Show Me Your Passport: Ethical Concerns About Covid-19 Antibody Testing as Key to Reopening Public Life
Around the world, governments are looking for safe ways to lift unprecedented restrictions on public activities to curb the spread of Covid-19. So-called immunity passports could be key to the effort to selectively ease restrictions for people presumed to be immune to the virus. But there are scientific and ethical questions to be worked out before they can be deployed. . The post Show Me Your Passport: Ethical Concerns About Covid-19 Antibody Testing as Key to Reopening Public Life appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 5, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care Public Health COVID-19 Covid-19 antibody testing Hastings Bioethics Forum immunity passport reopening the economy syndicated Source Type: blogs

Forced Medical Feeding
By Roger Crisp At a recent New St Cross Special Ethics Seminar Prof. Noam Zohar of the Dept. of Philosophy, Bar Ilan University and a member of Israel’s National Bioethics Council, spoke on ‘Debating Forced Medical Feeding: A Critical Examination of Israeli Responses to Hunger Strikes’. He began by setting his argument in the context of recent […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 5, 2020 Category: Medical Ethics Authors: Roger Crisp Tags: Clinical Ethics Health Care Politics bioethics Critical Care Current Affairs End of life decisions forced feeding hunger strikes Israel prison ethics Roger Crisp's Posts syndicated Uncategorized Source Type: blogs

Following the Science Without Forgetting Values
Written by Stephen Rainey It is presently feared that ‘lockdown’ may be beginning to fray at the edges, as people tire of their restrictions. From the start of the emergency, discussion focussed upon the ability of the public to stay the course where restrictions were at stake. This neatly ignores the public’s being ahead of […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 5, 2020 Category: Medical Ethics Authors: Stephen Rainey Tags: Health Care Justice Politics COVID-19 governance law policy political legitimacy public discourse responsibility syndicated transparency Uncategorized values Source Type: blogs

Bioethics and the Study of Health Care Economics
A recent Technology Review article by Peter Dizikes featured a review of the academic work of Dr. Amy Finkelstein, an MIT economics professor who arguably has changed the way we understand the economic impact of health insurance. Though not the primary focus of her work, her results have also led to a better understanding of … Continue reading "Bioethics and the Study of Health Care Economics" (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 5, 2020 Category: Medical Ethics Authors: Mark McQuain Tags: Health Care Allocation / Access / Public Health bioethics Health Care Practice syndicated Source Type: blogs

New Jersey Denies Petition to Identify All Physicians Who Provide MAID
In late December 2019, real estate broker Abraham Sharaby petitioned the New Jersey Board of Medical Examiners to indicate whether a physician has participated in the Medical Aid in Dying for the Terminally Ill Act as part of the website profile that t... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 5, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Ethical Medicine Means Getting Political
Dilemmas that clinicians face in the coronavirus pandemic–who gets the ventilator, the 80-year-old grandmother or the 20-year-old student?–are the bread and butter of mainstream bioethics. In medical school, my classmates and I memorized the four principles (beneficence, nonmaleficence, justice, and autonomy), which we were told would help us make hard clinical decisions in ethically ambiguous terrain. But Covid-19 shows that medical ethics means much more than what generally falls under bioethics. Medical ethics is deeply political, and to act ethically in medicine means engaging the larger context in which it...
Source: blog.bioethics.net - May 4, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care bioethics climate change COVID-19 Hastings Bioethics Forum racism social determinants syndicated Source Type: blogs

COVID-19 and the Vulnerable
April 2020 is over and not a moment too soon.  As we enter May, it is reported that over 60,000 people in America have died of COVID-19.  There is a measure of relief that some of the most dire predictions of ICU hospitalizations and deaths have not materialized. As many have suggested, a good dose … Continue reading "COVID-19 and the Vulnerable" (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 4, 2020 Category: Medical Ethics Authors: Neil Skjoldal Tags: Health Care Allocation / Access / Public Health bioethics Culture / Ethnicity / Gender / Disability human dignity Medical Decision Making syndicated Source Type: blogs

Washington v. Glucksberg: Has the Supreme Court Overruled its Decision on Medical Aid in Dying?
Has the U.S. Supreme Court overruled Washington v. Glucksberg, its 1997 decision on Medical Aid in Dying? Ronald Turner has the answer in the new issue of the Duke Journal of Constitutional Law & Public Policy. Turner explains, "In Washington v. Glucksberg, the Court held that an asserted right to physician-assisted suicide is not a fundamental liberty interest protected by the clause because it is not a right deeply rooted in this nation's history and tradition." "More recently, in Obergefell v. Hodges, the Court held that state laws prohibiting same-sex marriage violated the Due Process Clause. In so h...
Source: blog.bioethics.net - May 4, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Appellate Court Affirms Criminal Conviction for Violating MAID Law
In late April 2020, the Criminal Appeal and Review Chamber of the Geneva Court of Justice issued a judgment affirming the October 2019 sentencing of physician Pierre Beck for violating the Swiss law on medical aid in dying. In 2017, Beck assisted an o... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 4, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Causes of Death Coding in COVID-19 Pandemic
Reporting causes of death is an important function in our society, and involves a number of people in completing each death certificate: Pronouncer of death – may be a physician Certifier of death – usually a physician; assigns cause of death Funeral director – completes the demographic information, next of kin, and burial information portions … Continue reading "Causes of Death Coding in COVID-19 Pandemic" (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 3, 2020 Category: Medical Ethics Authors: D. Joy Riley Tags: Health Care Allocation / Access / Public Health bioethics Cause of Death COVID-19 Death Certificates Health Care Practice syndicated Vital Statistics WHO Source Type: blogs

‘Immunity passports’ could be doomed by false-positive antibody tests (Washington Post)
Antibody testing has accelerated in the United States in recent weeks: In one prominent study, for example, involving some 3,000 New Yorkers, roughly 14 percent of state residents were found to have been exposed to the virus — and 1 in 5 in New York City. Some proponents of such tests believe they could pave […] The post ‘Immunity passports’ could be doomed by false-positive antibody tests (Washington Post) appeared first on Peter Ubel. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 1, 2020 Category: Medical Ethics Authors: peter Tags: Health Care Behavioral Economics and Public Policy Peter Ubel syndicated Source Type: blogs

Community Perspective on Potentially Inappropriate Treatment
The ethics and critical care folks at UCLA have yet another article (in the Annals of the ATS) in their growing series exploring the causes and solutions to conflicts over potentially inappropriate treatment. The authors note that although lay-people are acknowledged as important stakeholders, their perceptions and understanding of the terms “potentially inappropriate” or “futile” treatment have received little formal evaluation. So, they convened focus group discussions. The authors found that community members found the concepts “futile" and “inappropriate” treatme...
Source: blog.bioethics.net - May 1, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Ethical Responsibility in Publishing Research Results on Covid-19 Treatments
There is little doubt about the urgent need for Covid-19 treatment. But premature publication of definitive recommendations based on inappropriate conclusions grounded in scant, hastily-acquired data serve only at best to confuse and at worst mislead at a time when tensions are high and need for help is great. The post Ethical Responsibility in Publishing Research Results on Covid-19 Treatments appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 30, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Ethics Health Care Clinical Trials and Human Subjects Research COVID-19 evidence Hastings Bioethics Forum scientific publishing syndicated Source Type: blogs

Reinstate the Patient Self Determination Act
In light of a renewed emphasis on advance care planning during the COVID-19 pandemic, it seems odd that USDHHS has waived healthcare facility duties under the Patient Self Determination Act. Normally, the Patient Self-Determination Act requires healthcare facilities:To inform patients of their legal right to accept or refuse medical treatment. To advise patients of their rights under state law to document their end-of-life care preferences in an advance directive, if they can no longer speak for themselves. To share their written policies respecting the implementation of such rights. In response, Compassion & Choices h...
Source: blog.bioethics.net - April 30, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Clinical Trials vs. Right to Try: Ethical Use of Chloroquine for Covid-19
Double-blind randomized clinical trials are the gold standard for answering the scientific question of whether a drug produces any effect, positive or negative, in Covid-19 patients. But is rational for a patient to choose to try a drug such as chloroquine for Covid-19 outside of a trial? Some patients may correctly hold that they have little to lose. The post Clinical Trials vs. Right to Try: Ethical Use of Chloroquine for Covid-19 appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 29, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care Research Ethics chloroquine Clinical Trials and Human Subjects Research COVID-19 equipoise Hastings Bioethics Forum hydroxychloroquine right to try syndicated Source Type: blogs

No ventilator, not for me!
  We are all obsessed with ventilators.  The Covid-19 pandemic has created an extraordinary focus on the availability of ventilators.  Ventilators seem to feature in every one of New York State Governor Cuomo’s daily briefings.  The Governor of California kindly shipped some ventilators to New York, but faced backlash among some of his own constituents, … Continue reading No ventilator, not for me! (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 29, 2020 Category: Medical Ethics Authors: denasdavis Tags: Health Care syndicated Uncategorized Source Type: blogs

Happy 90th Birthday Derek Humphry
The journalist, author, and right-to-die campaigner Derek Humphry was born in Bath, England on this day (April 29) in 1930. Happy 90th birthday. (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 29, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Brain Death – RUDDA Is Only Part of the Solution
Today, clinical ethicists Bryan Kibbe and Jordan Potter published a letter to the editor, commenting on our recent proposal for a Revised Uniform Determination of Death Act (RUDDA). (See also our shorter version in Annals Internal Med.) Kibbe and... (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 29, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

When to Reopen the Nation is an Ethics Question —Not Only a Scientific One
As the world reels from the Covid-19 pandemic, two things have become very clear: the health impacts of the disease are devastating, but the aggressive social distancing policies currently being used to flatten the curve also have serious costs. As a result, the question of when and how to reopen the nation is on everyone’s mind. Do we open quickly in an effort to kick-start the economy? Or do we remain under lockdown as long as possible to stop the spread of the virus? The post When to Reopen the Nation is an Ethics Question—Not Only a Scientific One appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 28, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Ethics Health Care COVID-19 Hastings Bioethics Forum reopening the economy syndicated Source Type: blogs

Video Series: Do Health and Social Care Workers Have a Moral Obligation to Keep Working if they Lack Protective Equipment?
This interview is now also available as a video on YouTube: (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 28, 2020 Category: Medical Ethics Authors: Katrien Devolder Tags: Health Care professional ethics Coronavirus; Pandemic; Ethics; Public Health Katrien Devolder Interview Pandemic Ethics syndicated Video Series Youtube interview Source Type: blogs

Medically Vulnerable Clinicians and Unnecessary Risk during the COVID-19 pandemic
by Annie Janvier, MD, PhD and John D. Lantos MD The COVID-19 crisis has been compared to war. Providers are being drafted. Around the globe, retired clinicians are volunteering. Decisions about who should serve require complex moral choices. Older males are at highest risk. When high-risk providers get seriously ill, they too need hospital beds and/or ventilators. Some high-risk providers insist that the only virtuous thing to do is to serve on the “COVID-front”; that is a misreading of what virtue requires.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 28, 2020 Category: Medical Ethics Authors: John Lantos Tags: Editorial-AJOB Featured Posts Medical Humanities professional ethics Professionalism Public Health #covid19 #diaryofaplagueyear COVID-19 Source Type: blogs

Thaddeus Mason Pope Receives Fulbright U.S. Scholar Award to Canada for Comparative End-of-Life Law and Policy Research
Here is a press release on my recent Fulbright award. Between January and May 2021, I will serve as the Fulbright Canada Research Chair in Health Law, Policy and Ethics at the University of Ottawa. (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 27, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Religion During the Coronavirus Pandemic: Islamic Bioethical Perspectives
Congregational rituals of religious communities around the world have attracted attention for their possible threat of spreading the coronavirus. Negative Media coverage has generally depicted members of religious communities as more or less “reckless” groups whose “fanatic” convictions can make them harm others from inside or outside their religious traditions. However, what hasn’t been discussed is how this issue should be approached as a complex bioethical issue that concerns people worldwide. With the beginning of Ramadan, paying attention to the nuances and complexities of this issue beco...
Source: blog.bioethics.net - April 27, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 global health Hastings Bioethics Forum Islam pandemic religious perspectives syndicated Source Type: blogs

Interview Series: Do Health and Social Care Workers Have a Moral Obligation to Keep Working if they Lack Protective Equipment?
    Philosopher Udo Schüklenk argues that it is morally permissible for doctors, nurses and other care workers to stop working if they lack PPE (personal protective equipment).  To listen to the interview, follow this link to the podcast: https://podcasts.apple.com/gb/podcast/is-it-morally-permissible-for-healthcare-workers-to/id1509190881?i=1000472576406   (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 27, 2020 Category: Medical Ethics Authors: Katrien Devolder Tags: Health Care Audio Files coronavirus COVID-19 Katrien Devolder Interview Pandemic Ethics podcasts syndicated thinking out loud Uncategorized Source Type: blogs

New York Expands Organ Donor Law to International Reciprocity
In late April 2020, New York enacted an amendment (S.6941) to its organ donation statute that expands what counts as a "document of gift." Traditionally, "document of gift" has included: Organ donor card Whole body donor card Driver's license author... (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 26, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

End-of-Life Dreams & Visions – A Conversation with Christopher Kerr, MD, PhD, and Carine Mardorossian, PhD, on Death is But a Dream: Finding Hope and Meaning at Life ’ s End Interview by Sebastian C. Galbo
[read more] (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 24, 2020 Category: Medical Ethics Authors: GalN Tags: Health Care A Different Take syndicated Source Type: blogs

How Should Healthcare Leaders Respond to Coronavirus Lockdown Protests?
by Daniel W. Tigard, Ph.D. In recent days, an increasing number of individuals have disobeyed policies restricting mass gatherings to rally in support of government officials reopening the state and the country. Such protests have been fueled by conspiracy theorists like Alex Jones and other public figures who claim that the lockdowns, which are intended to decrease the spread of COVID-19, are schemes aimed at disrupting the economy and undermining Trump’s presidency. Notably, Trump too has voiced support for easing the lockdown restrictions, particularly in states led by Democratic governors.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 24, 2020 Category: Medical Ethics Authors: Daniel Tigard Tags: Featured Posts Professionalism Public Health #covid19 #diaryofaplagueyear activism COVID-19 Source Type: blogs

Pandemic Ethics: Extreme Altruism in a Pandemic
Written by Julian Savulescu and Dominic Wilkinson Cross-posted with the Journal of Medical Ethics blog Altruism is one person sacrificing or risking his or her own interests for another’s interests. Humans, like other animals, have a tendency towards altruism. This is usually directed to members of their own group. An example is donating a kidney […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 24, 2020 Category: Medical Ethics Authors: Julian Savulescu Tags: Health Care Research Ethics Dominic Wilkinson's Posts Julian Savulescu's Posts Pandemic Ethics regulation syndicated Source Type: blogs

UK Court of Protection Authorizes " Ceiling of Care " over Mother ’ s Objections
In late March, the UK Court of Protection granted a "medical futility" declaration sought by University Hospitals Bristol NHS Foundation Trust. The patient is "ED," an incapacitated 35-year-old woman. The declaration was opposed by ED's moth... (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 24, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

“The Science” and Moral Judgments
Some common mislocutions are simply insufferable.  One is, “It’s in my/our DNA,” implying that a commitment or habit or practiced behavior is genetically hard-wired.  No, it isn’t. Another is, “I/we will follow the science” to make judgments.  If by this is meant, “I will face facts rather than engage in wishful thinking,” then hear, hear.  … Continue reading "“The Science” and Moral Judgments" (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 24, 2020 Category: Medical Ethics Authors: Jon Holmlund Tags: Health Care Allocation / Access / Public Health syndicated Source Type: blogs

Immigrants, Health Inequities, and Social Citizenship in Covid-19 Response and Recovery
The novel coronavirus pandemic has starkly revealed the vulnerabilities of low-wage immigrants, immigrant-led households, and immigrant communities to coronavirus infection, severe Covid-19 illness, and economic fallout from pandemic. This public health emergency compounds pre-existing social inequalities and resulting health inequities associated with immigrant status and immigration policy priorities. Structural barriers to health care access and… Read more The post Immigrants, Health Inequities, and Social Citizenship in Covid-19 Response and Recovery appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 24, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 Hastings Bioethics Forum immigrant health social citizenship syndicated Undocumented Patients Source Type: blogs

MAID and Religiously Affiliated Providers
I am delighted to in the first video interview from the newly-formed American Clinicians Academy on Medical Aid in Dying (ACAMAID).I speak with physicians Barbara Morris and Lonny Shavelson. This interview focuses on the significance of a re... (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 23, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

The Value and Ethics of Using Technology to Contain the COVID-19 Epidemic
by Alex Dubov, Ph.D. and Steven Shoptaw, Ph.D. Introduction As the world grapples with COVID-19, experts are calling for better identification and isolation of new cases. In this paper, we argue that these tasks can be scaled up with the use of technology. Digital contact tracing can accelerate identifying newly diagnosed patients, instantly informing past contacts about their risk of infection, and supporting social distancing efforts. Geolocation data can be used to enforce quarantine measures. Social media data can be used to predict outbreak clusters and trace the spread of misinformation online.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 23, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Featured Posts Informed Consent Privacy Public Health Technology #covid19 #diaryofaplagueyear contact tracing COVID-19 Source Type: blogs

On Being a Doctor and a Human in the Pandemic: Connection and Vulnerability
By Amy Blair With each passing 24 hours, my roles of physician and physician educator and mother (and human of the planet Earth) have been taxed in complex ways. The problem-solving demands are intense and the solutions often feeble, weakened by uncertainty, if not paralyzed. It feels as if the rug were pulled out from […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 23, 2020 Category: Medical Ethics Authors: reflectivemeded Tags: Health Care syndicated Uncategorized Source Type: blogs

The Covid Threat No One Is Talking About: Wearing Scrubs in Public
The Covid-19 outbreak has forced health care providers, administrative officials, and the general public to each play their part in doing no harm to others. It may come as a surprise to many people, but health care workers may unknowingly spread Covid-19 in their communities simply by wearing scrubs in public. The post The Covid Threat No One Is Talking About: Wearing Scrubs in Public appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 23, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 Hastings Bioethics Forum Health and Health Care syndicated Source Type: blogs

Life, Liberty and the Pursuit of Ventilators
by Craig Klugman, Ph.D. We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Ventilators. In the last few months, the public airwaves, social media, and the internet have been buzzing about having enough ventilators to support COVID-19 patients. Bioethicists and physicians have worked alongside administrators and elected officials to craft hospital and regional allocation policies in case there are not enough ventilators going around.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 22, 2020 Category: Medical Ethics Authors: Craig Klugman Tags: End of Life Care Featured Posts Health Disparities Health Regulation & Law Politics Public Health #covid19 #diaryofaplagueyear COVID-19 ventilators Source Type: blogs

Supreme Court Approves Advance Requests for Euthanasia
The Supreme Court of the Netherlands has approved an advance request for euthanasia. BACKGROUND FACTS In 2015, a 70-year-old Dutch woman completed an advance directive requesting euthanasia when her dementia advanced. She had seen others (including h... (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 22, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs