02184nam a2200325   4500001000800000005001700008007000300025008004100028040000800069041000800077100003600085245008200121300002500203520109200228650002301320650004701343650006001390650002001450650004301470650003101513650002901544650001801573700002601591700002601617700003201643700002501675773011001700942003101810999001701841ESSALUD20260903150623.0ta      t        pe ||||| |||| 00| 0 spa d  aBMG  aeng  aJacobs, Jeremy W.eAutor954569  aLegislating medicine — Directed donation and the politics of patient choice  apáginas: 1667-1669  aIn February 2026, members of the Tennessee General Assembly introduced House Bill 2166 (HB 2166, “An Act to Amend Tennessee Code Annotated, Title 68, Chapter 32, Relative to Blood Donations”), which would require blood banks and hospitals to comply with directed-donation requests for patients scheduled for medical procedures. Its sponsors framed the bill as protecting patient choice by ensuring that patients have the right to select what is put into their bodies. The paradox is that the U.S. community blood supply is already among the safest in the world, the product of decades of evidence-based practice, universal donor screening, and rigorous infectious disease testing. HB 2166 does not fix a broken system. Instead, it risks undermining one that already functions safely and effectively — which is precisely why this legislation merits attention in domains beyond the blood bank. The bill exemplifies a broader pattern in which politicians seek to legislate medical practice in ways that override scientific consensus while invoking the language of autonomy and choice.  aCORONAVIRUS939659  aMEDICAMENTOS, DISPOSITIVOS Y LA FDA954223  aPRESTACIÓN DE SERVICIOS DE ATENCIÓN MÉDICA954151  aVIH/SIDA953790  aMEDICINA CLÍNICA HOSPITALARIA953754  aPOLÍTICA SANITARIA92322  aDERECHO SANITARIO948689  aVACUNAS98158  aZite, Nikki B.954570  aBrown, Miriam 954571  aOsmundson, Sarah S. 954572  aSharma, Deva 9545730 022717922684dMassachusetts NEJM GroupoNEJM016tThe New England Journal of Medicine wESSALUDx0028-4793  cARTICULOSe2026-08-31zsqb  c22929d22929