortable with alternative treatments.
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One after another, our respondents told us
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that that doctor-patient relationship is a deeply intimate one —
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that to show their doctors their bodies
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and tell them their deepest secrets,
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they want to first understand their doctor's values.
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Just because doctors have to see every patient
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doesn't mean that patients have to see every doctor.
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People want to know about their doctors first
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so that they can make an informed choice.
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As a result of this, I formed a campaign,
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Who's My Doctor?
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that calls for total transparency in medicine.
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Participating doctors voluntarily disclose
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on a public website
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not just information about where we went to medical school
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and what specialty we're in,
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but also our conflicts of interest.
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We go beyond the Government in the Sunshine Act
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about drug company affiliations,
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and we talk about how we're paid.
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Incentives matter.
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If you go to your doctor because of back pain,
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you might want to know he's getting paid 5,000 dollars to perform spine surgery
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versus 25 dollars to refer you to see a physical therapist,
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or if he's getting paid the same thing no matter what he recommends.
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Then, we go one step further.
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We add our values when it comes to women's health,
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LGBT health, alternative medicine,
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preventive health, and end-of-life decisions.
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We pledge to our patients that we are here to serve you,
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so you have a right to know who we are.
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We believe that transparency can be the cure for fear.
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I thought some doctors would sign on and others wouldn't,
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but I had no idea of the huge backlash that would ensue.
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Within one week of starting Who's My Doctor?
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Medscape's public forum
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and several online doctors' communities
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had thousands of posts about this topic.
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Here are a few.
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From a gastroenterologist in Portland:
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"I devoted 12 years of my life to being a slave.
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I have loans and mortgages.
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I depend on lunches from drug companies to serve patients."
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Well, times may be hard for everyone,
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but try telling your patient
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making 35,000 dollars a year to serve a family of four
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that you need the free lunch.
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From an orthopedic surgeon in Charlotte:
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"I find it an invasion of my privacy to disclose where my income comes from.
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My patients don't disclose their incomes to me."
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But your patients' sources of income don't affect your health.
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From a psychiatrist in New York City:
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"Pretty soon we will have to disclose whether we prefer cats to dogs,
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what model of car we drive,
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and what toilet paper we use."
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Well, how you feel about Toyotas or Cottonelle
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won't affect your patients' health,
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but your views on a woman's right to choose
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and preventive medicine and end-of-life decisions just might.
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And my favorite, from a Kansas City cardiologist:
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"More government-mandated stuff?
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Dr. Wen needs to move back to her own country."
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Well, two pieces of good news.
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First of all, this is meant to be voluntary and not mandatory,
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and second of all, I'm American and I'm already here.
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(Laughter) (Applause)
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Within a month, my employers were getting calls
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asking for me to be fired.
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I received mail at my undisclosed home address
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with threats to contact the medical board to sanction me.
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My friends and family urged me to quit this campaign.
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After the bomb threat, I was done.
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But then I heard from patients.
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Over social media, a TweetChat,
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which I'd learned what that was by then,
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generated 4.3 million impressions,
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and thousands of people wrote to encourage me to continue.
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They wrote with things like,
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"If doctors are doing something they're that ashamed of,
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they shouldn't be doing it."
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"Elected officials have to disclose campaign contributions.
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Lawyers have to disclose conflicts of interests.
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Why shouldn't doctors?"
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And finally, many people wrote and said,
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"Let us patients decide
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what's important when we're choosing a doctor."
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In our initial trial,
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over 300 doctors have taken the total transparency pledge.
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What a crazy new idea, right?
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But actually, this is not that new of a concept at all.
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Remember Dr. Sam, my doctor in China,
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with the goofy jokes and the wild hair?
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Well, she was my doctor,
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but she was also our neighbor
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who lived in the building across the street.
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I went to the same school as her daughter.
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My parents and I trusted her