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Author Archive: Craig Klugman

01/13/2017

BioethicsTV: Violating confidentialty, ethical decision-making, unapproved human experimentation

by Craig Klugman, Ph.D.

Chicago Med (Season 2; Episode 10): In this episode a heart patient returns from a previous episode when a heart is found for a transplant. However, the patient who is 3 years sober had a couple of alcohol shots that morning upon learning that her friend had died. At a meeting of the transplant committee Dr. Latham—the cardiothoracic attending—says that the rules are clear, she must be sober for 18 months before a transplant. Dr. Charles—the psychiatrist—is conflicted, concerned that he misread the patient but also knowing, as he states, that often it takes a slip before a person with an addiction takes recovery seriously.…

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01/10/2017

Be Wary What You Research: You Might Get Sued

by Craig M. Klugman, Ph.D.

Peter Cohen, Clayton Bloszies, Caleb Yee and Roy Gerona published an article in the journal Drug Testing and Analysis in April 2015 explaining the results of their testing of supplements. The researchers found that a compound, BPMEA, appeared in nearly half the supplement brands they examined and since neither the FDA (supplements are not currently under the purview of the FDA because they are not food products nor are they medications) nor the European Drug Agency has found BPMEA safe for human consumption, no one should purchase these supplements.

The result? Cohen and his colleagues were sued by Hi-Tech pharmaceuticals for libel and defamation of their products.…

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01/09/2017

Crossing the Line: When Doctors’ Beliefs Endanger Patients’ Autonomy and Health

by Craig M. Klugman, Ph.D.

In 2016 the Illinois legislature passed and Governor Bruce Rauner signed into law Public Act 099-690 (SB 1564), an amendment to the Health Care Right of Conscience Act. This change states “It is also the public policy of the State of Illinois to ensure that patients receive timely access to information and medically appropriate care.” The change requires physicians to inform patients about legal treatment options including their factual risks and benefits, but does not require the physician to perform such services. If the hospital or physician has a conscientious objection to performing a procedure, then the patient must be referred to or transferred to someone or some facility that will.…

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This entry was posted in Cultural, Featured Posts, Justice, Politics, Reproductive Medicine and tagged . Posted by Craig Klugman. Bookmark the permalink.

01/06/2017

BioethicsTV (January 2-6, 2017): Violating promises, coma v. PVS, transplant evaluation, and whether to abort

by Craig Klugman, Ph.D.

Pure Genius (Season1; Episode 10- 1/5). In this episode, Dr. Channarayapatra is working with a patient in lung failure. Due to exposure to toxins dumped in the ground beneath her neighborhood, the patient’s lung tissue is disintegrating. Bunker Hill hospital is attempting to build the world’s first implantable, artificial lung but has not had success. With her lung function decreasing, the patient may soon face one of two options: death or ECMO—a process where a machine oxygenates her blood outside of the body. The viewer is told that ECMO can only be used for a maximum of two weeks.…

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01/04/2017

Last Days of the ACA

by Craig M. Klugman, Ph.D.

Politicians are notorious for making campaign promises and then not carrying them out. With the beginning of the 115th Congress, the GOP has doubled-down on its promise to repeal the Affordable Care Act (aka “Obamacare”). How that repeal will happen and what will replace it remains unknown. Both Congress and the courts are lining up court cases and rules that will set up their destruction of this law that has extended health care insurance to 20 million people in the U.S. Starting January 1, several new provisions were supposed to go into effect including expanding protected class status to include those who identify as transgender and those who had receive abortions, and permitting states to apply for exemptions to design alternative programs.…

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01/02/2017

The Year in Bioethics That Was – 2016

by Craig Klugman, Ph.D.

Happy New Year. As has become a tradition at the bioethics.net blogs, the ending of one year and beginning of another is a time for reflection, for reviewing the year that has passed and planning for the year to come.

In 2015, bioethics.net is pleased to have had 17 bloggers contribute to our 106 posts. A very big thank you to these insightful scholars: Keisha Ray, Jennifer Blumenthal-Barby, Kayhan Parsi, Nanette Elster, Art Caplan, David Magnus, Steven Miles, Stuart Chambers, Andrea Kalfoglou, Bela Fishbeyn, Amanda Zink, Sebastian Sattler, Adam Houston, Kelly McBride Folkers, Abhi Amarnani, and Nancy King.…

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12/28/2016

Doctor as Data Entry Drone

by Craig Klugman, Ph.D.

Most people choose to go into the health professions to help others, to make a secure living, and to challenge themselves on a daily basis. Few people would rank “doing paperwork” as a reason to choose a career in health. However, according to a new study in the Annals of Internal Medicine, paperwork in the form of electronic health records (EHR) might be the activity on which doctors spend the most time. According to Sinsky et. al, who conducted direct observations, motion studies, and self reports of 57 physicians in 4 specialties in 4 states, doctors spent over 49% of their time on record keeping and 27% on direct patient care.…

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12/19/2016

BioethicsTV: Pure Genius Proudly Ignores the Rules

by Craig Klugman, Ph.D.

“We’re Bunker Hill, since when do we follow the rules” sums up the attitude of this poor-performing medical drama that kicks ethics, law, and regulation to the curb on a weekly basis. Fictional Dr. Zoe Brockett uttered the above statement. In this fall finale episode, she breaks confidentiality, UNOS rules, and autonomous informed consent.

This episode (season 1; episode 8 – 12/15/2016) sees a patient with a rare blood type in need of a kidney transplant or face certain death in weeks. Her daughter, a world-class ballerina who was just offered her lifetime dream—a position with the Paris Opera Ballet—is willing to donate but is not a match.…

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12/09/2016

BioethicsTV: Pure Genius is Purely Corrupt

by Craig Klugman, Ph.D.

In this week’s episode (Season 1, Episode 7 -12/8), an FDA reviewer trades a case so that she can review a compassionate use request for a new drug at the hospital where her husband is the chief of staff. Her spouse was even was a participant in the proposal presentation to her for approval. Meanwhile, the owner of the hospital asks his chief of staff to be his doctor for his neurodegenerative disease—serving as the physician for his boss, in an area that is outside his specialty. Both of these are examples of conflict of interest. A conflict of interest exists when a person owes fealty to more than one party and where loyalty to a second party may influence one’s choices to the first.…

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This entry was posted in Conflict of Interest, Featured Posts, Media and tagged . Posted by Craig Klugman. Bookmark the permalink.

12/01/2016

Bioethics Under Attack: Analysis Is Seen As Threat

by Craig Klugman, Ph.D.

A September article in Bioethics by Julian Savulescu and Udo Schuklenk has lit a fire under the Christian media. According to such news sources as The Stream (a conservative Christian website) and author William Briggs (you have to read his bio) “Bioethicists Want to Purge Christian Doctors.” This reaction to the Bioethics article is further evidence that we see what we want in writing rather than what is actually written.

In their article, “Doctors Have No Right to Refuse Medical Assistance in Dying, Abortion or Contraception,” Savulescu and Schuklenk offer a refutation of an article by Christopher Cowley’s, “A Defence of Conscientious Objection in Medicine: A Reply to Schuklenk and Savulescu.” Yes, the article that has offended the Christian press is a reply to a reply to a 2015 editorial written by Schuklenk and a 2006 analysis by Savulescu.…

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This entry was posted in Cultural, Ethics, Featured Posts, Health Regulation & Law, Media. Posted by Craig Klugman. Bookmark the permalink.