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Part of the problem is that many times, when a doctor is treating a famous individual, the traditional relationship is reversed and boundaries are blurred, with the celebrity dictating what drugs or care they want and using their allure, threat of banishment and lucrative pay as means to get their...
...found it was very easy to get sucked into that population," says Dr. Victoria McEvoy, medical director and chief of pediatrics at Mass General West Medical Group, who has treated and written about the pitfalls of taking on high-profile clients. "One, because they're interesting people. But they're also very narcissistic in general, and needy, and as a result, if you want to be part of their care, often you can find yourself going beyond normal boundaries and going above and beyond what you would do for other patients." She adds, "It's very easy to slip over...
...turned into a drug or alcohol problem, then I'd be much more likely to refer them than to manage them in my office. It's going to make people much more cautious about the potential risks, and that's a good thing. People shouldn't get worse care just because they're famous. That's clearly the concern here. By virtue of his incredible wealth and celebrity, [Jackson] actually got worse treatment...
...from the stereotypical image of Dr. Feelgoods acting with total disregard for their patients' health, Pinsky says, most doctors who get into trouble with celebrity clients mean well but are in over their heads. "It's not as simple as it seems, and it needs to change. If you want to distill it down to one thing, it's doctors really don't understand addiction, and that's how they get themselves into trouble. And then they also don't understand their relationship with celebrity and their own personality figuring into that relationship...
However, Arthur Caplan, Ph.D., director of the Center for Bioethics at the University of Pennsylvania, doesn't think the trial will have much consequence for the questionable doctors who are enlisted by celebrities when they can't get aboveboard practitioners to pander to their needs. "Even with those tough charges, the combination of extraordinary wealth, lavish lifestyle and doctors who operate on the fringes of their profession almost guarantees a replay at some point down the road," he says. "Medicine hasn't figured out how to weed out the fringe operators, and celebrities haven't figured out that...