As you know, this blog evokes spirited discussion on hot-button medical topics. Many have written about the vitriolic nature of selected comments and asked me to “do something about it”. Some thoughts:

1) I believe it goes against the spirit of a blog to moderate or censure comments (except for spam). The anonymous nature the comments gives people the opportunity to “tell it like it is”. At the risk of allowing obvious inflammatory and irrelevant comments, much of the debate gives a unique insight “behind the scenes” of medical practice. Some may be offended and shocked at certain comments. I contend that a majority of the comments reflects a level of frustration at our dysfunctional health system that the public may not be aware of.

2) Comments are not visible on the main page. If you are sensitive or easily offended by the discussion, I suggest you do not make the conscious effort to click and read the comments.

3) Unfortunately, I do not have the time to moderate comments.

Thanks for your continued readership and support.