Advance Directives During COVID-19 (podcast)
So, you’ve written an advance care directive. You’ve made it clear, you think, about the kinds of medical care you want should you get sick with Covid-19 or you’re in the midst of a medical crisis. Will your wishes be followed?  Art Caplan and I talk with Cathy Wurzer at the End in Mind Project. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 27, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Dementia Advance Directives – SED by AD
Lamar Hankins has compiled both a good list of dementia directives and a good list of recommended elements of dementia directives. Many of these include provisions that direct stopping eating and drinking. In a recently completed invited book manuscri... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 26, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Covid-19 Underscores Racial Disparity in Advance Directives
Older black Americans are half as likely as older whites to have advanced directives. My patient, a black man in his 70s,, first made his wishes known when he was in the hospital with Covid-19. The post Covid-19 Underscores Racial Disparity in Advance Directives appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 26, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care advance directives COVID-19 Disparities end of life Hastings Bioethics Forum syndicated Source Type: blogs

Balancing COVID-19 Quantity and Quality of Care via Geographic Redistribution: A Matter of Social Justice and Pragmatism for New York City
by Joyeeta G Dastidar, MD   In New York City, the epicenter of the COVID-19 pandemic in the country with a quarter of the nation’s cases, hospitals prepared for ventilator shortages. This included the development of ventilator allocation guidelines and, in some institutions, appointments of triage allocation committees to help determine who would get a ventilator if there was an inadequate supply of ventilators. While there was much debate and discussion over triage guidelines, ultimately in New York City, due to a lack of supportive legislation at the state or federal levels, resource allocation guidelines and ...
Source: blog.bioethics.net - May 26, 2020 Category: Medical Ethics Authors: Keisha Ray Tags: Decision making End of Life Care Ethics Featured Posts Health Care Health Regulation & Law Justice Public Health Social Justice Technology #covid19 #diaryofaplagueyear COVID-19 Source Type: blogs

New 2020 Publications from Professor Thaddeus Pope
I am delighted to have recently delivered complete manuscripts for a number of invited and planned publications. In addition, I list my articles and books that have already been published in 2020. My key objective for June is completing "From Informed Consent to Shared Decision Making: Improving Patient Safety and Reducing Medical Liability Risk with Patient Decision Aids." FORTHCOMING IN 2020 Is There a Right to Delay Determination of Death by Neurologic Criteria? JAMA NEUROLOGY (forthcoming 2020) (with Ariane Lewis, and Richard J. Bonnie). Brain Death: Status Shift and Implications, AMA JOURNAL OF ETHICS (forth...
Source: blog.bioethics.net - May 26, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

COVID-19: Think First, Act Better Later
by Fernando Hellmann, Ph.D.,  Silvia Cardoso Bittencourt, Ph.D., Fabíola Stolf Brzozowski, Ph.D., Mirelle Finkler, Ph.D.,  Marta Verdi, Sandra Caponi, Ph.D. In times of crisis, like the current pandemic of COVID-19, the perception that ethical standards can be relaxed due to the urgent need for solutions is growing, according to Stoeklé and Hervé. For them, “Ethics is only useful if you have the time, and right now, time is exactly what we do not have.” It is a misperception without any doubts.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 25, 2020 Category: Medical Ethics Authors: Keisha Ray Tags: Decision making Ethics Featured Posts Global Ethics Health Care #covid19 #diaryofaplagueyear COVID-19 Source Type: blogs

Oklahoma Limits Guardian Authority for DNR
Last Monday, the Governor of Oklahoma signed H.B 2588, which limits the power of guardians to authorize DNR orders without specific court approval.  In response to the high profile debacle of guardian Rebecca Fierle, Florida enacted similar legis... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 25, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Texas Physician Sued for Withdrawing Life Support without Following TADA Procedures
Scores of legislative bills and a dozen lawsuits have questioned whether the Texas Advance Directives Act affords adequate procedural due process. One such case is now pending before the Texas Court of Appeal.  But a new lawsuit alleges that a p... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 24, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Strong and Faithful Healthcare Agents Advocate for the Patient
I have written a lot about "bad" surrogates, those who make treatment decisions for incapacitated patients that those patients would not have made for themselves. Therefore, it was a delight to see this movie scene depicting a strong and faithful heal... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 23, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Report from Sub-Saharan Africa: “When the Health Fundamentals are Weak, Covid Will Expose You.”
The cries of millions of people in Sub-Saharan Africa and in low- and middle-income countries elsewhere who are struggling to stay alive because of Covid-19 and the lockdowns call for us to revisit the conceptual framework of the human right to health. The post Report from Sub-Saharan Africa: “When the Health Fundamentals are Weak, Covid Will Expose You.” appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 22, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 global health Hastings Bioethics Forum human rights syndicated World Health Organization Source Type: blogs

Brain Death Testing – Consent or No Consent?
I have a guest editorial in the June 2020 American Journal of Bioethics. Fifteen articles discuss whether clinicians should get consent for brain death testing.  Brain Death Testing: Time for National UniformityThaddeus Mason Pope Legal and Ethical Considerations for Requiring Consent for Apnea Testing in Brain Death DeterminationIvor Berkowitz & Jeremy R. Garrett Beyond the Apnea Test: An Argument to Broaden the Requirement for Consent to the Entire Brain Death EvaluationErin Paquette, Joel Frader, Seema Shah, Robert C. Tasker & Robert Truog The Case Against Solicitation of Consent for Apnea TestingDhristie B...
Source: blog.bioethics.net - May 22, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Tinslee Lewis Remains on Life Support as Her Family Awaits a Ruling in Their Legal Battle
Fox TV in Fort Worth offers a video update on the Tinslee Lewis case. Oral arguments before the Court of Appeal were over three months ago. We are still waiting for a decision. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 22, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

A Novel Approach Using Social Media to Solve Medical Ethical Dilemmas and Legal Risks in the Emergencies of COVID-19
by Jing Wan,Yuqiong Huang, Amaneh Abdel Hafez Aljaafreh, Dandan Dong, Yali Cong , Jun Lin, Hongxiang Chen   COVID-19 is an emerging infectious disease that is extremely contagious and can cause serious consequences and even death. Convalescent plasma, an unregistered therapy, from which the antibodies might suppress the virus, has been proven effective in the treatment of SARS, Ebola and H1N1, without severe adverse events (Chen et al.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 21, 2020 Category: Medical Ethics Authors: Keisha Ray Tags: Clinical Ethics Clinical Trials & Studies Decision making Featured Posts Health Care Informed Consent Research Ethics Social Media #covid19 #diaryofaplagueyear COVID-19 Source Type: blogs

Why States Are on the Fence about a Patient ’s Right to Die
I joined several advocates and opponents of medical aid in dying for a new article out this morning in the ABA Journal. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 21, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Pandemic Ethics: Utilitarianism and the Lockdown
by Roger Crisp Utilitarianism is in the news. It was widely believed that the UK government’s so-called ‘herd immunity’ strategy, which involved sacrificing the important interests of a relative few for the sake of benefits for the many, was motivated by a commitment to utilitarianism. Now several commentators around the world have suggested that decisions to ease […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 21, 2020 Category: Medical Ethics Authors: Roger Crisp Tags: Ethics Health Care Public Health International/ Global Health lockdown Pandemic Ethics Roger Crisp's Posts syndicated utilitarianism Source Type: blogs

Post-Covid Bioethics
Covid-19 is making bioethics more relevant than ever. The ethical dilemmas raised by the pandemic are urgent and heart-wrenching. Who should get a ventilator if we do not have enough? How can we protect the most vulnerable from discrimination in the face of difficult triage decisions? How do we weigh individual liberty against the public interest of keeping people confined? While such questions are not new for bioethicists, the need to answer them urgently, globally, and in very concrete settings, creates unprecedented circumstances. Is this an opportunity for bioethics to learn some important lessons? What should post-Cov...
Source: blog.bioethics.net - May 20, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care Justice bioethics COVID-19 global community Hastings Bioethics Forum syndicated Source Type: blogs

Medicine as spectacle: Public expectations of physicians as seen through art and television By Rachel Martel, a 4th year medical student at NYU Grossman School of Medicine, and a former English major at Tufts University. She plans on pursuing a residency in Ob/Gyn.
[read more] (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 20, 2020 Category: Medical Ethics Authors: GalN Tags: Health Care A Different Take syndicated Source Type: blogs

Are Decisions to Withdraw Life Support Being Made too Soon?
Earlier this year, Medscape UK surveyed 1355 physicians on key ethical questions. One question was "Are Decisions to Withdraw Life Support Being Made too Soon?" One in ten respondents said yes. One quarter said it depends. Some specific comments inclu... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 20, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Beyond the Covid Crisis —A New Social Contract with Public Health
Covid-19 is teaching us the stern lesson that economic well-being and health justice are two sides of the same coin. To weather pandemics and restore the social contact that economic life demands, we need to sign a new social contract with public health. The post Beyond the Covid Crisis—A New Social Contract with Public Health appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 19, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care Public Health civic engagement COVID-19 democracy emergency planning Hastings Bioethics Forum Pandemic Planning syndicated Source Type: blogs

Trust and the Pandemic
One of the necessary requirements of a doctor-patient relationship is the establishment of trust in that relationship. A vulnerable patient presents to a physician who theoretically has the skill and knowledge necessary to help resolve the patient’s problem. Ultimately, the patient has to trust the information and treatment recommendations of his or her physician. Even … Continue reading "Trust and the Pandemic" (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 19, 2020 Category: Medical Ethics Authors: Mark McQuain Tags: Health Care Allocation / Access / Public Health bioethics Health Care Practice human dignity syndicated Source Type: blogs

We ’re All Vitalists Now
By Charles Foster It has been a terrible few months for moral philosophers – and for utilitarians in particular. Their relevance to public discourse has never been greater, but never have their analyses been so humiliatingly sidelined by policy makers across the world. The world’s governments are all, it seems, ruled by a rather crude […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 19, 2020 Category: Medical Ethics Authors: Charles Foster Tags: Clinical Ethics Decision making Health Care Politics Public Health Science bioethics Biomedical Science Charles Foster's Posts Collective Responsibility Critical Care Current Affairs End of life decisions Euthanasia and Assisted Source Type: blogs

Limitations of Palliative Care – Truth about Dying
This report has many mo... (Source: blog.bioethics.net)
Source: blog.bioethics.net - May 19, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

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