Congratulations to our Winners and Runners up in the Oxford Uehiro Prize in Practical Ethics 2020
Please join us in congratulating all of the finalists in this unique final for the Oxford Uehiro Prize in Practical Ethics, and in particular our winners, Eric Sheng and Maya Krishnan. In an Oxford Uehiro Centre first the 6th Annual Oxford Uehiro Prize in Practical Ethics was held as a Zoom webinar event. The Finalists in each […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 24, 2020 Category: Medical Ethics Authors: Practical Ethics Tags: Ethics Health Care Announcements Oxford Uehiro Prize in Practical Ethics Public Events syndicated Source Type: blogs

Flattening the Curve, Then What?
The metaphor “flattening the curve” has succinctly captured the challenge of responding to the coronavirus pandemic in the United States. With no vaccine or effective treatment, the use of social distancing measures attempts to delay the spread of infection and keep the need for intensive, hospital-based health services within the capacity of our health care… Read more The post Flattening the Curve, Then What? appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 23, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 global health H1N1 flu Hastings Bioethics Forum pandemic surge capacity syndicated Source Type: blogs

Plaguing Shakespeare by J. Russell Teagarden
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Source: blog.bioethics.net - March 23, 2020 Category: Medical Ethics Authors: GalN Tags: Health Care A Different Take syndicated Source Type: blogs

Cross Post: Coronavirus: The Conversation We Should Have With Our Loved Ones Now – Leading Medic
This article was originally published on The Conversation Waiting is never easy. Sometimes the period when you know that something bad is coming is almost harder than when it finally arrives. Across the health service, there is an enormous and unprecedented effort underway to prepare for the coming […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 23, 2020 Category: Medical Ethics Authors: Practical Ethics Tags: Health Care Coronavirus; Pandemic; Ethics; Public Health Dominic Wilkinson's Posts medical ethics syndicated Source Type: blogs

Sample Triage Policies for Ventilators & Critical Care
The Association of Bioethics Program Directors has been sharing various implemented or “under development” triage policies in anticipation of expected shortages of ventilators and other critical care equipment in the face of the COVID-19 pandemic. (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 23, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

The professional obligations of medical students in COVID-19 Responses
by Amal Cheema “When pestilence prevails, it is [a physician’s] duty to face the danger, and to continue their labors for the alleviation of suffering, even at the jeopardy of their own lives.” Baker, R., A. Caplan et al. 1999 The COVID-19 pandemic has changed the course and experience of medical training for thousands of students. Many, if not all, medical schools have moved classes entirely online, postponing anatomy labs and clinical skills classes. Heeding the guidance of the Association of American Medical Colleges, allopathic schools have canceled all rotations.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 23, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Education Featured Posts Health Care Professionalism Public Health #diaryofaplagueyear COVID-19 medical students PPE Source Type: blogs

Idaho Enacts Nation ’ s 5th Simon ’ s Law
Idaho has enacted the nation's fifth Simon's Law. Joining Arizona, Kansas, Missouri, and South Dakota; the new law constrains when clinicians may write orders withholding life-sustaining treatment from a minor. The Idaho statute is comparatively stron... (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 23, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Five Wishes Advance Care Planning Document – Now Free
Aging with Dignity has spent nearly 25 years helping families have discussions about what their loved ones would want if faced with a serious or life-threatening illness. Their Five Wishes is America's most popular and easy-to-understand and use advance care planning program. Because of the national emergency, Aging with Dignity has decided to take the unprecedented step of making the Five Wishes document available online to individuals at no cost.  Use it for yourself.  Use it for your parents, spouse, siblings, adult children, extended family, and friends.  Just use it! With life coming to a near standstil...
Source: blog.bioethics.net - March 22, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Allocation of Scarce Critical Care Resources During a Public Health Emergency
How to allocate scarce resources (e.g., ventilators/ICU beds) is a critically important issue to get right. Unfortunately, there are some really problematic approaches to triage that are being floated across the country. For example, some policies cate... (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 21, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Pandemic ethics: Never again – will we make Covid-19 a warning shot or a dud?
by Anders Sandberg The Covid-19 pandemic is not the end of the world. But it certainly is a wake-up call. When we look back on the current situation in a year’s time, will we collectively learn the right lessons or instead quickly forget like we did with the 1918 flu? Or even think it was […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 21, 2020 Category: Medical Ethics Authors: Anders Sandberg Tags: Ethics Health Care Public Health 1918 influenza Anders Sandberg's Posts collective amnesia collective learning Collective Responsibility COVID-19 epistemic duty Epistemic Ethics forgetting International/ Global Health memory pa Source Type: blogs

Who Should I Help First?
by Nicki Reno-Welt, PA-C, MSHS, MFA  I am distraught about Covid-19. But not just for all the valid reasons we hear about on the news. I am a 45-year-old, licensed, board-certified physician assistant. I have spent my entire career working with the underserved. I have studied bioethics and health care rationing in times of catastrophe. I am a professor in a PA program dedicated to teaching students to care for the underserved. In hindsight, my entire life has been preparatory work for this pandemic.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 21, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Featured Posts professional ethics Public Health #diaryofaplagueyear COVID-19 pandemic Source Type: blogs

Communicating in a Crisis: Easy to follow steps from a communication professional
by Jay Baglia, Ph.D. In a crisis, citizens seek information. Civic leaders need to address their constituencies regularly. But quantity isn’t nearly as valuable as quality and consistency. As a professor of communication studies who has taught public speaking at the university level for 25 years, I’ve got to say if there’s anything making this coronavirus crisis worse, it’s poor communication. Here’s some advice for our leaders. From the moment you step in front of the microphone, you should practice what you preach.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 20, 2020 Category: Medical Ethics Authors: Jay Baglia Tags: Featured Posts Media Public Health #diaryofaplagueyear COVID-19 health communication pandemic Source Type: blogs

False Hope About Coronavirus Treatments
While patients can and do recover from coronavirus infections, there are currently no approved treatments that are known to work against COVID-19. The post False Hope About Coronavirus Treatments appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 20, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 right to try syndicated Source Type: blogs

Ethics of Community Participation Amid the COVID-19 Outbreak
by Amy C. Reese, MBe, PharmD This country is in the midst of a health crisis. These past few weeks have reminded me of the ingrained duty that each healthcare professional has to patients. We take an oath to provide care and protect our patients when we are inaugurated into the profession of our chosen healthcare field. I am a pharmacist who currently works in the community; as such, I am the most accessible healthcare professional (I am considered a provider in some states).… (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 19, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Featured Posts Pharmaceuticals Public Health #diaryofaplagueyear COVID-19 pandemic Source Type: blogs

Bioethics Toolkit Resources for COVID-19
Bioethics.net and the American Journal of Bioethics have assembled a bioethics toolkit for people dealing with COVID-19. We have a collection of important blogs from around the internet that you can find here. We also highly recommending our growing catalog of our original blog posts by leading scholars writing on bioethics in pandemics. The Hastings Center has assembled a number of reports and resources. For the best scientific information: Centers for Disease Control & Prevention World Health Organization Johns Hopkins University Global Case Counter For ethical Guidelines for Responding to Crisis: Illinois Ethics ...
Source: blog.bioethics.net - March 19, 2020 Category: Medical Ethics Authors: Blog Editor Tags: Featured Posts Public Health Uncategorized #diaryofaplagueyear COVID-19 pandemic Source Type: blogs

Call for Papers – Ethics, Pandemics, and COVID-19
The Kennedy Institute of Ethics Journal announces a special emergency, open-access issue on Ethics, Pandemics, and COVID-19. Papers from 3,000-12,000 words on ethical issues raised by the COVID-19 pandemic are invited. Papers are welcome on&nbsp... (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 19, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

COVID-19 and the Global Ethics Freefall
Since the initial outbreak in Wuhan last December, the national and global responses to COVID-19 have been in ethics freefall. The post COVID-19 and the Global Ethics Freefall appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 19, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Ethics Health Care COVID-19 Europe global health Hastings Bioethics Forum herd immunity Pandemic Planning syndicated United Kingdom utilitarianism Source Type: blogs

Ethics Resources for Healthcare Providers Responding to COVID-19
Here are two new ethics resources  for healthcare providers responding to COVID-19.  Thomas Cunningham, the Bioethics Director for Kaiser Permanente West Los Angeles has created a database of resources. The database is comprised of several G... (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 19, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Healthcare Surrogates May Not Come to the Hospital
Patients at Anne Arundel Medical Center and Doctors Community Hospital in Maryland may have no visitors unless the patient qualifies for an exception. In that case, only one visitor per day is allowed. And even that is permitted only if the visitor pas... (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 19, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Coronavirus: Dark Clouds, But Some Silver Linings?
By Charles Foster Cross posted from The Conversation To be clear, and in the hope of heading off some trolls, two observations. First: of course I don’t welcome the epidemic. It will cause death, worry, inconvenience and great physical and economic suffering. Lives and livelihoods will be destroyed. The burden will fall disproportionately on the […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 18, 2020 Category: Medical Ethics Authors: Charles Foster Tags: Animal Ethics Clinical Ethics Decision making Environmental Ethics Health Care Politics Public Health Science ageing bioethics Charles Foster's Posts Children and Families Collective Responsibility Critical Care Current Affairs Source Type: blogs

“Twitter Chat” About COVID-19: Ethical Dilemmas in a Pandemic
Dr. Alyssa Burgart hosts a monthly ethics “Twitter chat” with MedPage Today, a medical news site. She uses the chats to highlight ethics experts on various topics. In January, Alison Bateman-House discussed access to unapproved drugs. In February, Josephine Johnston discussed germline genome editing. I was supposed to discussed medical aid in dying on the March chat.  But as the COVID-19 outbreak’s approach became more apparent, I passed the torch to Lindsay Wiley, a public health ethics and law expert at American University. Dr. Burgart also reached out to another public health e...
Source: blog.bioethics.net - March 18, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

COVID Chronicles: What Does Triage Mean, How Does it Work, and When Will We Need It
by Craig Klugman, Ph.D. Doctors in Italy have run out of beds. They have run out of ventilators. They are now having to decide who may live and who will likely die. For many, utilitarianism has helped making decisions—maximizing likeliness to survive and remaining years of life. The U.S. may not be far behind in having to make these tough choices. Some hospitals in harder hit regions like New York City and Seattle are already finding themselves stretched thin. They have had to expand their surge capacity (the ability to meet the expanded needs of a growing patient population beyond normal operations) by increasing be...
Source: blog.bioethics.net - March 17, 2020 Category: Medical Ethics Authors: Craig Klugman Tags: Clinical Ethics Decision making Featured Posts Justice Public Health #diaryofaplagueyear Coronavirus; Pandemic; Ethics; Public Health COVID-19 Triage Source Type: blogs

COVID Chronicles: What Does Triage Mean, How Does it Work, and When Will We Need It?
by Craig Klugman, Ph.D. Doctors in Italy have run out of beds. They have run out of ventilators. They are now having to decide who may live and who will likely die. For many, utilitarianism has helped making decisions—maximizing likeliness to survive and remaining years of life. The U.S. may not be far behind in having to make these tough choices. Some hospitals in harder hit regions like New York City and Seattle are already finding themselves stretched thin. They have had to expand their surge capacity (the ability to meet the expanded needs of a growing patient population beyond normal operations) by increasing be...
Source: blog.bioethics.net - March 17, 2020 Category: Medical Ethics Authors: Craig Klugman Tags: Clinical Ethics Decision making Featured Posts Justice Public Health #diaryofaplagueyear Coronavirus; Pandemic; Ethics; Public Health COVID-19 Triage Source Type: blogs

Avoiding Late-stage Dementia with Advance Directives for Stopping Eating and Drinking
A few months ago, I posted an extensive blog on "Avoiding late-stage dementia with advance directives for stopping eating and drinking."  The Nevada bill that I discussed has now been codified in the Nevada Revised Code. I posted a copy here. (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 17, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Bioethics and the COVID-19 National Emergency
What a difference a couple of days can make. In the last blog entry, Steve Phillips discussed the problems that fear and panic are causing as we deal the many unknowns of the COVID-19 pandemic. While the current incidence, prevalence, and mortality of COVID-19 lags behind that of seasonal influenza (as well as past influenza … Continue reading "Bioethics and the COVID-19 National Emergency" (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 17, 2020 Category: Medical Ethics Authors: Mark McQuain Tags: Health Care Allocation / Access / Public Health bioethics Health Care Practice human dignity syndicated Source Type: blogs

Legal Briefing: Crisis Standards of Care and Legal Protections during Disasters and Emergencies
I have been getting so many questions about liability and altered standards of care that I am going to reread my 2010 article "Legal Briefing: Crisis Standards of Care and Legal Protections during Disasters and Emergencies." I am delighted to see... (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 16, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Advance care planning
Deciding How You Want to Live in the Time of COVID19People don’t like to talk about politics, religion or money. To that we would add advance care planning. And to that we would add there’s been no time in recent memory when it was more important to name someone to speak for you if you can’t speak for yourself…which is what happens when you’re on a ventilator!Advance care planning is the process of clarifying your life goals and values and making sure your healthcare preferences are known and honored.Most Americans today will die from complications of chronic illness, with slow and uncertain ...
Source: blog.bioethics.net - March 16, 2020 Category: Medical Ethics Authors: Practical Bioethics Tags: Health Care coronavirus Coronavirus Disease Coronavirus Disease 19 COVID-19 syndicated Source Type: blogs

A Family ’s Journey to Peace of Mind
Jama’s mom had been living in a long-term acute care facility on dialysis and a ventilator for nearly five months. Dad was by her side 24/7.“One day, as my sister and I were walking out, I looked at her and said, ‘I think mom is dying,’” said Jama. “We started crying. Of course mom was dying, but no one had told us…or Mom.”Call the CenterJama and her siblings began insisting that the doctors at least be honest with their dad about Mom’s failing condition. Dad thought he had to seek heroic efforts because of religious beliefs. All along Mom thought she was going to get ...
Source: blog.bioethics.net - March 16, 2020 Category: Medical Ethics Authors: Practical Bioethics Tags: Health Care syndicated Source Type: blogs

BioethicsTV (March 2-14): #TheGoodDoctor, #TheResident, #NewAmsterdam, #GreysAnatomy
by Craig Klugman, Ph.D. “Exploring ethical issues in TV medical dramas” The Good Doctor (Season 3; Episode 17): Lying for Good; The Resident (Season 3; Episode 17): Operating impaired when there is no option; New Amsterdam (Season 2; Episode 16):Research Misconduct; Two Wrongs Do Not Make a Right; Grey’s Anatomy (Season 16; Episode 17): VIP Justice The Good Doctor (Season 3; Episode 17): Lying for Good An adult leader of an outdoor for troubled youth is pricked by a cactus and comes down with an infection that causes heart damage.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 16, 2020 Category: Medical Ethics Authors: Craig Klugman Tags: BioethicsTV Featured Posts professional ethics Research Ethics Social Justice Source Type: blogs

Artificial wombs and egg freezing: Reproductive technologies will not “solve” gender inequalities
The possibility of artificial womb technology (ectogenesis) is no longer hypothetical. Three years ago, scientists put a premature lamb fetus in an artificial womb and it was able to develop normally to term. Scientists and others today are working on developing an artificial womb for humans. There has been much discussion in the bioethics literature recently about whether ectogenesis would be empowering for women, freeing them from their traditional role as child-bearer and child-rearer. Indeed, some claim that the root of gender inequality is the fact that ciswomen experience pregnancy, whereas cisme...
Source: blog.bioethics.net - March 16, 2020 Category: Medical Ethics Authors: Bioethics Today Tags: Gender Disparities Health Care Author: Campo-Engelstein feminist ethics Fertility reproductive medicine reproductive rights syndicated Women's Reproductive Rights Source Type: blogs

Pandemic Ethics: Infectious Pathogen Control Measures and Moral Philosophy
By Jonathan Pugh and Tom Douglas   Following the outbreak of the SARS-CoV-2 coronavirus, a number of jurisdictions have implemented restrictive measures to prevent the spread of this highly contagious pathogen. In January, Chinese authorities effectively quarantined the entire city of Wuhan, the epicentre of the outbreak, which has a population of around 11 million […] (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 16, 2020 Category: Medical Ethics Authors: Jonathan Pugh Tags: Health Care Public Health bioethics Coronavirus; Pandemic; Ethics; Public Health Current Affairs Jonny Pugh's Posts medical ethics Pandemic Ethics syndicated Tom Douglas' Posts Source Type: blogs

Medical Aid in Dying in 2020
Across the globe, there have been more significant legal developments concerning medical aid in dying in the last six months than at any other time in history. Existing MAID jurisdictions, like Canada, dramatically expanded eligibility criteria. And ... (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 15, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Advance Directives to resolve Conflicts of Commitment in COVID-19 Triage Proposals
by Steven H. Miles, MD In the face of the COVID-9 pandemic, many bioethicists are turning their attention to scholarship of triage ethics. Some focus on technology, i.e., the commandeering or allocating of mechanical ventilators or extracorporeal membrane oxygenators (ECMO). Others focus on patients, i.e., who shall be given most or least priority for health care resources in dire scarcity? Implicit in all triage proposals is the potential for Conflicts of Commitment. There are nuanced differences between a Conflicts of Commitment and a Conflict of Interest.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 15, 2020 Category: Medical Ethics Authors: Steven Miles Tags: End of Life Care Featured Posts Informed Consent Justice professional ethics Public Health #diaryofaplagueyear COVID-19 pandemic Triage Source Type: blogs

Florida Requires Guardians to Get Court Approval for DNR Orders
Rebecca Fierle signed dozens of DNR orders on behalf of incapacitated wards against their known wishes. (Yes, the patient or her surrogate must sign these in Florida.) Since this was an egregious violation of her duties, Fierle was removed as a court-a... (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 14, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Glossary for a Pandemic
by Craig Klugman, Ph.D. The last time the United States faced a pandemic on its shores was in 1976, when the threat of the Swine Flu circling the globe led to long lines of adults getting the flu vaccine. I remember going with my parents to my school gymnasium as they wait in a long line for the injection. Because of a strong public health response and the availability of a vaccine, nothing happened—a disaster (high numbers of ill and dying people that overwhelms the health care system) was averted.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 14, 2020 Category: Medical Ethics Authors: Craig Klugman Tags: Featured Posts Global Ethics Health Care Public Health Science #diaryofaplagueyear COVID-19 pandemic Pandemic Ethics Source Type: blogs

COVID: Collective of Voices in Distress
I get off the phone with a dear friend and colleague in Italy, and the news is devastating. Health care workers dying, impossible choices of triaging limited resources, the real human toll is palpable in her voice. She says, this is not political, this is a public health “nightmare.” I then get on social media… Read more The post COVID: Collective of Voices in Distress appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 13, 2020 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care COVID-19 global health Hastings Bioethics Forum Pandemic Planning syndicated Source Type: blogs

Triage, Rationing, and Fair Allocation of Scarce Resources During Pandemics
As COVID-19 threatens to overcome the surge capacity of hospitals and other providers, governors in some states will trigger special disaster protocols. These protocols excuse providers from what would normally be their legal duties under both st... (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 13, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs