I would agree with you gnat for the most part. however, Docs and nurses do get sloppy and in the past have used the jws refusal of blood as a carte blanche for just doing almost NOTHING. The only way to cause docs and nurses to quit being sloppy and care j( at least in a leagal sense) , is to attach sanctions to their license or cost them money. Otherwise nothing ever changes.
Jws present a challenge and a nuisance to docs. I can see refusing to do surgery but there is always the ER and situations with kids and PG ladies and all that. Once in the situations the docs must try as hard as they can and use all available resources to help the patient.
Recently (news from MA I think)the incident of the 13 yr old girl who died after a routine tonsillectomy. ( not jws) Her mother said she told the nurses her daughter was bleeding too much but was more or less ignored. I guess you know the rest.
I had a amazing friend who bleed out in the ER b/c the docs were so incompetent they did not realize my friend was bleeding until my friend had a heart attack and went into a coma. They were not a jws at all, not even close. The hospital staff was just STUPID. Hospital, everyone involved, were sued and the family WON. I wish I could tell you what happened to me, but it would for sure identify me. Just to say, keep a friend at your bedsides to make sure your nurse and doc do their job. The applies whether you accept blood or not.
JWS are a nuisance in this area but lets hold the medical profession to a PROFESSIONAL LEVEL OF CARE. No free " get out of jail" cards. In short, yes jws make it hard for docs/nurses but refusing blood does not excuse incompetence or sloppy care.
http://abclocal.go.com/wls/story?section=news/national_world&id=9387373 ( as a matter of interest ) I know they are not about refusal of care, but the girl was bleeding excessively ,and ignored per the mother.