Umbilical Hernias: Systemic Racism, Dogma, And Pediatric Surgery
by Stephanie Preston, MD In the health professions, we have all been taught that some of the most common, chronic, and debilitating diseases in the United States – hypertension, diabetes, heart disease, and most cancers – disproportionately affect Black Americans. As resident surgeons, dogma holds that umbilical hernias are more prevalent in Black children, but without any discussion about underlying drivers. There is no evidence to support that this disparity is related to biologic or genetic differences. However, a recently published study continues to state that umbilical hernias are 8-9x more prevalent a...
Source: blog.bioethics.net - April 13, 2021 Category: Medical Ethics Authors: Blog Editor Tags: Children/Adolescents Ethics Featured Posts Health Care Health Disparities Pediatrics Source Type: blogs

Delaying Vaccine Dosages Is More Than Risky, It ’s Unethical
by Elisheva “Eli” Nemetz, BA, MBE The field of bioethics emerged as a result of the atrocities attested to in the Nuremberg Trials and the inhumanity of the Tuskegee Syphilis Study. People were a means to an end, and perverted minds engaged in medical experimentation on vulnerable individuals. These barbaric and sadistic ‘projects’ led to critical changes like the Nuremberg Code, which stated that voluntary consent from participants is essential for research (The Nuremberg Code, 1947). Over time we have absorbed these lessons and applied them.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 9, 2021 Category: Medical Ethics Authors: Blog Editor Tags: Clinical Ethics Featured Posts Public Health Research Ethics Vaccines COVID-19 Covid-19 vaccine Source Type: blogs

AJOB ’s Acceptance Rate
Bela Fishbeyn, MS and David Magnus, PhD Our publishers recently changed how they present journal metrics on Taylor & Francis Online. Each journal in their portfolio now features a new metrics tab on every journals’ home page that includes information about citation metrics, usage (downloads), speed (average days from submission to first decision, average days from acceptance to online publication, etc), and acceptance rate.  The information was added in the hopes of empowering researchers and authors to make informed decisions by providing a broader range of metrics and clear information for their use....
Source: blog.bioethics.net - April 2, 2021 Category: Medical Ethics Authors: Bela Fishbeyn Tags: Uncategorized AJOB Journal Metrics Source Type: blogs

Patriotism, Rights, and Vaccination
Anne Zimmerman, JD, MS By suggesting a lack of education or a failure to digest vaccination science, the public health officials and media miss a crucial point. Many people who do not want to accept a vaccine speak about liberty, and in the case of mandatory vaccination or vaccination as a condition of participation, bodily intrusion coerced by government. In February, 56 percent of white Republicans surveyed were unsure or planned to refuse vaccination. Their arguments are steeped in patriotism, loyalty to a bill of rights (albeit one that imagines no limits on those rights) and being American.  ...
Source: blog.bioethics.net - April 2, 2021 Category: Medical Ethics Authors: Blog Editor Tags: COVID-19 pandemic Cultural Featured Posts Justice Politics Uncategorized Vaccines Source Type: blogs

AstaZeneca ’s Vaccine Ethical Problem
Brian M. Cummings, MD and John J. Paris, SJ, PhD In The New York Times, almost overlooked amidst multiple articles on Covid-19 published that day, we found a challenging essay by Max Fisher entitled, “Europe’s Vaccine Ethics Call:  Do No Harm and Let More Die”?  Fisher inquires whether clinical bioethics should accept the decision of Germany to suspend the use of AstraZeneca’s Covid-19 vaccine due to blood clots because of what bioethicists label “The Trolley Problem”.   The ‘ Trolley Problem’ is a thought experiment designed ...
Source: blog.bioethics.net - March 29, 2021 Category: Medical Ethics Authors: Blog Editor Tags: Clinical Trials & Studies COVID-19 pandemic Decision making Featured Posts Global Ethics Pharmaceuticals Vaccines AstraZeneca Trolley Problem Source Type: blogs

Immortal Surgeon General: C. Everett Koop, 40 years on
In this age of radical political polarization, it’s good to be reminded of a man whom Reagan hired to please the social conservatives, yet whose 90th birthday party was hosted by Hillary Clinton. (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 27, 2021 Category: Medical Ethics Authors: Blog Editor Tags: Children/Adolescents Clinical Ethics Cultural Featured Posts Health Policy & Insurance Health Regulation & Law HIV/AIDS Politics Public Health C Everett Koop surgeon general Source Type: blogs

What is Medicine to do?: Righting Past And Present Abuses Against People of Color
By Keisha Ray, PhD  I have been interviewed by many journalists who are writing articles about the COVID-19 vaccines and Black people. Most of the interviews are very similar; journalists want to know how do medicine’s and public health’s past abuses of Black, Latinx, and Indigenous people affect their willingness to trust medicine and get vaccinated against COVID-19. After making it clear that it is not people of color (POC) that need to work on their trust of medicine but that it is medicine who needs to work on its ability to be trusted, I tell j...
Source: blog.bioethics.net - March 21, 2021 Category: Medical Ethics Authors: Keisha Ray Tags: Ethics Featured Posts Justice Public Health Race Social Justice Vulnerable Populations Source Type: blogs

Surveillance Capitalism + the Medical Gaze = Yikes
by Adam Omelianchuk, PhD Consider what the future holds for mental health treatment options. One could authorize an “Internet of Things” to detect mood-changes from an app that monitors one’s social media posts; stress levels from a smartwatch; anxiety symptoms from tapping and scrolling patterns on a touchscreen; signs of cognitive impairment from a speech pattern analysis through anything with a microphone; the benefits of an A.I. chatbot that offers therapeutic conversation; the presence of gut microbes associated with autism from the examination feces deposited in a smart toilet; sleep quality from...
Source: blog.bioethics.net - March 17, 2021 Category: Medical Ethics Authors: Blog Editor Tags: Artificial Intelligence Featured Posts Technology medical gaze surveillance Source Type: blogs

Resurrecting the Presidential Commission For The Study of Bioethical Issues With Public Engagement at Its Core
by Naomi Scheinerman, PhD The Biden-Harris Administration has a wonderful opportunity, particularly amidst a pandemic in which bioethics questions and difficult tradeoffs are not in short supply, to resurrect a group tasked to advise the president on “bioethical issues arising from advances in biomedicine and related areas of science and technology.” Created under the Obama administration, and dispersed under Trump, the Presidential Commission for the Study of Bioethical Issues was responsible for numerous reports on topics that included synthetic biology, pediatric research, whole genome sequencing, neu...
Source: blog.bioethics.net - March 9, 2021 Category: Medical Ethics Authors: Blog Editor Tags: Ethics Featured Posts Health Policy & Insurance Health Regulation & Law Politics Source Type: blogs

Tik Tok Doc Sexual Assault Suit – What Does This Mean for the Anti-Harassment Movement?
by Alyssa Burgart Last night, my phone exploded with texts from colleagues when a former anesthesiology resident at Oregon Health Sciences University, the famous “Tik Tok Doc” was named in a $45 million sexual assault complaint. In addition to the resident Dr. Jason L. Campbell, the suit names OHSU, a prominent anti-harassment advocate, residency program directors, leadership in the departments of Anesthesiology and Emergency medicine, and others in power. The 39-page suit alleges a massive institutional failure and highlights the features in a system where harassment thrives and flourishes.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 2, 2021 Category: Medical Ethics Authors: Alyssa Burgart Tags: Featured Posts Justice professional ethics Professionalism Social Media Misconduct Sexual Assault Sexual Harassment Source Type: blogs

AJOB Webinar: COVID-19 Vaccines and Allocation
Check out the recording of American Journal of Bioethics’ latest webinar on the ethical issues surrounding allocating COVID-19 vaccines. Journal editor David Magnus leads panelists Grace Lee, Kathy Kinlaw, Govind Persad, and Monica Peek in an informative and intriguing conversation. The original webinar was held on February 17th, 9a – 10:15a PT. But this webinar, along with our other webinars can be viewed on AJOB’s youtube channel, found here.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 22, 2021 Category: Medical Ethics Authors: Blog Editor Tags: Clinical Ethics COVID-19 pandemic Featured Posts Public Health Uncategorized Vaccines Webinar Source Type: blogs

Psychedelic Lawyering – Access to Psilocybin
Join Kathryn Tucker for the upcoming CLE course "Psychedelic Lawyering."This course will discuss recent and ongoing advocacy efforts to remove barriers to access to psychedelic substances, including psilocybin. In recent years there has been incre... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 17, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Robert Rivas on Final Exit Network
Radio show host Jane Asher recently interviewed attorney Robert Rivas about the Final Exit Network.Since the mid 1990s, Rivas has dedicated his life to advocacy in the movement for right to death with dignity. Robert is the author of the SADD, the Supp... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 17, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

American Clinicians Academy on Medical Aid in Dying (ACAMAID) – Happy Birthday
February 15, 2021 marks the first anniversary of the American Clinicians Academy on Medical Aid in Dying (ACAMAID).The Academy is the first national organization devoted solely to the clinical aspects of medical aid in dying. For clinicians, ACAMA... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 16, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Vaccine Distribution and Racial Equity
Most Americans know that African-Americans have a significantly lower life expectancy than White Americans. Most of us don’t think through the implications of that disparity. For example, all working people pay into Social Security, but African-Americans are less likely to live long enough to collect it. In this op-ed, published today in the Allentown, PA … Continue reading Vaccine Distribution and Racial Equity (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 16, 2021 Category: Medical Ethics Authors: denasdavis Tags: Health Care syndicated Uncategorized Source Type: blogs

Wrongful Life Lawsuits when Advance Directives Are Disregarded (podcast)
The Good Law | Bad Law podcast hosts attorneys Michael McKeon and Mark Kovacich to discuss wrongful prolongation of life, DNRs, self-determination, and a case in which Mr. McKeon and Mr. Kovacich represented a man whose advance directive was ignored.&n... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 16, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Need Help Getting Your Advance Directive Honored? Get a Surrogate Consultant
Are having trouble getting an Advance Directive honored, for yourself or as a surrogate for another individual? The Final Exit Network offers a "Surrogate Consultant" to review the issue thoroughly with you and go over the Advance Directive. ... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 16, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Hastening Death by Voluntarily Stopping Eating & Drinking – Why Do Some Consider This Option? Why Should They? What Should They Know Before Proceeding?
Judy Schwarz at End of Life Choices New York provides a practical basic introduction to Voluntarily Stopping Eating & Drinking (VSED).Judy is a co-editor on our forthcoming book from Oxford University Press: Voluntarily Stopping Eating an... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 15, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Bioethicists Respond: How Can Medical And Nursing Schools Prepare Students to Respond to The Social And Racial Inequities Created And Worsened by The COVID-19 Pandemic?
by Rachel Fabi, PhD, Vivian V. Altiery De Jesús, MBE, and Liz Stokes, JD, MA, RN In this series we ask bioethicists to respond to a question that embodies current challenges for bioethics, medicine, or health care. In this blog, three bioethicists were asked to share their thoughts on “How can medical and nursing schools prepare students to respond to the social and racial inequities created and worsened by the COVID-19 pandemic?” Here are their responses: Rachel Fabi, PhD As an educator in a medical school who teaches a course on physicians and social responsibility, I have seen a dramatic ...
Source: blog.bioethics.net - February 15, 2021 Category: Medical Ethics Authors: Blog Editor Tags: Education Featured Posts Health Disparities Social Justice Vulnerable Populations #diaryofaplagueyear COVID-19 Source Type: blogs

Video Series: How To Prevent Future Pandemics
First interview in the new  Thinking Out Loud series on ‘Animals and Pandemics’: Katrien Devolder in conversation with Jeff Sebo, Associate Professor of Environmental Studies at NYU, on how our treatment of animals increases the risk of fut... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 15, 2021 Category: Medical Ethics Authors: Katrien Devolder Tags: Animal Ethics Environmental Ethics Health Care Public Health Coronavirus; Pandemic; Ethics; Public Health factory farming International/ Global Health Katrien Devolder Interview Pandemic Ethics syndicated veganism Video Series Yout Source Type: blogs

Nursing Home Residents Are Harmed when Facilities Disregard Advance Directives
In three recent news stories, I described a growing trend of successful court actions against healthcare providers who disregarded advance directives and administered unwanted life-sustaining treatment (New York Times; Boston Globe; Bloomberg Law)... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 15, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Massachusetts Considers Flexible Default Surrogate Bill
Massachusetts is one of ten states with no default surrogate statute. In these states, when an incapacitated patient has no guardian or appointed agent, it is often unclear who is authorized to make treatment decisions on the patent's behalf. A ne... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 14, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Self-Administration Requirement in U.S. MAID Statutes Discriminates against Disabled
Kentucky has joined 15 other states by introducing 2021 legislation to authorize medical aid in dying (MAID) (H.B. 506). But language in the legislative purpose highlights a gap between goal and reality.On the one hand, the legislative findings state t... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 13, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Death and the Brain — Time to Re-Examine the Legal Definition of Death
Join me for this webinar at 15:00 ET on February 25, 2021 - "Death and the Brain — Time to Re-Examine the Legal Definition of Death."The 50th anniversary of the concept of brain death came and went in 2018, but brain death continues to be a source of p... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 13, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Advance Directives – Veterans Health Administration Reveals Assumptions
The Veterans Health Administration published a notice in this week's Federal Register to reauthorize its advance directive and surrogate decision maker forms. The agency is not making any material changes to these forms. But two facts jump out fro... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 13, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Bruce Springsteen: The Latest Celebrity DWI
It was especially disappointing to read about Bruce Springsteen’s recent arrest for suspicion of driving while intoxicated (DWI). Here's hoping the famous rocker will use his arrest to refocus attention on a risky and dangerous behavior that is thoroughly preventable. The post Bruce Springsteen: The Latest Celebrity DWI appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 12, 2021 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care Public Health Bruce Springsteen drunk driving Hastings Bioethics Forum syndicated Source Type: blogs

California Legislature Considers Amending End of Life Options Act
Senator Susan Talamantes Eggman, a key legislator behind enactment of the California End of Life Options Act in 2015, has introduced a bill (S.B. 380) that would amend a range of provisions in the statute. These include the following. Sunset:... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 12, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Nondiscrimination in Involuntary Denial of Treatment Act – West Vrginia
A decade ago, states were considering expanding the ability of clinicians and hospitals to withhold or withdraw treatment deemed medically inappropriate. Today, the trend is in the opposite direction. Following states like Oklahoma and Idaho, the West ... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 11, 2021 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Promoting Exercise through Gamification – Making Physical Activity More Fun?
I don’t know how many coaches told me “no pain, no gain.” I can tell you that as a child and young adult, it was never the pain part of exercise that encouraged me to be active. It was the fun— chasing down a deep ball to left field, juking the other t... (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 11, 2021 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care Choice & Behavior Peter Ubel syndicated Source Type: blogs

Priority Access to COVID-19 Vaccine and American Healthcare
by Susan L. Smith, PhD On either side of our country’s northern border, outrage is brewing about the rich getting priority access to COVID-19 vaccinations.  An extremely wealthy Vancouver couple is being met with scorn after chartering a plane to the Yukon, breaking quarantine regulations, and lying to take advantage of a vaccination clinic that was meant for an indigenous community already hit hard by the pandemic. The University of Rochester Medical Center in New York had to issue a formal apology for moving board members and donors to the front of the line, noting that many “are disappointed by th...
Source: blog.bioethics.net - February 11, 2021 Category: Medical Ethics Authors: Blog Editor Tags: Ethics Featured Posts Global Ethics Health Care Health Disparities Health Policy & Insurance Public Health Social Justice Vaccines Vulnerable Populations #diaryofaplagueyear COVID-19 Covid-19 vaccine Source Type: blogs

Crosspost: Is It Ethical To Quarantine People In Hotel Rooms?
Written by Dominic Wilkinson and Jonathan Pugh,   The UK government announced that from February 15, British and Irish residents travelling to England from “red list” countries will have to quarantine in a government-sanctioned hotel for ten days, at a personal cost of £1,750. Accommodation must be booked in advance, and people will need to have […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - February 11, 2021 Category: Medical Ethics Authors: Jonathan Pugh Tags: Health Care Public Health coronavirus Coronavirus; Pandemic; Ethics; Public Health Current Affairs Dominic Wilkinson's Posts Hotels International/ Global Health Jonny Pugh's Posts medical ethics Pandemic Ethics quarantine Rationing Source Type: blogs