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John, a 34-year-old father of two children, is a member of an HMO in Texas. John has made several trips to an area clinic that was recommended by his HMO to seek medical attention since finding blood in his bowel movements. He has been taking large amounts of aspirin for persistent headaches but did not realize that this could cause internal bleeding. John was always seen at the clinic by a physician assistant, Robert M., but never by a physician. Robert didn't ask John about taking any nonprescription medications. John didn't realize that he should mention the over-the-counter medication (aspirin) consumption. Robert tells John to take an antacid preparation to control the bleeding, but does not order any tests.
He tells John to return if he is not any better. Two days later, John is rushed to an area emergency room with a bowel hemorrhage.
Discussion Question:
What responsibility, if any, does Robert have for John's emergency condition? What responsibility, as a healthcare consumer, does John have for his own medical condition?
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