This past week I had the privilege of hearing Dr. Daniel Sulmasy speak on the topic of bioethics in public policy, sharing in part about his experience with the Presidential Commission for the Study of Bioethical Problems. In the process of sharing, he made the striking statement that people do not own their genomes. This was later unpacked in the Q&A time where he emphasized... // Read More »
I went down with the resident to the emergency department to hear the patient’s story (aka “Take a history”) and perform a physical exam as part of the patient’s admission to the hospital. As we were getting ready to leave, the patient said, “Thank you for treating me like a person.” What does it say about our medical system when “treating someone like a person”... // Read More »
It was a pleasure to be a part of "Brain Death" : Facilitating Family/Hospital Dialogue about Death by Neurological Criteria, a half-day conference last month in Los Angeles.
The conference was sponsored by the SOUTHERN CALIFORNIA BIOETHICS COMMI...
Nudge is one of the most important and influential books on behavioral science and public policy I’ve ever read. Co-authored by economist Richard Thaler and lawyer Cass Sunstein, the book lays out the rationale for adopting policies designed to make … Continue reading →
The post Q & A With Richard Thaler On What It Really Means To Be A “Nudge” appeared first on PeterUbel.com.
<p><span style="font-size: 11.1999998092651px; line-height: 19.0400009155273px;">It is my sense that the majority, perhaps the vast majority, of cases on which clinical ethics consultants (CECs) are asked to consult and make an ethics recommendation, there is, or would be, a general consensus on the part of the CECs about what counts as the appropriate recommendation. However, the question arises of how clinical ethics as a field should deal with issues that come up about which there is not a clear consensus, such as in cases where a basic right to have an autonomous choice respected by the patient is pitted over and against the obligation of the physician to do no harm—the traditional tension between respect for patient autonomy and beneficence/nonmaleficence. This tension or conflict often occurs in cases of alleged medical futility where the patient or the patient’s surrogate requests a treatment option the physician deems will only cause harm and no benefit to the patient. For example, consider a patient’s surrogate who insists that she will not consent to a DNR order and in fact expects the physician to perform CPR if the patient arrests. For a patient without capacity dying of metastatic disease, this directive by the surrogate presents a stark dilemma to the physician—is it a violation of the physician’s obligation to the patient to “do no harm” (nonmaleficence)? Or is respect for the patient’s wishes or her representative’s wishes so sacrosanct that the physician’s obligation to follow the patient’s wishes is paramount and outweighs the obligation to do no harm?</span></p>
<p><strong style="color: #34405b; font-family: Arial, Helvetica, sans-serif; font-size: 12px; line-height: 19.0400009155273px;">The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our <a style="color: #000099; text-decoration: underline;" href="/Academic/bioethics/index.cfm">website</a>.</strong><span style="color: #34405b; font-family: Arial, Helvetica, sans-serif; font-size: 12px; line-height: 19.0400009155273px;"> </span></p>
by Jenna Lillemoe, B.A.
by Arthur Caplan , Ph.D.
This year has marked the largest measles outbreak in decades with over 102 cases documented since December. This outbreak is a product of the anti-vaccination trend that has dramatically decreased vaccination compliance rates in children. Parents no longer follow the guidance of their pediatricians or believe the scientific evidence that vaccinations work without adverse effects. Pediatricians and family medicine physicians are then tasked with caring for these unvaccinated children. Because there is no set policy of how to manage caring for non-vaccinated children, we were interested in attempting to critically analyze how physicians manage non-vaccinated children.…