Your points are valid but not sure your point on what manipulative argument. Shared decision making goes well beyond ODOT. Share decision making is not a new concept on patients and physicians making decisions together. By all accounts it's one of the most important ethical maneuvers a physician can make in leaving the patient as part of the decision making process. No physician should make decisions on a patients cares without involving the patient.
This article does not state that no value exists but rather asks what is the value of shared decision making. I'm sure you'll agree here. Here's an example:
1. David Samadi decided to do surgery on you and needed to convince you. .
2. You decided on surgery and called David Samadi and told him he's doing it so he did it.
3. After consultation with David Samadi, you both decided that surgery was the right course of action for you.
I would hope you were in line with #3...The shared decision making was only present in #3. The same is true in screening, treatment choices, and when to stop treatment. What was the value? We don't really know. We need trials to ascertain that information.
The ethics in that kind of trial is even controversial. How we could randomize that you make the decision without the doctor, or the doctor makes the decision without the patient, versus the control are of shared decision making would be quite interesting.
Post Edited (TC-LasVegas) : 12/16/2013 5:44:55 PM (GMT-7)