Why I Don ’t Support Age-Related Rationing During the Covid Pandemic
Some bioethicists support age-related rationing of ventilators during the Covid-19 pandemic as a way to save the most lives. But that goal might be better realized without strict age cutoffs. The post Why I Don’t Support Age-Related Rationing During the Covid Pandemic appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 18, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care aging COVID-19 Hastings Bioethics Forum medical rationing syndicated Source Type: blogs

Fitting the Just War Theory to the Fifth Domain: Is Cyberwarfare Any More Ethical?
STUDENT VOICES | CHYNN PRIZE FIRST-PLACE WINNER By Ray Tischio In light of completing my International Studies thesis on nation-state cyber conflict this semester, I have given a lot of thought to the ethical component of this subject throughout the last few months. Although ethics was not something my thesis particularly addressed, I often found […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 18, 2020 Category: Medical Ethics Authors: Ethics and Society Tags: Ethics Health Care Chynn Prize conflict cyber cyber warfare Fordham University Center for Ethics Education Fordham University Student Voices history Just War Theory justifiable war morality philosophy syndicated Uncategorized Source Type: blogs

Transcript: Re-Opening the Nation: Privacy, Surveillance and Digital Tools for Contact Tracing
[00:00:09] Hello and welcome to Reopening the Nation Hastings Center, a conversation about the next steps forward in the coveted 19 pandemic. We’re so pleased to have with us today. Ryan, Kalo, Ed Felten and Mildred Solomon. We’re hoping for strong audience participation. So please do us questions by typing them into the Q&A box… Read more The post Transcript: Re-Opening the Nation: Privacy, Surveillance and Digital Tools for Contact Tracing appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 18, 2020 Category: Medical Ethics Authors: Mark Cardwell Tags: Health Care syndicated Uncategorized Source Type: blogs

VSED – An Important Alternative to MAID
Medical aid in dying is available in only a handful of jurisdictions. In contrast, VSED is widely available. Moreover, even in those jurisdictions that have affirmatively legalized MAID, not everyone who wants the option is eligible. So, VSED remains an important option even in MAID jurisdictions. Unfortunately, MAID advocates often inaccurately characterize VSED. For example, take Ronald Deprez, one of the first individuals to use MAID in Maine. Hhis daughter reports that had he been unable to obtain MAID, her father "would have considered what’s known as VSED. . . . He would have starved himself to deat...
Source: blog.bioethics.net - May 18, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Bioethics and Dealing with the COVID-19 Pandemic
Graphic: : St Roch Ministering to Plague Victims, by Jacopo Tintoretto (Italian, 1518-1594)Yes, there is science. Yes, there are politics. Yes, there are laws to obey. Yes, there is religious doctrine. Yes, there is public opinion. And yes, t... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 17, 2020 Category: Medical Ethics Authors: Maurice Bernstein, M.D. Tags: Health Care syndicated Source Type: blogs

Cassandra Callender, Forced to Undergo Chemo, Dies at 22
Cassandra Callender, who was forced by Connecticut courts as a teenager to undergo chemotherapy for cancer, has died at age 22. When she was 17, Cassandra and her mother refused treatment for her Hodgkin's lymphoma. This form of cancer has a high cure... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 17, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Making Medical Treatment Decisions for Unrepresented Patients in the ICU – An Official American Thoracic Society / American Geriatrics Society Policy Statement
Conclusions: This multi-society statement provides guidance for clinicians and hospital administrators on medical decision-making for unrepresented patients in the critical care setting. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 16, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

#WeAreEssential: Why Disabled People Should Be Appointed to Hospital Triage Committees
There's a long history of conflict between the institution of medicine, bioethics, and the disability community. With Covid-19 disproportionately affecting people with disabilities, we must do everything we can to avoid a triage decision-making process that pushes disabled people to the side. One important action is to appoint people with disabilities, and especially those of color, to hospital triage committees. To our knowledge, no hospital or state crisis standards of care protocol mandates this kind of representation. The post #WeAreEssential: Why Disabled People Should Be Appointed to Hospital Triage Committees appea...
Source: blog.bioethics.net - May 15, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 disability disabled people Hastings Bioethics Forum hospital triage syndicated vulnerability Source Type: blogs

Duke Alumni Magazine Feature: Sick to Debt
The Duke Alumni Magazine just published a Q and A about my new book, Sick to Debt. Here was the picture accompanying that article. Y’all agree that this should have been the “author photo” on the back cover? Link to the Q & A: https://alumni.duke.edu/magazine/articles/qa-business-public-policy-and-medicine-professor-peter-ubel-medicine-and-health The post Duke Alumni Magazine Feature: Sick to Debt appeared first on Peter Ubel. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 15, 2020 Category: Medical Ethics Authors: peter Tags: Health Care Peter Ubel syndicated Uncategorized Source Type: blogs

Medical Futility in Texas Federal Court – New Attack on Texas Advance Directives Act Constitutionality
One constitutional attack on TADA (by the family of Tinslee Lewis) is still pending before the Second Texas Court of Appeals. This month, a second case was filed in the U.S. District Court for the Southern District of Texas, Ohakweh v. Harris Health. ... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 15, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Optimizing Advance Healthcare Directives to Ensure Patient Safety During a Pandemic
Join me and Ferdinando Mirarchi on June 9, 2020 for this CLE program "Optimizing Advance Healthcare Directives to Ensure Patient Safety During a Pandemic." This program will help attorneys understand best practices for advanced healthcare directives a... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 15, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

A Covid-19 Side Effect: Virulent Resurgence of Ageism
Of all the “isms,” ageism is arguably the hardest to address because old age neither a valued stage of life nor an identity that many claim. The coronavirus pandemic may have made that effort even harder. The post A Covid-19 Side Effect: Virulent Resurgence of Ageism appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 14, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care ageism aging COVID-19 Hastings Bioethics Forum pandemic syndicated Source Type: blogs

COVID-19 Trilogy in 17 (Haiku)
by Hedy Wald   Civilization No longer as we knew it Rainfall hits dry ground   Stripped down to essence We treasure touch of cool breeze When hug cannot be   Pause, unmask to breathe Hope sustains as the tree bud Bursts forth in Springtime Hedy S. Wald, PhD is Clinical Professor of Family Medicine at […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 14, 2020 Category: Medical Ethics Authors: reflectivemeded Tags: Health Care syndicated Uncategorized Source Type: blogs

Medical Aid in Dying – Where Is It Legal?
Medical aid in dying is legal in only a handful of jurisdictions across the world. Typically, MAID refers to a physician writing a lethal prescription that a seriously ill patient may (or may not) later take on her own. MAID is legal in these jurisdict... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 14, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

There is No New Normal. Perseverance in the Age of COVID-19
by Craig Klugman,PhD, Angira Patel MD, MPH, Nanette Elster, JD, MPH, and Dalia Feltman, MD, MA The debate continues on when and how to open the country back up and allow communities to return to “normal”.  Consensus is lacking and there is significant variability across the country. The federal government rejected a CDC guideline for opening. Some states have come out with their own plans, and some states are just opening all the way through both governor orders and court decisions.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 14, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Featured Posts Public Health #covid19 #diaryofaplagueyear COVID-19 Source Type: blogs

Supplemental Advance Directive For Dementia
More than ten organizations have developed and distributed tools or forms to complete dementia directives. Many include provisions to stop eating and drinking. This is known as SED by AD. The most recent organization to publish an AD for SED is the F... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 14, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Diversity and Solidarity in Response to Covid-19
Covid-19 imposes burdens in different—but very serious—ways on different individuals and groups. We see it in policies that address what to do in the face of shortages of scarce resources. We begin by challenging a common claim—that people with disabilities as a group will be harmed by triage policies that consider patients’ prospect of medical benefit. The post Diversity and Solidarity in Response to Covid-19 appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 13, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 disability diversity Hastings Bioethics Forum syndicated triage protocols Source Type: blogs

Covid-19, Economics and Bioethics
Bioethics, in its essence, is multi-disciplinary. It involves medicine, philosophy, theology, political science, and supernumerary other scholarly fields. And, of course and, perhaps, unfortunately, economics. Bioethics is blessed, and plagued, by its confluence of academic influences, and operates within their inevitable, intersecting, conflicting, uncomfortable gray areas. The Covid-19 pandemic speaks to the bioethical implications that … Continue reading "Covid-19, Economics and Bioethics" (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 13, 2020 Category: Medical Ethics Authors: Jerry Risser Tags: Health Care Politics Public Health bioethics COVID-19 Medical Economics public policy syndicated Source Type: blogs

Pandemic Ethics: Compulsory treatment or vaccination versus quarantine
By Thomas Douglas, Jonathan Pugh and Lisa Forsberg Cross posted with the Journal of Medical Ethics Blog Governments worldwide have responded to the Covid-19 pandemic with sweeping constraints on freedom of movement, including various forms of isolation, quarantine, and ‘lockdown’. Governments have also introduced new legal instruments to guarantee the lawfulness of their measures. In […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 13, 2020 Category: Medical Ethics Authors: Practical Ethics Tags: Health Care Jonny Pugh's Posts Lisa Forsberg's Posts Pandemic Ethics syndicated Tom Douglas' Posts Source Type: blogs

Sick to Debt Now Available as Audio Book
I’m excited to announce that my book is now available through Audible, to accompany you on all those long commutes you are no longer making to your job every day. Sigh…  But seriously, I think the topic of this book is more relevant than ever, and hope that having another way to “read” Sick to […] The post Sick to Debt Now Available as Audio Book appeared first on Peter Ubel. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 12, 2020 Category: Medical Ethics Authors: peter Tags: Health Care health care cost Peter Ubel syndicated Source Type: blogs

Why New Mothers With Covid-19 Should Not Be Separated From Their Newborns
The Covid-19 pandemic has been characterized by many unknowns, chief among them in the world of pediatric ethics is the question of separating mothers who are infected or suspected of being infected from their newborns after delivery to reduce the risk of mother-to-child transmission. Guidance on this issue is conflicting. The post Why New Mothers With Covid-19 Should Not Be Separated From Their Newborns appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 11, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care Children and Families COVID-19 Hastings Bioethics Forum newborns rooming in separation syndicated Source Type: blogs

The Role of Solidarity in Research in Global Health Emergencies
by Katharine Wright & Julian Sheather Pratt et al. highlight important ways in which solidarity between researchers and communities provides both an ethical underpinning, and an ethical goal, for community engagement in global health research. We suggest that for the same reasons, the aspects of solidarity identified in the target article are essential to an understanding of what constitutes ethical research during a global health emergency, such as the current COVID-19 outbreak. SOLIDARITY AS A BASIS FOR INTERVENTION IN GLOBAL HEALTH EMERGENCIES In its recent report on research in such emergencies, the Nuffield Counci...
Source: blog.bioethics.net - May 11, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Editorial-AJOB Featured Posts Global Ethics Informed Consent Research Ethics solidarity Source Type: blogs

Right to Die – Recent Legal Developments
Our second biannual 2020 supplement of The Right to Die includes many new legal developments. It includes judicial cases, legislation, and news accounts of important legal proceedings that are not officially reported concerning end-of-life decision making. These include: MAID. A ruling from a Massachusetts court that a physician would not violate the state’s involuntary manslaughter statute either by providing information and advice about medical aid-in-dying or by referring patients to physicians willing to provide it where it is legal. MAID. A ruling from a New Jersey superio...
Source: blog.bioethics.net - May 10, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Medical Aid in Dying by Telehealth
As with many other types of health care services, medical aid in dying has been increasingly offered through telehealth over the past several weeks. The American Clinicians Academy on Medical Aid in Dying issued a policy statement in March. Many Canadian provincial medical boards have issued similar guidance. While written before the COVID-19 pandemic, Konstantin Tretyakov has just published "Medical Aid in Dying by Telehealth" in Health Matrix. He explains that his article "explores the possibility of facilitating access to medical aid in dying via telehealth—a method of providing health care rem...
Source: blog.bioethics.net - May 9, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Why Health Care Workers Should Receive Priority Care for Covid-19
The Covid-19 pandemic has imposed tremendous risk on doctors, nurses, and other health care workers not seen in a century. It is time to reconsider prioritization of health care workers’ access to scare critical resources. Historically, for multiple reasons, health care workers have not been prioritized for access to medical care during a pandemic. However, given the unprecedented circumstances surrounding the Covid-19 pandemic, it is justifiable to prioritize health care workers when all else is equal between two patients. The post Why Health Care Workers Should Receive Priority Care for Covid-19 appeared first on T...
Source: blog.bioethics.net - May 8, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 Hastings Bioethics Forum Health and Health Care syndicated Source Type: blogs

Cherishing our Elderly and COVID Rationing
by Ann Mongoven, Ph.D., MPH As COVID-19 surges across the country, more hospitals face the agonizing question:  whom shall we try to save when we cannot save all?  The question is particularly acute for allocation of ventilators and continuous renal replacement therapy (CRRT), a support system for acute critical kidney failure. In the absence of federal guidelines, rationing policies are being developed by individual hospitals or regional collaborations. Many of these policies have been called into question by the U.S. Office of Civil Rights’ (OCR) statementthat age cannot be considered.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 8, 2020 Category: Medical Ethics Authors: Ann Mongoven Tags: Featured Posts #covid19 #diaryofaplagueyear age-related rationing allocation COVID-19 Source Type: blogs

Preserving Patient Dignity (Formerly Patient Modesty) Volume 111
"Manning up" as a patient in a patient-doctor or patient-nursing staff relationship may end uplosing the very tool for improvement and change.  This was emphasized by Biker in hisComment in Volume 110: "to the extent men have manned up rather than... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 8, 2020 Category: Medical Ethics Authors: Maurice Bernstein, M.D. Tags: Health Care syndicated Source Type: blogs

High Anxiety: Going Viral? By Howard Trachtman, MD, Professor of Pediatrics, NYU Grossman School of Medicine and Co-editor, LitMed Database.
[read more] (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 8, 2020 Category: Medical Ethics Authors: GalN Tags: Health Care Current Topics syndicated Source Type: blogs

Antibody Tests Could Offer A False Sense of Security
A lot of hope on reopening businesses and returning to work in the U.S. hinges on COVID-19 testing and the development of treatments and a vaccine. But as the country ramps up antibody testing – analyzing blood samples for signs someone has been exposed to or infected with the coronavirus that causes COVID-19 – physician […] The post Antibody Tests Could Offer A False Sense of Security appeared first on Peter Ubel. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 8, 2020 Category: Medical Ethics Authors: peter Tags: Health Care health policy Peter Ubel syndicated Source Type: blogs

Better Consent —and Not Just for When Time Is Short
by Jerry Menikoff, MD, JD In a world with far too much dissonance, sometimes things nonetheless manage to come together. Such is the case regarding the article by Dickert and colleagues in this issue, “Partnering with Patients to Bridge Gaps in Consent for Acute Care Research”, and the recent changes in the Common Rule relating to improving research consent. Dickert and colleagues’ work is a refreshing and very timely attempt at determining how we can improve informed consent for acute care clinical research trials.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 8, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Editorial-AJOB Featured Posts Informed Consent Source Type: blogs

Being a Medical Student During the COVID-19 Pandemic
By Michael Bertenthal As a kid, I was a devoted soccer goalkeeper.  I lived for the opportunity to step in front of an oncoming shot to protect the net.  I loved the action of diving to make a save, getting my knees skinned and uniform muddied, and occasionally colliding with oncoming players. When I entered […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 8, 2020 Category: Medical Ethics Authors: reflectivemeded Tags: Health Care syndicated Uncategorized Source Type: blogs

Sustaining Clinical Empathy During the Pandemic
As Covid-19 continues to spread throughout the United States, doctors, nurses, and oth-er clinicians are facing unmistakable tragedies. But something less perceptible is afoot. Empathy in medicine is under siege. The post Sustaining Clinical Empathy During the Pandemic appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 7, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care clinician burnout COVID-19 empathy Hastings Bioethics Forum Health and Health Care syndicated Source Type: blogs

Legal Challenge to Government ’s Lack of Guidance on DNR Orders
In 2014, Kate Masters' family won an important appellate judgment on behalf of her mother Janet Tracey, holding that UK physicians may not write DNR orders without first discussing them with the patient or family. Now, Ms. Masters wants to enforc... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 7, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Unblinded: Systematic Racism, Institutional Oppression, and Colorblindness
by Nneka O. Sederstrom, PhD, MPH, MA, FCCP The data are clear: African Americans are becoming infected with the novel coronavirus and dying at a higher rate than White Americans. The rationale is clear: African Americans have higher rates of comorbid conditions than White Americans. The reason is clear: over 400 years of systematic racism, institutional oppression, and continued colorblindness have lead to this outcome. I know that seems like a simplistic explanation for something that is so very complex but it highlights the fundamental flaws we are facing in our guidelines.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 7, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Featured Posts Health Disparities Public Health Social Justice #covid19 #diary colorblindness COVID-19 racism Source Type: blogs

Teaching Medical Ethics During the Pandemic
Despite the disruptive changes to my undergraduate medical ethics class this semester, my students have learned a lot about the paradox that the coronavirus presents: it is an unprecedented event, beyond the experience of nearly everyone alive today, and yet it puts on grim display the well-known problems of inequality that chronically plague the United States. Since week six of the semester, I have readjusted each unit on the syllabus to address some of the ethical issues that Covid-19 has brought to the fore, familiar challenges that have been stressed and distorted in astonishing ways by the pandemic. The post Teaching...
Source: blog.bioethics.net - May 6, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care college COVID-19 Hastings Bioethics Forum medical ethics pandemic syndicated Source Type: blogs

COVID-19: Weapon, accident or an administration gone batty?
by Jonathan Moreno, Ph.D. and Arthur Caplan, Ph.D.  For a moment, let’s suppose that the novel coronavirus was produced by a lab in Wuhan as a biological weapon, as some in the Trump Administration have alleged. In that fictional scenario, we have nothing to fear from utterly inept Chinese military planners:  They’d have developed a malign microbe that strikes mainly at old and sick people, not the healthy, young people who fight wars and power economies. Smart medical warriors all know that there are already bugs in nature that don’t require any engineering that target the strong and youthful.&...
Source: blog.bioethics.net - May 6, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Featured Posts Media Public Health #covid19 #diaryofaplagueyear COVID-19 hoax Source Type: blogs

Fordham University ’s Dr. Michael Baur Discusses Moral Fatigue During Coronavirus Pandemic with CBC’s Matt Galloway
Michael Baur, Ph.D., J.D., Associate Professor of Philosophy and Adjunct Professor of Law, Director of the Natural Law Colloquium, and Associate Director of the Center for Ethics Education at Fordham University recently spoke with Matt Galloway of CBC’s The Current on the topic of moral fatigue in everyday life during the coronavirus pandemic. Having emerged […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 6, 2020 Category: Medical Ethics Authors: Ethics and Society Tags: Health Care bioethics coronavirus COVID-19 Fordham University Center for Ethics Education moral fatigue Moral Stress pandemic philosophy syndicated Uncategorized Source Type: blogs