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
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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

Advance Directives for SED and Euthanasia
There is growing interest in advance directives for stopping eating and drinking, especially as a way to avoid living in late-stage dementia. ADs for SED are legitimate under existing law in most U.S. states and Canadian provinces. But what if the inc... (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 20, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

After the Surge: Prioritizing the Backlog of Delayed Hospital Procedures
The rewards of social distancing are beginning to accrue in former hotspots such as Seattle, the New York metropolitan area, and the San Francisco Bay Area, where the number of new Covid-19 cases requiring hospitalization is declining. Assuming the rewards hold in the face of pressures to reopen the economy, hospitals will now face challenges of reopening their own nonpandemic services for patients whose elective surgeries and other procedures were postponed. Which patients should get priority? The post After the Surge: Prioritizing the Backlog of Delayed Hospital Procedures appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 19, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care Public Health COVID-19 Hastings Bioethics Forum Health and Health Care hospital triage syndicated Source Type: blogs

The Center for Ethics Education Celebrates Juneteenth
In honor of Juneteenth, the Fordham University Center for Ethics Education gathered articles and other resources for understanding and celebrating Juneteenth. ARTICLES “The Historical Legacy of Juneteenth” National Museum of African American History & Culture “How to take action on Juneteenth to celebrate Freedom Day” Mashable “Why celebrating Juneteenth is more important now than ever” Vox […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 19, 2020 Category: Medical Ethics Authors: Ethics and Society Tags: Health Care Justice Social Justice action anti-racism Center for Ethics Education Fordham University Center for Ethics Education In the News juneteenth Newsfeed syndicated Source Type: blogs

Victoria Voluntary Assisted Dying Law – One Year Anniversary
The Victoria Voluntary Assisted Dying Act 2017 came into effect on June 19, 2019. For the past year, Victorians who are at the end of life and who meet strict eligibility criteria can request access to voluntary assisted dying (VAD), elsewhere called ... (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 19, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Victoria Hospital Honors Advance Directive for Stopping Eating and Drinking (AD for SED)
Peter Eastman and colleagues describe in the Medical Journal of Australia how they honored an advance directive for stopping eating and drinking (AD for SED).  The patient's AD stated that if he was “in advanced stages of Alzheimer's disease or other incurable, advanced dementing disease and if my appointed health care agent concludes after consultation with my primary health care provider that I am unable to make informed decisions about my health care, and I am unable to feed myself, continuing life would have no value for me” The AD provided in that situation all life‐prolonging therapies should be wi...
Source: blog.bioethics.net - June 19, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Victoria Hospital Honors Advance Directive for Stopping Eating and Drinking (AD for SED)
Peter Eastman and colleagues describe in the Medical Journal of Australia how they honored an advance directive for stopping eating and drinking (AD for SED).  The patient's AD stated that if he was “in advanced stages of Alzheimer's disease or other incurable, advanced dementing disease and if my appointed health care agent concludes after consultation with my primary health care provider that I am unable to make informed decisions about my health care, and I am unable to feed myself, continuing life would have no value for me” The AD provided in that situation all life‐prolonging therapies should be wi...
Source: blog.bioethics.net - June 19, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Uncertainty, Arrogance, and Mourning in the time of Pandemic
As I write this I have been fielding messages from a friend and interlocutor who, a knowledgeable health industry professional, seems quite confident that had President Trump been successfully impeached—or, better, never elected—the COVID-19 pandemic would not have been such a trouble for us.  And there may well be something, more than a little something, … Continue reading "Uncertainty, Arrogance, and Mourning in the time of Pandemic" (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 19, 2020 Category: Medical Ethics Authors: Jon Holmlund Tags: Health Care Allocation / Access / Public Health syndicated Source Type: blogs

“You Can See Your Loved One Now.” Can Visitor Restrictions During Covid Unduly Influence End-of-Life Decisions?
One of the factors considered most important by dying patients and their families is the opportunity to be together. For many of our hospitalized patients in palliative care, the presence of loved ones at the bedside is such a given that we don’t even address it explicitly in advance care planning discussions. So, it comes as no surprise that Covid- 19-related visitor restrictions affecting hospitalized patients might impact end-of-life decision-making, potentially in ways that are ethically problematic. The post “You Can See Your Loved One Now.” Can Visitor Restrictions During Covid Unduly Influence End-...
Source: blog.bioethics.net - June 18, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 end of life End of life decisions Hastings Bioethics Forum hospital visitor restrictions syndicated Source Type: blogs

Science Isn ’t Meant To Be Followed
Science cannot lead us out of this pandemic. Whatever paths we take to navigate COVID-19 need to be chosen through political processes. The true role of science is to illuminate these pathways, guiding our policy choices by showing us what’s at stake. The post Science Isn’t Meant To Be Followed appeared first on Peter Ubel. (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 18, 2020 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care COVID-19 health policy Peter Ubel syndicated Source Type: blogs

UK Court Authorizes Withdrawing Life-Sustaining Treatment over Parents ’ Objections
This headline might be unusual if it referenced a U.S. court. But it is hardly unusual for a British court to authorize withholding or withdrawing life-sustaining treatment over parental or surrogate objections. Clinicians at Sheffield Teaching Hospit... (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 18, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Ethics Consultation in COVID Times
Q:  What happens to clinical ethics consultation in a pandemic?A:  Ethics consultation continues, only more so.During the first few months of the coronavirus pandemic, with a significantly lower overall inpatient census and fewer providers seeing outpatients, ethics consultation at the University of Kansas Health System (UKHS) increased rather than decreased. Not all of the increase is COVID related. Most consultations reflect issues that arise during normal times as well.Typical Issues, New PerspectivesSome consultation has been COVID specific, including participation on the UKHS Pandemic Triage Team assisting i...
Source: blog.bioethics.net - June 17, 2020 Category: Medical Ethics Authors: Practical Bioethics Tags: Health Care bioethics covid 19 ethics consult syndicated Source Type: blogs

Baruch A. Brody Lecture in Bioethics (Call for Nominations)
Nominate a colleague for the 2021 Baruch A. Brody Award and Lecture in Bioethics by August 7, 2020. The Baylor College of Medicine Center for Medical Ethics and Health Policy, Houston Methodist, and Rice University Department of Philosophy established... (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 17, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

The Lost Art of Dying: Ethical Considerations in Facing our Mortality
Join Lydia Dugdale to discuss her book The Lost Art of Dying: Reviving Forgotten Wisdom. Never in our lifetimes has sickness and death been brought into view as it has during the COVID-19 pandemic. How are we to make sense of human finitude? A six hundred-year-old book provides an answer. In the wake of western Europe’s bubonic plague outbreak of the 1350s, a text was published offering advice to help the living prepare for a good death. The Ars Moriendi—or Art of Dying—made clear that to die well, one first had to live well. When Dugdale discovered this medieval book, it was a revelation. Inspired b...
Source: blog.bioethics.net - June 17, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Non-Beneficial Treatment at the End of Life (Eliana Close & James Downar)
The Australian Center for Health Law Research has a coffee with a colleague video series. In this episode Eliana Close (Brisbane) discussed non-beneficial treatment with James Downar (Ottawa). (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 17, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs