What Do Prospective Parents Owe to Their Children?
Hastings Cent Rep. 2024 Mar;54(2):34-43. doi: 10.1002/hast.1577.ABSTRACTI consider the question of what moral obligations prospective parents owe to their future children. It is taken as an almost axiomatic premise of a wide range of philosophical arguments that prospective parents have a moral obligation to take such steps as ensuring their own financial stability or waiting until they are emotionally mature before conceiving. This is because it is assumed that parents have a moral obligation to lay the groundwork for their children's lives to go well. While at first glance such a premise seems benign, I will argue that w...
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Abigail Levin Source Type: research
The Pandemic of Invisible Victims in American Mental Health
Hastings Cent Rep. 2024 Mar;54(2):3-7. doi: 10.1002/hast.1573.ABSTRACTAlthough considerable attention has been devoted to the concepts of "visible" and "invisible" victims in general medical practice, especially in relation to resource allocation, far less consideration has been devoted to these concepts in behavioral health. Distinctive features of mental health care in the United States help explain this gap. This essay explores three specific ways in which the American mental health care system protects potentially "visible" individuals at the expense of "invisible victims" and otherwise fails to meet the needs of great...
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Jacob M Appel Source Type: research
Leah Z. Rand, Daniel P. Carpenter, Aaron S. Kesselheim, Anushka Bhaskar, Jonathan J. Darrow, and William B. Feldman Reply
Hastings Cent Rep. 2024 Mar;54(2):44-45. doi: 10.1002/hast.1579.ABSTRACTThe authors respond to a letter by Mitchell Berger in the March-April 2024 issue of the Hastings Center Report concerning their essay "Securing the Trustworthiness of the FDA to Build Public Trust in Vaccines."PMID:38639164 | DOI:10.1002/hast.1579 (Source: The Hastings Center Report)
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Leah Z Rand Daniel P Carpenter Aaron S Kesselheim Anushka Bhaskar Jonathan J Darrow William B Feldman Source Type: research
Additional Steps for Maintaining Public Trust in the FDA
Hastings Cent Rep. 2024 Mar;54(2):44. doi: 10.1002/hast.1578.ABSTRACTThis letter responds to the essay "Securing the Trustworthiness of the FDA to Build Public Trust in Vaccines," by Leah Z. Rand, Daniel P. Carpenter, Aaron S. Kesselheim, Anushka Bhaskar, Jonathan J. Darrow, and William B. Feldman, in the special report "Time to Rebuild: Essays on Trust in Health Care and Science," in the September-October 2023 issue of the Hastings Center Report.PMID:38639165 | DOI:10.1002/hast.1578 (Source: The Hastings Center Report)
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Mitchell Berger Source Type: research
How Seeking Transfer Often Fails to Help Define Medically Inappropriate Treatment
Hastings Cent Rep. 2024 Mar;54(2):2. doi: 10.1002/hast.1572.ABSTRACTOn September 1, 2023, Texas made important revisions to it its decades-old statute granting legal safe harbor immunity to physicians who withhold or withdraw life-sustaining treatment over the objection of critically ill patients' surrogate decision-makers. However, lawmakers left untouched glaring flaws in a key safeguard for patients-the transfer option. The transfer option is ethically important because, when no hospital is willing to accept the patient in transfer, that fact is taken as strong evidence that the surrogates' treatment requests fall outsi...
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Douglas B White Thaddeus M Pope Source Type: research
Holding the Guardrails on Involuntary Commitment
Hastings Cent Rep. 2024 Mar;54(2):8-11. doi: 10.1002/hast.1574.ABSTRACTIn response to the increasing number of mentally ill people experiencing homelessness, some policy-makers have called for the expanded use of involuntary commitment, even for individuals who are not engaging in behaviors that are immediately life-threatening. Yet there is no evidence that involuntary commitment offers long-term benefits, and significant reasons to believe that expanding the practice will cause harm. In addition, these proposals ignore research showing that most people with mental illness have the capacity to make medical decisions for t...
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Carl H Coleman Source Type: research
The Power of Proximity: Toward an Ethic of Accompaniment in Surgical Care
This article, in contrast, foregrounds the agency of those most affected by injustice by bringing to bear an ethic of accompaniment. The ethic of accompaniment is born from a theological tradition that has motivated work to improve health outcomes in those at the margins through its emphasis on listening, solidarity against systemic drivers of disease, and proximity to individuals and communities. Through a review of surgical ethics and exploration of a central patient case, we argue for applying an ethic of accompaniment to the care of surgical patients and their communities.PMID:38639170 | DOI:10.1002/hast.1575 (Source: ...
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: C Phifer Nicholson Monica H Bodd Ellery Sarosi Martha C Carlough M Therese Lysaught Farr A Curlin Source Type: research
Do Suicide Attempters Have a Right Not to Be Stabilized in an Emergency?
Hastings Cent Rep. 2024 Mar;54(2):22-33. doi: 10.1002/hast.1576.ABSTRACTThe standard of care in the United States favors stabilizing any adult who arrives in an emergency department after a failed suicide attempt, even if he appears decisionally capacitated and refuses life-sustaining treatment. I challenge this ubiquitous practice. Emergency clinicians generally have a moral obligation to err on the side of stabilizing even suicide attempters who refuse such interventions. This obligation reflects the fact that it is typically infeasible to determine these patients' level of decisional capacitation-among other relevant in...
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Aleksy Tarasenko Struc Source Type: research
What Do Prospective Parents Owe to Their Children?
Hastings Cent Rep. 2024 Mar;54(2):34-43. doi: 10.1002/hast.1577.ABSTRACTI consider the question of what moral obligations prospective parents owe to their future children. It is taken as an almost axiomatic premise of a wide range of philosophical arguments that prospective parents have a moral obligation to take such steps as ensuring their own financial stability or waiting until they are emotionally mature before conceiving. This is because it is assumed that parents have a moral obligation to lay the groundwork for their children's lives to go well. While at first glance such a premise seems benign, I will argue that w...
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Abigail Levin Source Type: research
The Pandemic of Invisible Victims in American Mental Health
Hastings Cent Rep. 2024 Mar;54(2):3-7. doi: 10.1002/hast.1573.ABSTRACTAlthough considerable attention has been devoted to the concepts of "visible" and "invisible" victims in general medical practice, especially in relation to resource allocation, far less consideration has been devoted to these concepts in behavioral health. Distinctive features of mental health care in the United States help explain this gap. This essay explores three specific ways in which the American mental health care system protects potentially "visible" individuals at the expense of "invisible victims" and otherwise fails to meet the needs of great...
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Jacob M Appel Source Type: research
Leah Z. Rand, Daniel P. Carpenter, Aaron S. Kesselheim, Anushka Bhaskar, Jonathan J. Darrow, and William B. Feldman Reply
Hastings Cent Rep. 2024 Mar;54(2):44-45. doi: 10.1002/hast.1579.ABSTRACTThe authors respond to a letter by Mitchell Berger in the March-April 2024 issue of the Hastings Center Report concerning their essay "Securing the Trustworthiness of the FDA to Build Public Trust in Vaccines."PMID:38639164 | DOI:10.1002/hast.1579 (Source: The Hastings Center Report)
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Leah Z Rand Daniel P Carpenter Aaron S Kesselheim Anushka Bhaskar Jonathan J Darrow William B Feldman Source Type: research
Additional Steps for Maintaining Public Trust in the FDA
Hastings Cent Rep. 2024 Mar;54(2):44. doi: 10.1002/hast.1578.ABSTRACTThis letter responds to the essay "Securing the Trustworthiness of the FDA to Build Public Trust in Vaccines," by Leah Z. Rand, Daniel P. Carpenter, Aaron S. Kesselheim, Anushka Bhaskar, Jonathan J. Darrow, and William B. Feldman, in the special report "Time to Rebuild: Essays on Trust in Health Care and Science," in the September-October 2023 issue of the Hastings Center Report.PMID:38639165 | DOI:10.1002/hast.1578 (Source: The Hastings Center Report)
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Mitchell Berger Source Type: research
How Seeking Transfer Often Fails to Help Define Medically Inappropriate Treatment
Hastings Cent Rep. 2024 Mar;54(2):2. doi: 10.1002/hast.1572.ABSTRACTOn September 1, 2023, Texas made important revisions to it its decades-old statute granting legal safe harbor immunity to physicians who withhold or withdraw life-sustaining treatment over the objection of critically ill patients' surrogate decision-makers. However, lawmakers left untouched glaring flaws in a key safeguard for patients-the transfer option. The transfer option is ethically important because, when no hospital is willing to accept the patient in transfer, that fact is taken as strong evidence that the surrogates' treatment requests fall outsi...
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Douglas B White Thaddeus M Pope Source Type: research
Holding the Guardrails on Involuntary Commitment
Hastings Cent Rep. 2024 Mar;54(2):8-11. doi: 10.1002/hast.1574.ABSTRACTIn response to the increasing number of mentally ill people experiencing homelessness, some policy-makers have called for the expanded use of involuntary commitment, even for individuals who are not engaging in behaviors that are immediately life-threatening. Yet there is no evidence that involuntary commitment offers long-term benefits, and significant reasons to believe that expanding the practice will cause harm. In addition, these proposals ignore research showing that most people with mental illness have the capacity to make medical decisions for t...
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: Carl H Coleman Source Type: research
The Power of Proximity: Toward an Ethic of Accompaniment in Surgical Care
This article, in contrast, foregrounds the agency of those most affected by injustice by bringing to bear an ethic of accompaniment. The ethic of accompaniment is born from a theological tradition that has motivated work to improve health outcomes in those at the margins through its emphasis on listening, solidarity against systemic drivers of disease, and proximity to individuals and communities. Through a review of surgical ethics and exploration of a central patient case, we argue for applying an ethic of accompaniment to the care of surgical patients and their communities.PMID:38639170 | DOI:10.1002/hast.1575 (Source: ...
Source: The Hastings Center Report - April 19, 2024 Category: Medical Ethics Authors: C Phifer Nicholson Monica H Bodd Ellery Sarosi Martha C Carlough M Therese Lysaught Farr A Curlin Source Type: research
