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This blog post made available by the American Journal of Bioethics. You can read this editorial and accompanying articles here.

by John Torous, MD, MBI; Lyle Ungar, Ph.D. & Ian Barnett, Ph.D.

INTRODUCTION
Social media have allowed the scope and scale of biomedical research studies to greatly expand in the last decade. Now able to nearly reach entire populations via platforms like Facebook, researchers can explore new questions and recruit thousands in a matter of minutes. Social media can also help address challenges of longitudinal retention in research and enable researchers to identify participants years later for follow-up, as outlined in the article by Bhatia-Lin and colleagues in this issue, Bhatia-Lin and colleagues also discuss ethical and regulatory concerns with using social media platforms to locate and track research participants and offer an innovative rubric to guide ethical use of social media in biomedical research.…

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by Daniel J Brauner, MD

Wait a minute! I made up the term DNE—Do Not ECMO—not because I thought we needed another RULE, but to motivate a cautionary tale about CPR that may help to avoid the order becoming necessary in the first place.

Cautionary Tale

Attention to the changing indications for resuscitation over its more than 200 year history reveals what in retrospect was a natural experiment performed by the American Medical Association (AMA). The AMA conceived of the Current Procedural Terminology or CPT in response to their fears about increasing government involvement with the medical enterprise. Their goal was to maintain the “private practice” model of medicine under government sponsorship by creating a list of relative values to charge for procedures.…

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This blog post made available by the American Journal of Bioethics. You can read this editorial and accompanying articles here.

by Laura Kelly, MS, Governor of Kansas

A single mother doing her best to raise her children. A small business owner realizing her dreams in a rural Kansas town. A caregiver for a disabled child. All these Kansans deserve the ability to see a doctor when they need one and receive the health care services necessary for them to remain productive members of their communities.

These Kansans are why my campaign prioritized Medicaid expansion and why it remains one of my highest priorities in office.…

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by Craig Klugman, Ph.D.

Jump to The Resident (Seasons 2; Episode 20): Maternal mortality in black women; Jump to New Amsterdam (Season 1; Episode 18): Gestational surrogacy

The Resident (Season 2; Episode 20): Maternal mortality in black women

A young black family is in the OB ward for a C-section to deliver their second baby. The OB displays overt racism when he asks Pravesh, “What country are you from”? Pravesh responds, “New Jersey.” Post-surgery the mother has pain and some blood in her urine output. The OB ignores her. The ward is stretched and understaffed. The patient worsens. Only when Pravesh returns and herurine is mostly blood is she taken to the OR where the trauma team comes in after finding that she has bled most of her blood volume into her abdomen.…

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Editorials appear in cooperation with the American Journal of Bioethics. This article and its associated pieces can be found here.

by Jerry Menikoff

How can we appropriately ensure that people who enroll in clinical research understand what they are getting into? The recent revisions to the primary set of U.S. regulations for protecting research subjects (the Common Rule) attempt to better achieve that goal by, in part, providing more useful information to prospective subjects. In this issue of AJOB, Stephanie Morain and her colleagues address another important aspect of informed consent to research: Who should be obtaining consent? They note that although a variety of ethical guidelines warn against having physician-investigators obtain consent from someone who is already their own patient, U.S.…

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Editorials appear in cooperation with the American Journal of Bioethics. This article and its associated pieces can be found here.

by Jonathan D. Moreno

Let me address the “editorial” aspect of this editorial right away: I wholly agree with the principle that lies behind Mark Kuczewski’s admirable article. I take that principle to be that when clinical ethics issues affect undocumented patients, fostering efficient routine care in the setting of “new immigration-related stressors” is “to be resolved by finding creative means of instancing the values of care, efficiency, and public health.”

In Kuczewski’s article, the clinical ethicist is a kind of mediator and moral conscience.…

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by Craig Klugman, Ph.D.

Exploring the bioethical issues in medical dramas

Jump to New Amsterdam (Season 1; Episode 17): Crisis standards of care and decision-making; Jump to Station 19 (Season 2; Episode 13): POLST, DNR, and battery

New Amsterdam: (Season 1; Episode 17): Crisis standards of care and decision-making

In the midst of a storm isolating the hospital, without power or blood, Sharpe tells Max he has to decide which patients they will save. He wants to save everyone, but Sharpe explains, “Your job is no longer to save everyone; it’s to try to minimize the damage.” They have to decide who to save, who to give the few resources remaining.…

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by Craig Klugman, Ph.D.

Jump to The Resident (Season 2; Episode 18): Durable Power of Attorney; Lying; Jump to The Resident (Season 2; Episode 19): Death and “Doing too much; Jump to Chicago Med (Season 4; Episode 17): Personal feelings; Jump to Chicago Med (Season 4; Episode 18): Abortion with a minor; leaving a surgery

The Resident (Season 2; Episode 18): Durable Power of Attorney; Lying

An 18-year-old female Olympic-hopeful has shortness of breath and calf pain. Alex and Conrad are jointly treating her. She needs to be on a blood thinner but that means she has to stop training for several months.…

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by Brian H. Childs, Ph.D., HEC-C

Paul D. Simmons died on March 17, 2019 at the age of 82. Simmons was a leading figure within the religious/theological ethics community and was a major influence in bioethics and medical education. Dr. Simmons was a courageous prophet within the Southern Baptist tradition and, as with many prophets, was not appreciated and was in fact banished by Southern Baptist leadership.

Simmons was born in Troy, Tennessee and was a star athlete and valedictorian of his high school class. He went on to Union College earning a degree in English and later attended Southeastern Seminary at Wake Forest where he earned the M.Div.…

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The following editorial is from the March 2019 issue of the American Journal of Bioethics.

by William H. Colby, JD

On March 9, 1988, we started trial on Nancy Cruzan’s case in the three-story limestone courthouse on the town square in Carthage, Missouri. One of the many issues we’d end up talking about in the days and months of legal proceedings that followed was withholding versus withdrawing a feeding tube, and how those two acts should present the same legal and ethical challenge. We cited pages 75–77 of the President’s Commission Report titled “Deciding to Forego Life-Sustaining Treatment,” which the government had published 5 years earlier.…

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