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Author Archive: Craig Klugman

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.

12/01/2016

BioethicsTV (November 2016): Informed consent, HIV organ transplants, Forgiveness, Assisted Suicide, Treating Prisoners, Undue Influence in Consent, and Failure to Vaccinate

by Craig Klugman, Ph.D.

Grey’s Anatomy (Season 13, Episode 9). A building collapses when a landlord has failed to make necessary repairs a year after an earthquake. The landlord mistakes a resident for a priest and confesses that his neglect was the cause of the tragedy that has led to much morbidity and mortality. The resident wonders if he has to preserve confidentiality like a priest or if information told to a doctor is different. A fellow resident tells him that since it’s not medically related, he has no obligation to maintain this particular confidence. Later, after surgerty the landlord tells the resident that he knows there was never a priest, but he simply needs someone to forgive him.…

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11/17/2016

Conflictor-In-Chief: President Trump’s Many Conflicts of Interest

by Craig Klugman, Ph.D.

Every year, my university requires me to file a conflict-of-interest (COI) statement. I had to ask the COI committee for permission in order to use the ethics textbook that I edited for my classes (since I do not receive any residuals on it, there’s no conflict, but had I received money for each sale, I would have). When I give a talk to a national professional group I have to list honorariums for talks and consulting. I even have to report if my spouse has any positions, grants, or funding from a company that could potentially compromise my objectivity.…

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

11/09/2016

President Trump & A Republican Congress: What Might It Mean?

by Craig Klugman, Ph.D.

In a 2000 episode of The Simpsons, a flash forward shows Lisa being elected the first heterosexual female U.S. President. Her biggest challenge is fixing the economy: “As you know, we’ve inherited quite a budget crunch from President Trump.” Did this animated show predict the 2016 election?

I am currently reading Chernow’s Hamilton biography, which lends a great deal of insight into the current election. From our Constitutional beginning, there has been a philosophical split in this country between those like Hamilton who viewed a strong federal government and an industrialized nation. On the other hand Jefferson and Madison led the antifederalists.…

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10/31/2016

Bioethics.net: The Presidential Election Edition

by Craig Klugman, Ph.D.

Every four years the United States chooses a new chief executive. Although encoded in the Constitution, the idea that a person with such power would willingly surrender it and walk away to allow another to lead is remarkable. It was even more remarkable in 1797 when George Washington began this tradition of a peaceful transition of power, an action that was nearly unthinkable in a world ruled by monarchs. As the character of King George says in the musical Hamilton, “I wasn’t aware that was something a person can do.” Of course that tradition may be ending as Republican candidate Donald Trump stated that he reserves the right not to honor the election results.…

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10/28/2016

BIOETHICS TV 10/27 – Modern miracles, body hacking, and sex trafficking

by Craig Klugman, Ph.D.

Pure Genius (Seasons 1, Episode 1)

This new TV show might be the ethicists worst nightmare. The show opens with Dr. Mulroney at a hearing where he admits to giving a patient an unapproved FDA drug to a patient who died. He is dismissed. The point of this opening scene is to present medicine as too conservative, too stodgy, and not willing to take risks for innovation.

The second presents a case takes in an Oakland, CA hospital where a 15-year-old girls is unresponsive in a “coma” for some unknown reason. A team of people wearing brown jackets shows up to transfer the patient to a new hospital, Bunker Hill.…

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10/28/2016

BioethicsTV: 10/20 – Distributing organs, scope of practice, poverty, and kidnapping

by Craig Klugman, Ph.D.

Grey’s Anatomy (Season 13, Episode 5). In this episode June is an 80 year old woman who has been waiting for 3 years for a liver transplant. Her ship has finally come in and her children and grandchildren celebrate in her hospital room. But when Chelsea, a 25 year old runner, comes into the ER suffering from heat stroke that leads to acute liver failure, an internecine conflict develops between the surgeons. According to Meredith Grey, UNOS will allow June to forgo her liver and give it to Chelsea. June is a saint who cares and gives and nurtures.…

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This entry was posted in Featured Posts, Media, Organ Transplant & Donation, Social Justice and tagged . Posted by Craig Klugman. Bookmark the permalink.

10/25/2016

Shooting Galleries: Time To Change Our Drug Policy

by Craig Klugman, Ph.D.

A hospital in Paris has opened that country’s first “shooting gallery,” a medically supervised facility where drug addicts can use their injection drugs in a safe, clean environment. The hospital provides clean needles and alcohol wipes, alternatives (such as methadone for a heroin addict in exchange for street drugs), and education. Patrons must bring their own drugs. France joins Australia, Canada, Denmark, Luxembourg, Netherlands, Germany, and Spain in hosting such programs. There are more than 92 facilities in 61 cities, over one-third in the Netherlands alone.

As I have written about previously, our current U.S.

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10/18/2016

BioethicsTV: 10/11-10/17 – Assaulting demented patients, sex trafficking, and surrogate decision-making

by Craig Klugman, Ph.D.

An occasional column examining the ethical issues raised in television medical dramas.

On Code Black (Season 2; Episode 3) the most important ethical issue was very brief, not taking more than about 2 minutes of screen time. Dr. Angus Leighton is a resident whose brother is unconscious and connected to life supporting technology after falling out of a helicopter (it is a drama after all). Angus is the named medical power of attorney. However, his father has had his attorney draw up papers that transferred the power of attorney from Angus to the father. The odd thing about this is that no such mechanism exists.…

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10/11/2016

BioethicsTV: Oct 3-7 – Surrogate Consent, Grace, Conscientious Objection, End of Life Conversations and Lessons on Utilitarianism

by Craig Klugman, Ph.D.

BioethicsTV is an special section of bioethics.net that looks at the ethical issues raised in television medical dramas

Code Black (season 2, episode 3) revolved around a bus crash. The team captain, a promising athlete, has a crushed leg and requires a leg amputation. His father initially refuses to consent, stating that he can’t destroy his son’s dreams. He later tells the doctor that he is okay with the needed surgery but he can’t be the one to make the decision. He does not want to be to person who decided that his son’s dreams would end with the loss of his leg.…

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