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07/02/2015

Even Superheroes Die [EOL in Art 52]

In "Not About Death" Argentina-based photographer Romina Ressia chronicles Superman, Snow White and Wonder Woman as elderly folks, still donning their uniforms. But instead of the flowing manes and perfect complexions of comic or fairy tale y...

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This entry was posted in Health Care and tagged , . Posted by Thaddeus Mason Pope. Bookmark the permalink.

07/01/2015

In California, Vaccination is the Law

by Craig Klugman, Ph.D.

This week, California governor Jerry Brown signed Senate Bill 277. This law mandates vaccinations for all children who attend a school (public or private) in the state. The only exemption is when a physician certifies that a vaccine “is not considered safe for the child.” The big change in this new law is the removal of the “personal belief” exemption from vaccination. No longer can a religious or philosophical belief exempt a child from receiving an immunization.

California has been at ground zero for conversations about vaccination. Earlier this year, the Disneyland park in Anaheim, California was the center of a massive national measles outbreak among unvaccinated children.…

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07/01/2015

Bioethics Commission Recommends Multidisciplinary Efforts to Support Neuroscience and Ethics Research and Education

On March 26 the Presidential Commission for the Study of Bioethical Issues (Bioethics Commission) released the second volume of its two-volume report on neuroscience and ethics, Gray Matters: Topics at the Intersection of Neuroscience, Ethics, and Society (Gray Matters, Vol. 2), which takes an in-depth look at three topics that have captured the public’s attention: […]

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This entry was posted in Health Care and tagged , . Posted by Misti Ault Anderson. Bookmark the permalink.

07/01/2015

Sexual morality and the goodness of God

Last week I wrote about Robert George’s presentation at the CBHD summer conference. He expressed very clearly how important the difference is between seeing human beings as a unity of spirit and body and seeing human beings as non-bodily persons who inhabit and use non-personal bodies. We have seen one of the implications of that difference play itself out this week in the Supreme Court... // Read More »

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This entry was posted in Health Care and tagged , . Posted by Steve Phillips. Bookmark the permalink.

07/01/2015

Legal Briefing: Adult Orphans and the Unbefriended: Making Medical Decisions for Unrepresented Patients without Surrogates

The summer 2015 issue of THE JOURNAL OF CLINICAL ETHICS is out.  I contributed "Legal Briefing: Adult Orphans and the Unbefriended: Making Medical Decisions for Unrepresented Patients without Surrogates."  

Here is the abstract:

This issue’s “Legal Briefing” column covers recent legal developments involving medical decision making for incapacitated patients who have no available legally authorized surrogate decision maker. These individuals are frequently referred to either as “adult orphans” or as “unbefriended,” “isolated,” or “unrepresented” patients. 

The challenges involved in obtaining consent for medical treatment on behalf of these individuals have been the subject of major policy reports. Indeed, caring for the unbefriended has even been described as the “single greatest category of problems” encountered in bioethics consultation.
      
In 2012, JCE published a comprehensive review of the available mechanisms by which to make medical decisions for the unbefriended. The purpose of this “Legal Briefing” is to update the 2012 study. Accordingly, this “Legal Briefing” collects and describes significant legal developments from only the past three years. 

My basic assessment has not changed. “Existing mechanisms to address the issue of decision making for the unbefriended are scant and not uniform.” Most facilities are “muddling through on an ad hoc basis.” 

But the situation is not wholly negative. There have been a number of promising new initiatives. I group these developments into the following seven categories:
  1. Increased Attention and Discussion
  2. Prevention through Better Advance Care Planning
  3. Prevention through Expanded Default Surrogate Lists
  4. Statutorily Authorized Intramural Mechanisms
  5. California Litigation Challenging the Team Approach
  6. Public Guardianship
  7. Improving Existing Guardianship Processes

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This entry was posted in Health Care and tagged , . Posted by Thaddeus Mason Pope. Bookmark the permalink.

07/01/2015

Mother with her Dead Son [EOL in Art 52]

Käthe Kollwitz's sculpture "Mother with her Dead Son" at the Neue Wache emphasizes the loneliness and sadness.


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06/30/2015

Professionalism in Medicine: I Know it When I See it

by Jennifer Chevinsky, BS

A medical student comes into the hospital wearing his favorite pair of old, ripped, dirty jeans.

A physician ‘pimps’ a medical student and publicly shames her when she doesn’t know the answer.

A nurse tells the patient that he really does not like working with the case manager on the medical service.

A resident presents her patient to the attending, including a complete physical exam that she did not perform.

In recent years, increased focus has been placed on the concept of professionalism in medicine by the Association of American Medical Colleges (AAMC), Liaison Committee for Medical Education (LCME), Accreditation Council of Graduate Medical Education (ACGME), and Accreditation Council of Continuing Medical Education (ACCME).…

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This entry was posted in Featured Posts and tagged , , . Posted by Jennifer Chevinsky. Bookmark the permalink.

06/30/2015

Vanitas [EOL in Art 51]

Vanitas (by Peter Claesz) means "emptiness" - the meaninglessness of earthly life and the transient nature of vanity.

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06/30/2015

Estate Planning In the 21st Century: Seismic Shifts and Predictions for the Future – CFP

Estate Planning in the 21st Century:  Seismic Shifts and Predictions for the Future The American College of Trust and Estate Counsel (ACTEC Law Journal) announces a Call For Papers on the following topics:   Estate planning has radical...

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06/30/2015

Ethical Issues at the End of Life – CFP

The Journal of Social Work in End-of-Life & Palliative Care has a CFP for a special thematic issue on ethical issues at the end of life.

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