Shared Decision Making with Pediatric Medications
by Amy C. Reese, Pharm.D. My pharmacy received a prescription for prednisolone solution written for a 5-year-old patient. We only had the manufacturer of prednisolone with 5% alcohol in it as a solvent. I did not want to deny the child medication, but I was hesitant about giving medication with alcohol to a child because some people are strictly opposed to the practice of giving children alcohol. When the mother arrived at the pharmacy, I explained the situation to her and told her what her options were.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - July 6, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Featured Posts Informed Consent Pediatrics Pharmaceuticals professional ethics Professionalism pharmacist pharmacy Source Type: blogs

Quadriplegic Michael Hickson ’s Death Spotlights Questions of Disability, Race and Family
The Washington Post has compelling coverage  of the Austin, Texas case in which clinicians withdrew life-sustaining treatment from Michael Hickson over the objections of his wife and apparently on the basis of his unrelated disabilities. Yet, per... (Source: blog.bioethics.net)
Source: blog.bioethics.net - July 6, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Iowa Enacts Strongest Simon ’ s Law in the World – Parents May Demand Futile Treatment
A growing number of states have enacted Simon's Law over the past four years (e.g. AZ, KS, MO). They take different forms. Some require only that parents be informed that clinicians plan to write a DNR order for a child. Others prohibit writing the ord... (Source: blog.bioethics.net)
Source: blog.bioethics.net - July 5, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Surreal Times
Happy Independence Day to all our readers!  Vacation time for our family means spending some time at a cottage in a northern state, and often includes early July, which is the case this year.  It occasions a simpler life, punctuated with small town activities.  One of those activities has been the 4th of July parade.  … Continue reading "Surreal Times" (Source: blog.bioethics.net)
Source: blog.bioethics.net - July 4, 2020 Category: Medical Ethics Authors: D. Joy Riley Tags: Health Care bioethics COVID-19 Independence Day New York syndicated Source Type: blogs

Final Exit Network – Hastening Death with Inert Gas
Here is a terrific video that explains how Final Exit Network works to provide a non-medical end-of-life last resort exit option. FEN is an end-of-life organization that was founded in 2004. Their core service is screening and advising clients on how ... (Source: blog.bioethics.net)
Source: blog.bioethics.net - July 4, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Avoiding Ineffective End-of-Life Treatment: A Lesson from Triage
Stephen Latham has a brief insightful commentary in the May/June 2020 Hastings Center Report noting that the recent focus on hospital triage issues dramatically highlights the extent to which we are still doing end-of-life medicine badly. Latham observes that typical triage policy "has teeth—saves resources and lives—only if the regular practice of hospitals outside pandemic emergency is to offer intensive and invasive treatment to patients who, in the judgment of their treating physicians, will not survive that treatment." And "it is the practice of hospitals to offer su...
Source: blog.bioethics.net - July 3, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Last Rights: The Case for Assisted Dying
Sarah Wootton and Lloyd Riley of the campaign group Dignity in Dying have just published Last Rights: The Case for Assisted Dying.  They argue that our laws and culture governing death and dying need radical reform and present a vision of what dy... (Source: blog.bioethics.net)
Source: blog.bioethics.net - July 2, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Social-Change Games Can Help Us Understand the Public Health Choices We Face
Before there was the Covid-19 pandemic, there was Pandemic. This tabletop game, in which players collaborate to fight disease outbreaks, debuted in 2007. Expansions feature weaponized pathogens, historic pandemics, zoonotic diseases, and vaccine development races. Game mechanics modelled on pandemic vectors provide multiple narratives: battle, quest, detection, discovery. There is satisfaction in playing “against” disease–and winning. Real pandemic is not as tidy as a game. But can games support understanding about the societal challenges we now face? Yes. The post Social-Change Games Can Help Us Understa...
Source: blog.bioethics.net - July 1, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Ethics Health Care Public Health COVID-19 Hastings Bioethics Forum Pandemic game Pandemic Planning social-change games syndicated Source Type: blogs

618 Californians Get End of Life Option Act Prescriptions in 2019
A new report from the California Department of Public Health shows that physicians wrote 618 prescriptions under the End of Life Option Act in 2019. 405 died after ingesting the drugs.   The demographic features of these terminally ill, adul... (Source: blog.bioethics.net)
Source: blog.bioethics.net - July 1, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

North Carolina Hospital Sued for Unilateral DNR Order
Before undergoing a procedure at Alamance Regional Medical Center in central North Carolina, Henry Wyer was “full code/CPR.” But in a new lawsuit his family alleges that the hospital directed a DNR for Wyer without “adequate signed paperwork.” (Source: blog.bioethics.net)
Source: blog.bioethics.net - July 1, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

The Urge to Destroy is Also a Creative Urge
Written by Neil Levy Statues are the latest front in our ongoing culture wars.  Symbolism (as all sides agree) is not the be all and end all of politics, but it does matter. Those who want the statues to fall argue that they are harmful, because they commemorate racists (and worse) and thereby contribute to […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 30, 2020 Category: Medical Ethics Authors: Neil Levy Tags: Health Care Neil Levy's Posts syndicated Source Type: blogs

Support missouri medicaid expansion
Register by July 8 to Cast Your Vote on August 4 BallotOn Tuesday, August 4th, voters in Missouri will have the opportunity to vote on a ballot measure called Amendment 2, which amends the Missouri Constitution to “adopt Medicaid Expansion for persons 19 to 64 years old with an income level at or below 133% of the federal poverty level.” Your vote is critical.The referendum prohibits making eligibility requirements more strict for the expanded group than what the more limited group faces. It requires state agencies to maximize funding received from the federal government for expanding Medicaid in Missouri, maki...
Source: blog.bioethics.net - June 29, 2020 Category: Medical Ethics Authors: Practical Bioethics Tags: Health Care #YesOn2 syndicated yes on 2 Source Type: blogs

Accepting the Challenge: Covid Vaccine Challenge Trials Can Be Ethically Justified
The Covid-19 pandemic is unlikely to end until there is a safe, effective, and widely distributed vaccine. How soon can researchers achieve this goal? The answer largely depends on which strategies researchers are willing to adopt. One potential strategy is to conduct human challenge studies, in which researchers give an experimental vaccine to healthy volunteers and then test—or “challenge”—the vaccine by purposely exposing volunteers to the virus. Although a growing number of voices are calling on researchers to employ this strategy, the proposal is generating a heated debate about the ethics of s...
Source: blog.bioethics.net - June 29, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care Research Ethics COVID-19 global health Hastings Bioethics Forum human challenge trials risk syndicated Source Type: blogs

Rhodes Must Fall: Oxford ’s Institutional Response
Written by Ben Davies I recently watched an excellent panel discussion, ‘Statues, Slavery and the Struggle for Equality’ with Labour MP Dawn Butler, historian David Olusoga, philosopher Susan Neiman, chaired by writer Yassmin Abdel-Magied. The discussion was wide-ranging but, as the title suggests, included a focus on the recent resurgence of demands to remove various […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 29, 2020 Category: Medical Ethics Authors: Ben Davies Tags: Ethics Health Care Current Affairs syndicated Source Type: blogs

It Should Scare Us That Tuition Is A Tiny Amount Of Medical School Revenue
The contribution of tuition towards medical school revenue is a tiny fraction of what it once was. How this harms the academic mission of medical schools, especially during the pandemic. The post It Should Scare Us That Tuition Is A Tiny Amount Of Medi... (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 29, 2020 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care health policy Peter Ubel syndicated Source Type: blogs

Unwanted Life-Sustaining Treatment Lawsuit – California Appeals Court Briefed
Patricia Melton directed clinicians at Hollywood Presbyterian Hospital and its affiliated long-term care facility (CHA Health Systems) to stop ventilatory support for her critically ill husband actor Dennis Lipscomb. But the facility delayed complying ... (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 29, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Running to Tarshish
The New York Times corroborated something I have long thought to be true: no one who has suffered from the novel coronavirus in America has been denied a respirator due to scarcity.  That being said, why has so much energy and rhetoric been spent on the topic of ventilator triage?  Ventilator scarcity and the looming … Continue reading Running to Tarshish (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 28, 2020 Category: Medical Ethics Authors: denasdavis Tags: Health Care syndicated Uncategorized Source Type: blogs

ASBH 22nd Annual Conference
The American Society for Bioethics and Humanities will hold its 22nd Annual Conference virtually rather than in Baltimore, from October 12-18, 2020. Join me (and Art Derse, Paul Lombardo, and Valerie Gutmann, Koch) for our annual Top 10 Legal Develop... (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 28, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Medical Aid in Dying – for Dementia
Many individuals want to avoid living in late stage dementia. But medical aid in dying (MAID) is not an exit option that can help in the United States. Every U.S. MAID jurisdiction requires that to make a MAID request the individual must both (1) have ... (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 27, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Council of Europe Committee on Bioethics Strategic Action Plan on Human Rights and Technologies in Biomedicine
The Council of Europe Committee on Bioethics has released a 2020-2025 Strategic Action Plan on Human Rights and Technologies in Biomedicine. (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 26, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Cracks in the System: Lessons Learned from the Covid-19 Pandemic
The United States leads the world in coronavirus cases and deaths. Although many people have called out the inadequacies of our health care system, Covid-19 has exposed the most significant shortcomings. The need for change can no longer be ignored. Here are three lessons from this pandemic that should be leveraged for change. The post Cracks in the System: Lessons Learned from the Covid-19 Pandemic appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 26, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 guaranteed health care Hastings Bioethics Forum Health and Health Care Health Care Reform & Policy health inequities Pandemic Planning racism syndicated Source Type: blogs

Pandemic Priorities in the Face of Uncertainty
Last week, this space on this blog addressed concerns about overconfidence in judgments about the COVID pandemic, and intimated that some humility is in order, especially on the part of the experts doing the advising and opining. Now turn the perspective around—humility is in order on the part of us non-experts, receiving and reacting to … Continue reading "Pandemic Priorities in the Face of Uncertainty" (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 26, 2020 Category: Medical Ethics Authors: Jon Holmlund Tags: Health Care Allocation / Access / Public Health syndicated Source Type: blogs

Cruzan v. Director, Missouri Department of Health – 30th Anniversary
Thirty years ago, today, the U.S. Supreme Court issued its decision in Cruzan v. Director, Missouri Department of Health. The court upheld Missouri's heightened evidentiary standard when a surrogate makes decisions about life-sustaining treatment... (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 25, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Befriending My Veteran Health Partner
By Linda Nguyen When I began medical school, I signed up to volunteer with Veteran Health Partners (VHP), an organization that pairs medical students with veterans in the Recreational Control Facility (RCF) of the local Veteran Affairs (VA) Hospital. Veterans in the RCF unit have conditions ranging from spinal cord injuries to paraplegia, many of […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 24, 2020 Category: Medical Ethics Authors: reflectivemeded Tags: Health Care syndicated Uncategorized Source Type: blogs

National Healthcare Decisions Day 2.0
In the future, those of us who survive 2020 will use words like “scary,” and “uncontrollable” in describing this pandemic year. But right now, you can control one very important aspect of your life – the end of your life. I’m not being flippant. It’s true.Due to the pandemic, National Healthcare Decisions Day (NHDD), which is always the day after Tax Day, is doing a reboot or a second round – a 2.0. Since Tax Day was moved to July 15, NHDD is moving to July 16. NHDD has always used the “death and taxes” slogan to remind people to complete or review their advance c...
Source: blog.bioethics.net - June 24, 2020 Category: Medical Ethics Authors: Practical Bioethics Tags: Health Care advance care directives bioethics National Healthcare Decisions Day (NHDD) syndicated Source Type: blogs

“If the virus doesn’t kill us, the stress and anxiety will.” Immigrants during Covid
Growing isolation, financial challenges and disease burden during the Covid-19 pandemic threaten to worsen the mental health needs of the entire U.S. population. These challenges are heightened among immigrants with untreated chronic mental health conditions as they experience added psychological distress owing to harsh immigration policies and worsening structural barriers to health during the pandemic. The post “If the virus doesn’t kill us, the stress and anxiety will.” Immigrants during Covid appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 24, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 DACA Deferred Action for Childhood Arrivals Hastings Bioethics Forum immigrants mental health Psychiatry and Mental Health syndicated Undocumented Patients Source Type: blogs

Research LLM Fellowships at Center for Health Law, Policy, and Ethics
Here some funded LLM Positions in Health Law, Ethics and Policy starting September 2020 or January 2021. Professors Jennifer Chandler, Vanessa Gruben, Colleen Flood, and Marie-Eve Sylvestre are recruiting Centre Fellows who would like to complete their LLM with the Centre on topics associated with the Centre’s funded research programs. Legal Definition of Death in an Age of Techno-Scientific Change – As we learn more about the physiology of the dying process (cessation of circulatory and brain function), and as resuscitation and life-sustaining technologies change, do legal definitions of death need to cha...
Source: blog.bioethics.net - June 24, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Texas Law Reduces Secret, Unilateral DNR Orders
Houston medical malpractice attorney Robert Painter writes that a 2017 amendment to the Texas Advance Directives Act seems to have chilled hospitals from writing DNR orders without patient/family consent or consultation. Referencing, S.B. 11... (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 23, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Bringing Ethics into the Global Coronavirus Response
Covid-19 is a matter of public and global health ethics, and the pandemic is currently accelerating cooperation within and contributions from these fields. A meeting on June 27, hosted by the European Union and Global Citizen, is the latest example another global pledging event on June 27, will include governments and large institutions, as well as individuals and communities worldwide. The post Bringing Ethics into the Global Coronavirus Response appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 22, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care Coronavirus Global Response COVID-19 European Union German Public Health Competence Network Covid-19 global health Hastings Bioethics Forum syndicated World Health Organization Source Type: blogs

Prevalence of Advance Directives Is Up
The global analytics firm Gallup reports that the percentage of Americans with an advance directive is up 5% across all ages except those under 30. Interestingly, the same study shows high public support for medical aid in dying and even higher suppor... (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 22, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Sealed in!By Dr. P Ravi Shankar
[read more] (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 22, 2020 Category: Medical Ethics Authors: GalN Tags: Health Care Current Topics syndicated Source Type: blogs

DNR: Guide for Understanding Your Rights and Challenging Decisions
Learning Disability England and Turning Point have developed a terrific Guide to help people with learning disabilities, their families, and support staff understand DNRs. The Guide should help people know their rights and enable them to challenge doctors if DNRs are put in place when they shouldn’t be. The guide includes a checklist about how to challenge DNRs and template letters for challenging or getting doctors to help. (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 21, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs