Bioethics.net http://www.bioethics.net Where the World Finds Bioethics Sun, 21 Sep 2014 19:36:47 +0000 en-US hourly 1 http://wordpress.org/?v=3.8.4 Health Care Reform Implementation in Minnesota: Mission Advanced But Not Accomplished http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/ihpOTBdcruI/health-care-reform-implementation-in.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/ihpOTBdcruI/health-care-reform-implementation-in.html#comments Sun, 21 Sep 2014 19:36:00 +0000 http://www.bioethics.net/?guid=e15fb0f6edb955e95fa33fa87af10fa7 http://medicalfutility.blogspot.com/feeds/1499560347664397494/comments/default 0 Careers & Pro Bono Opportunities in Bioethics & Law http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/BpVJfh5V-jg/careers-pro-bono-opportunities-in.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/BpVJfh5V-jg/careers-pro-bono-opportunities-in.html#comments Sun, 21 Sep 2014 19:29:00 +0000 http://www.bioethics.net/?guid=eeefc22ca93752a3808bc6fb89d2bd2b http://medicalfutility.blogspot.com/feeds/1658542618161237147/comments/default 0 Population Health: the New Medicine http://feedproxy.google.com/~r/bioethics-at-tiu/~3/8dzTe3rLo1E/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/8dzTe3rLo1E/#comments Sat, 20 Sep 2014 13:34:24 +0000 http://blogs.tiu.edu/bioethics/?p=5301 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/20/population-health-the-new-medicine/feed/ 0 Both Sides Now: Living with Dying: An Immersive Arts Experience http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/ynNM1_ATOKY/both-sides-now-living-with-dying.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/ynNM1_ATOKY/both-sides-now-living-with-dying.html#comments Sat, 20 Sep 2014 12:57:00 +0000 http://www.bioethics.net/?guid=567bf238679fd6137f70f90ce57faa62 http://medicalfutility.blogspot.com/feeds/1656941670173618468/comments/default 0 Both Sides Now: Living with Dying: An Immersive Arts Experience http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/ynNM1_ATOKY/both-sides-now-living-with-dying.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/ynNM1_ATOKY/both-sides-now-living-with-dying.html#comments Sat, 20 Sep 2014 12:57:00 +0000 http://www.bioethics.net/?guid=567bf238679fd6137f70f90ce57faa62 http://medicalfutility.blogspot.com/feeds/1656941670173618468/comments/default 0 Antidepressants: Society duped? http://feedproxy.google.com/~r/bioethics-at-tiu/~3/fIT3I_-ZSuk/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/fIT3I_-ZSuk/#comments Sat, 20 Sep 2014 03:32:44 +0000 http://blogs.tiu.edu/bioethics/?p=5290 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/19/antidepressants-society-duped/feed/ 0 Heart-Wrenching Words from Beethoven on Deafness http://www.peterubel.com/uncategorized/heart-wrenching-words-from-beethoven-on-deafness/ http://www.peterubel.com/uncategorized/heart-wrenching-words-from-beethoven-on-deafness/#comments Fri, 19 Sep 2014 16:29:03 +0000 http://www.peterubel.com/?p=7031 Continue reading ]]> http://www.peterubel.com/uncategorized/heart-wrenching-words-from-beethoven-on-deafness/feed/ 0 Ethical Issues in End-of-Life Care: MacLean Center Interdisciplinary Faculty Seminar Series http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/fr8n2hq7cMA/maclean-center-ethical-issues-in-end-of.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/fr8n2hq7cMA/maclean-center-ethical-issues-in-end-of.html#comments Fri, 19 Sep 2014 12:30:00 +0000 http://www.bioethics.net/?guid=bf06547a7fee0072969d91ce31ed317c Check out this amazing roster of nearly 30 world class seminars on end-of-life issues in the MacLean Center's 2014-2015 Interdisciplinary Faculty Seminar Series.

In the past 50 years, medicine has developed new and unprecedented technologies like breathing machines and dialysis that can prevent or delay death. These technologies have changed how people die, where people die, and physicians’ responsibilities to dying patients. During these 50 years, physicians and society have gradually learned how to best apply these life-saving technologies and how to stop them. In the vast majority of cases in which death is anticipated, patients, families and physicians reach prudent and “negotiated” decisions on when to stop aggressive care.

Yet questions remain. Advance directives have not been the panacea they were hoped to be and deciding for patients who are unable to speak for themselves remains painfully difficult for families and practitioners. Newer technologies such as implanted cardiac defibrillators, left ventricular assist devices, extracorporeal membrane oxygenation continue to raise new questions. Euthanasia and physician assisted suicide remain contentious subjects. Even questions that were thought settled, such as brain death and palliative sedation, have generated new controversies. Further, the cost of caring for patients at the end of life continues to consume a large percentage of the health budget, raising questions about the optimal and just use of health care resources.

THE ETHICS OF GLOBAL PALLIATIVE CARE
KATHEY FOLEY
Wednesday, October 8

THE DEFINITION OF DEATH: NEWLY EMERGING CONTROVERSIES
ROBERT VEATCH
Wednesday, October 15

STARTING VERY SMALL: NEWBORN PERSPECTIVES ON THE BIG DECISIONS
PERRIS KLASS
Wednesday, October 22

BEING MORTAL: MEDICINE AND WHAT MATTERS IN THE END
ATUL GAWANDE
Thursday, October 23

VOLUNTARILY STOPPING EATING AND DRINKING: SEPARATING THE WHEAT FROM THE CHAFF
DANIEL SULMASY
Wednesday, October 29

THE LACK OF CONSENSUS ABOUT FUTILITY
ALAN MEISEL
Wednesday, November 5

TRANFORMING HOW WE CARE FOR THOSE NEAR THE END OF LIFE
SUSAN TOLLE
Wednesday, November 12

COMMUNICATING ABOUT PROGNOSIS AND END-OF-LIFE CARE IN PATIENTS WITH ADVANCED CANCER
JENNIFER TEMEL
Wednesday, November 19

THE FIVE HORSEMEN: MANAGING ‘WICKED’ GLOBAL CRISES
DANIEL CALLAHAN
Wednesday, December 3

SEDATION, CONSCIOUSNESS AND PERSONHOOD: CLINICAL AND ETHICAL PERSPECTIVES IN A PALLIATIVE SETTING
TIMOTHY QUILL
Wednesday, December 10

DONATION AFTER CARDIAC DEATH (DCD): ACADEMIC DISSENT FAILS PATIENTS
TRACY KOOGLER
Wednesday, January 7

THE COST OF END-OF-LIFE CARE
TOMAS PHILIPSON
Wednesday, January 14

MEDICAL STUDENT REFLECTIONS ON CARING FOR DYING PATIENTS
MARK KUCZEWSKI
Wednesday, January 21

WHEN GOOD INTENTIONS AREN’T ENOUGH: BARRIERS TO OPTIMAL END-OF-LIFE CARE
RANJANA SRIVASTAVA
Wednesday, January 28

END-OF-LIFE DECISIONS IN PEDIATRICS: WHY THEY ARE DIFFERENT
JOEL FRADER
Wednesday, February 4

PREDICTING END OF LIFE
BILL MEADOW
Wednesday, February 11

DEMOCRATIC LEGITIMACY AND END-OF-LIFE DECISIONS
DAN BRUDNEY
Wednesday, February 18

THE PROMISE OF A TREATMENT: CARDIAC ARREST AND ITS EFFECT ON CONTEMPORARY MEDICINE
DAN BRAUNER
Wednesday, February 25

ETHICAL OBLIGATIONS AND CLINICAL CARE IN END-OF-LIFE CARE: DERIVING A QUALITY-OF-LIFE CONSTRUCT BASED ON THE ISLAMIC CONCEPT OF ACCOUNTABILITY BEFORE GOD
AASIM PADELA
Wednesday, March 4

TORT LIABILITY IN END-OF-LIFE CARE
NADIA SAWICKI
Wednesday, March 11

ETHICAL ISSUES IN DISCONTINUING LVADS
SAVITRI FEDSON
Wednesday, April 1

IMPROVING QUALITY REDUCES COSTS: ETHICAL ASPECTS OF CARE FOR THE SERIOUSLY ILL
DIANE MEIER
Wednesday, April 8

PERSONS WITH DEMENTIA: ARE THEY THE CANARY IN THE COAL MINE?
JOAN TENO
Wednesday, April 15

WHAT’S SO HARD ABOUT END-OF-LIFE DECISION-MAKING?
PETER UBEL
Wednesday, April 22

A GENERATION LATER: WHY HAS THE END-OF-LIFE DEBATE ENDED?
RICHARD EPSTEIN
Wednesday, April 29

ECMO AS A ‘BRIDGE TO NOWHERE’: ETHICALLY CHALLENGING POIGNANT CASES FROM THE TECHNOLOGICAL EDGE
KEN PRAGER
Wednesday, May 6

LAST EXIT OFF THE CARDIAC FREEWAY: ETHICAL CONSIDERATIONS IN PALLIATIVE CARE AND CARDIOVASCULAR IMPLANTABLE ELECTRONIC DEVICES
JAMES KIRKPATRICK
Wednesday, May 13

ONE EXPLORER’S MAP INTO THE WORLD OF PALLIATIVE CARE CHAPLAINCY RESEARCH
LINDA EMANUEL
Wednesday, May 20

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“Financial Toxicity” http://feedproxy.google.com/~r/bioethics-at-tiu/~3/L0W74_VzfZw/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/L0W74_VzfZw/#comments Fri, 19 Sep 2014 02:02:36 +0000 http://blogs.tiu.edu/bioethics/?p=5287 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/18/financial-toxicity/feed/ 0 Genetic Testing For All: Is It Eugenics? http://www.amc.edu/BioethicsBlog/post.cfm/genetic-testing-for-all-is-it-eugenics http://www.amc.edu/BioethicsBlog/post.cfm/genetic-testing-for-all-is-it-eugenics#comments Fri, 19 Sep 2014 01:09:27 +0000 http://www.bioethics.net/?guid=9313b6d47d166eeac2c9b827f40ab955 http://www.bioethics.net/2014/09/genetic-testing-for-all-is-it-eugenics/feed/ 0 Responding to Ebola: Retrofitting Governance Systems http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=7076&blogid=140 http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=7076&blogid=140#comments Thu, 18 Sep 2014 14:54:00 +0000 http://www.bioethics.net/?guid=92ab04c313e1fdf00dbb98a70a5d5c9a Mohini Banerjee and Chelsea Jack]]> http://www.bioethics.net/2014/09/responding-to-ebola-retrofitting-governance-systems/feed/ 0 Better to Be Dead than Disabled? http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/rION1KSNLNQ/better-to-be-dead-than-disabled.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/rION1KSNLNQ/better-to-be-dead-than-disabled.html#comments Thu, 18 Sep 2014 12:53:00 +0000 http://www.bioethics.net/?guid=3b15a61d7d18e42456ccf28ae99266e5 The disability rights group Not Dead Yet is leading a three-day protest vigil against the World Federation of Right to Die Societies which is holding a meeting that I am attending in Chicago.  

Disability rights advocates have certainly expressed some valid concerns about the expansion of options to hasten death.  Legislators, regulators, and clinicians should seriously grapple with concerns like risks of bias and coercion.  

Unfortunately, the disability groups reach far beyond their valid concerns to make hyperbolic comments.  For example, Not Dead Yet president Diane Coleman stated: "We are here to contradict the message of these groups that it’s better to be dead than disabled."  

That is emphatically not the message of any group attending this meeting.  The core thesis of this meeting is that particular individuals, after careful deliberation, may determine that in their own situation they want to avoid the effects of advanced illnesses like severe dementia.  They would rather die than live a life that they find intolerable. 

There has not been a single suggestion about what individuals ought to choose.  The focus remains on what individuals may choose, on what they have a right to choose for themselves.

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Improving Quality and Honoring Individual Preferences Near the End of Life (IOM 2014) http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/R4NWsNPCyQQ/improving-quality-and-honoring.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/R4NWsNPCyQQ/improving-quality-and-honoring.html#comments Thu, 18 Sep 2014 12:34:00 +0000 http://www.bioethics.net/?guid=79193db9ff12cc70c9302842d3dd63de http://medicalfutility.blogspot.com/feeds/3314415820565215067/comments/default 0 Designing a Better Restaurant Menu http://www.peterubel.com/behavioral_economics/designing-a-better-restaurant-menu/ http://www.peterubel.com/behavioral_economics/designing-a-better-restaurant-menu/#comments Thu, 18 Sep 2014 12:11:41 +0000 http://www.peterubel.com/?p=7026 Continue reading ]]> http://www.peterubel.com/behavioral_economics/designing-a-better-restaurant-menu/feed/ 0 A simple change? The IOM Report on “Dying in America” http://www.bioethics.net/2014/09/a-simple-change-the-iom-report-on-dying-in-america/ http://www.bioethics.net/2014/09/a-simple-change-the-iom-report-on-dying-in-america/#comments Thu, 18 Sep 2014 05:15:42 +0000 http://www.bioethics.net/?p=52526 by Craig Klugman, Ph.D.

Say there was a simple change that could be made to the health care system that would reduce cost, reduce demand, increase patient’s quality of life and satisfaction, address the whole patient and not just the disease, improve care coordination, and increase patient autonomy. All of this is possible, but it requires addressing the problem that in America we do not die as we want to.

This week the Institute of Medicine released its latest report,  Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life.…

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Ebola and the cultural understanding of disease http://feedproxy.google.com/~r/bioethics-at-tiu/~3/Zy9N-VDUfOk/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/Zy9N-VDUfOk/#comments Thu, 18 Sep 2014 00:44:59 +0000 http://blogs.tiu.edu/bioethics/?p=5284 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/17/ebola-and-the-cultural-understanding-of-disease/feed/ 0 Just Published Hastings Center Report Highlights “Teaching Bioethics” http://blog.bioethics.gov/2014/09/17/just-published-hastings-center-report-highlights-teaching-bioethics/ http://blog.bioethics.gov/2014/09/17/just-published-hastings-center-report-highlights-teaching-bioethics/#comments Wed, 17 Sep 2014 20:13:52 +0000 http://blog.bioethics.gov/?p=1416 http://blog.bioethics.gov/2014/09/17/just-published-hastings-center-report-highlights-teaching-bioethics/feed/ 0 Just Published Hastings Center Report Highlights “Teaching Bioethics” http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=7074&blogid=140 http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=7074&blogid=140#comments Wed, 17 Sep 2014 14:54:00 +0000 http://www.bioethics.net/?guid=eefdd69b8416e36a20319736409a3a6e Hillary Wicai Viers]]> http://www.bioethics.net/2014/09/just-published-hastings-center-report-highlights-teaching-bioethics-2/feed/ 0 What’s Really Scary about Obamacare http://www.peterubel.com/health_policy/whats-really-scary-about-obamacare/ http://www.peterubel.com/health_policy/whats-really-scary-about-obamacare/#comments Wed, 17 Sep 2014 13:29:03 +0000 http://www.peterubel.com/?p=7022 Continue reading ]]> http://www.peterubel.com/health_policy/whats-really-scary-about-obamacare/feed/ 0 Prevalence of Non-Beneficial ICU Treatment http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/4FZ5Crt0UAI/prevalence-of-non-beneficial-icu.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/4FZ5Crt0UAI/prevalence-of-non-beneficial-icu.html#comments Wed, 17 Sep 2014 11:00:00 +0000 http://www.bioethics.net/?guid=caa6c01121869369df84703f9c796c36 http://medicalfutility.blogspot.com/feeds/6549548527755161382/comments/default 0 International Resource Library on Adult Guardianship http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/Cm33duIVeOc/international-resource-library-on-adult.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/Cm33duIVeOc/international-resource-library-on-adult.html#comments Wed, 17 Sep 2014 09:00:00 +0000 http://www.bioethics.net/?guid=f0791fb1d57d43de5d77fc6fe149c18a The 3rd World Congress on Adult Guardianship recently convened in Washington, DC. One of the goals of this Congress was to form an online International Resource Library on Adult Guardianship.  That resource is now available here.

The organizers are also looking for more submissions, including papers, brochures, manuals, handbooks and more, are welcome if they would be of help to others.  Submissions may be made by emailing info@nationalguardianshipnetwork.org with the subject line “resource library.” Please provide, in English, a description regarding the document(s) you send, so that they can name and categorize them. 


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How do we talk about enhancement after Ferguson and the death of Michael Brown? http://www.bioethics.net/2014/09/how-do-we-talk-about-enhancement-after-ferguson-and-the-death-of-michael-brown/ http://www.bioethics.net/2014/09/how-do-we-talk-about-enhancement-after-ferguson-and-the-death-of-michael-brown/#comments Tue, 16 Sep 2014 22:49:23 +0000 http://www.bioethics.net/?p=52509 by Keisha Ray, Ph.D.

No other area of philosophy has captured my interests like bioethics. Thinking about the ways that we can use health care to justly distribute opportunities and what those opportunities are is my greatest interest. My specific interest in biomedical enhancement stems from my interests in the relationship between health care and opportunities. As health is essential to living the kind of lives that we want to live, I’m always thinking about how traditional practices and advances in health care can help us lead better lives, even when there is nothing medically abnormal about or minds or bodies.…

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A call for “new rules” for Internet-based research http://researchethicsblog.com/2014/09/16/a-call-for-new-rules-for-internet-based-research/ http://researchethicsblog.com/2014/09/16/a-call-for-new-rules-for-internet-based-research/#comments Tue, 16 Sep 2014 21:18:43 +0000 http://researchethicsblog.com/?p=606 ]]> http://researchethicsblog.com/2014/09/16/a-call-for-new-rules-for-internet-based-research/feed/ 0 When It Comes to Sex, We Are All Animals http://www.peterubel.com/behavioral_economics/when-it-comes-to-sex-we-are-all-animals/ http://www.peterubel.com/behavioral_economics/when-it-comes-to-sex-we-are-all-animals/#comments Tue, 16 Sep 2014 19:50:43 +0000 http://www.peterubel.com/?p=7017 Continue reading ]]> http://www.peterubel.com/behavioral_economics/when-it-comes-to-sex-we-are-all-animals/feed/ 0 Is It Possible To Do Bioethics In Contemporary America? http://www.amc.edu/BioethicsBlog/post.cfm/is-it-possible-to-do-bioethics-in-contemporary-america http://www.amc.edu/BioethicsBlog/post.cfm/is-it-possible-to-do-bioethics-in-contemporary-america#comments Tue, 16 Sep 2014 11:09:10 +0000 http://www.bioethics.net/?guid=97e81e0b71c23e99ea502b877102a713 http://www.bioethics.net/2014/09/is-it-possible-to-do-bioethics-in-contemporary-america/feed/ 0 Emotional, Religious Reasons to Keep Grandson in PVS on Life Support http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/7H9_OKzNo-4/emotional-religious-reasons-to-keep.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/7H9_OKzNo-4/emotional-religious-reasons-to-keep.html#comments Tue, 16 Sep 2014 11:00:00 +0000 http://www.bioethics.net/?guid=8b2cb3f4772ee6ca31fa9aeb398b9c18 This sad story in the Chicago Tribune powerfully illustrates why one grandmother could not consent to comfort care only for her grandson.  

The grandmother's daughter had been shot by a gang member while still pregnant.  "To Jefferson, the baby looked just like her daughter — her face, her color, her hands. But doctors told her [the baby] would remain in a persistent vegetative state, unable to see, hear or breathe on his own."  Clinicians "urged her to remove him from life support, telling her his condition would never improve." 

The grandmother "set the date to pull the plug — Oct. 20, 2011, what would have been her daughter's 18th birthday.  But she had a change of heart as she entered Advocate Christ Medical Center that day.  

"I couldn't see turning the machine off on him . . ..   Who am I to judge whether he lives or dies, OK?  I think at (the hospital) a lot of them were kind of disappointed with me because they thought actually I was
going to turn the machine off. . . .  But my faith didn't allow me to do it."

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CALL FOR PAPERS Aging, Law, & Society Critical Research Network http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/TjNRNC3KriE/call-for-papers-aging-law-society.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/TjNRNC3KriE/call-for-papers-aging-law-society.html#comments Tue, 16 Sep 2014 10:00:00 +0000 http://www.bioethics.net/?guid=89bd636eff0f13b6fbb9fc8a051d59ae CALL FOR PAPERS

Aging, Law, & Society Critical Research Network


Law and Society Association Annual Meeting

Seattle, May 28 – May 31, 2015

The Aging, Law, and Society Critical Research Network (CRN) invites scholars to participate in a multi-event workshop sponsored by the CRN as part of the Law and Society Association’s 2014 Annual Meeting.  The Aging, Law & Society CRN brings together scholars from across disciplines to share research and ideas about the relationship between law and aging, including how the law responds the needs of persons as they age and how law shapes the aging experience.


At this year’s meeting, the CRN will sponsor two primary types of panels at the annual meeting:  (1) themed panel presentations on topics selected by the programming committee; and (2) workshops in which scholars present works-in-progress and receive commentary from an assigned discussant.


Accordingly, the CRN encourages paper proposals on a broad range of issues related to law and aging.  However, we especially encourage proposals on the following topics:


·         Comparative approaches to elder law and old age policy;

·         The interaction between elder law and labor and employment law;

·         Creative and empirical methodologies for studying law and aging;

·         The conference theme:  law’s promises and law’s pathos in domestic and transnational contexts.


In addition to paper proposals, we also welcome:

·         Ideas and proposals for themed panels:  In particular, please email Nina Kohn at nakohn@law.syr.edu if you are already planning a panel that you would like to have featured as part of the Aging, Law, and Society CRN; and

·         Volunteers to serve as commentators on works-in-progress. 


If you would like to present a paper as part of a the CRN’s programming, please send a 400-500 word abstract, with your name, full contact information, and a paper title to both Nina Kohn (nakohn@law.syr.edu) and Nancy Knauer (nknauer@temple.edu).   Please indicate the stage at which the paper will be, or is expected to be, in May of 2014.  If you wish to present a paper showcasing a research methodology, please send additional copies to Israel Doron (idoron@univ.haifa.ac.il) and Daphna Hacker (dafna@post.tau.ac.il).



Please submit all proposals for paper presentations by no later than October 1, 2014.   Earlier submissions are highly encouraged and will be given priority. 

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Minnesota Maintains 100 Percent Rate for Advance Care Planning http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/DseR57U6GSM/minnesota-maintains-100-percent-rate.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/DseR57U6GSM/minnesota-maintains-100-percent-rate.html#comments Tue, 16 Sep 2014 09:00:00 +0000 http://www.bioethics.net/?guid=468f1d2a11ba1b5469e5022620f5c4ce http://medicalfutility.blogspot.com/feeds/8523860540961938327/comments/default 0 Vincent Lambert – Treatment Pending European Court of Human Rights http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/TsT-lvVFgZw/vincent-lambert-treatment-pending.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/TsT-lvVFgZw/vincent-lambert-treatment-pending.html#comments Tue, 16 Sep 2014 08:00:00 +0000 http://www.bioethics.net/?guid=44a3efc9f4642880d3232ab2a333a3f1 http://medicalfutility.blogspot.com/feeds/1343225701066247760/comments/default 0 Google Maps and Moral Authority http://feedproxy.google.com/~r/bioethics-at-tiu/~3/yDn5gPwDaN4/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/yDn5gPwDaN4/#comments Mon, 15 Sep 2014 23:40:01 +0000 http://blogs.tiu.edu/bioethics/?p=5241 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/15/google-maps-and-moral-authority/feed/ 0 Law and Bioethics Career Panel http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/qeycxaTXcSI/law-and-bioethics-career-panel.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/qeycxaTXcSI/law-and-bioethics-career-panel.html#comments Mon, 15 Sep 2014 21:48:00 +0000 http://www.bioethics.net/?guid=4eea106b8ad99be3b4eab267bcccefea http://medicalfutility.blogspot.com/feeds/272261268910561530/comments/default 0 Bad Medical Language: "Failure to Die" & "GOMER" http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/N3lJMTim4YI/bad-medical-language-failure-to-die.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/N3lJMTim4YI/bad-medical-language-failure-to-die.html#comments Mon, 15 Sep 2014 14:42:00 +0000 http://www.bioethics.net/?guid=622506d3df5a1a8fd03a1c4db938d991 http://medicalfutility.blogspot.com/feeds/8611443378064776994/comments/default 0 In re A.P. – Maybe Moot before Maine Supreme Court Can Decide DHHS Right to Direct DNR over Mother Trask’s Objections http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/uZspElI9Nhw/in-re-ap-maybe-moot-before-maine.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/uZspElI9Nhw/in-re-ap-maybe-moot-before-maine.html#comments Mon, 15 Sep 2014 09:00:00 +0000 http://www.bioethics.net/?guid=852c5ee19dad28a02733572019e2c175 http://medicalfutility.blogspot.com/feeds/7992133728926068114/comments/default 0 Disability Groups & Aid in Dying http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/kTsOlduwSIE/disability-groups-aid-in-dying.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/kTsOlduwSIE/disability-groups-aid-in-dying.html#comments Mon, 15 Sep 2014 07:00:00 +0000 http://www.bioethics.net/?guid=ee10e5237d724ace3cd70bee1d68ce40 Not surprisingly, a number of disability groups have expressed concern to the Disability Rights Legal Center about its recent hiring of Kathryn Tucker.  

For example:  "We wish to engage in dialogue with you about the serious concerns we have over Ms. Tucker’s work in her previous position at Compassion & Choices that has placed members of the disability community in significant danger."  

I really hope that this dialogue happens.  I hope that it will be productive in softening disability groups opposition to aid in dying.  Or at least this dialogue might clarify that there are at least two distinct camps among disability rights advocates:  those who support AID and those who oppose it.

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BBC Dramatization of Assisted Suicide – "The Dilemma" http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/Xd-Ox-xgPms/bbc-dramatization-of-assisted-suicide.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/Xd-Ox-xgPms/bbc-dramatization-of-assisted-suicide.html#comments Sun, 14 Sep 2014 20:15:00 +0000 http://www.bioethics.net/?guid=c7e773b1786df9afd4fb305335390efb http://medicalfutility.blogspot.com/feeds/7303949436413361560/comments/default 0 Top 20 Medical Journals in the World http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/XYXqGb7DdkA/top-20-medical-journals-in-world.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/XYXqGb7DdkA/top-20-medical-journals-in-world.html#comments Sun, 14 Sep 2014 18:48:00 +0000 http://www.bioethics.net/?guid=aa73e05a8f53cc55719fed82447bd92d http://medicalfutility.blogspot.com/feeds/1367770937949525607/comments/default 0 Top 20 Bioethics Journals in the World http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/y5Igcnmmf0Q/top-20-bioethics-journals-in-world.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/y5Igcnmmf0Q/top-20-bioethics-journals-in-world.html#comments Sun, 14 Sep 2014 18:43:00 +0000 http://www.bioethics.net/?guid=f4991ebed1ffda068e8399713fdd4bad http://medicalfutility.blogspot.com/feeds/5430266609038751502/comments/default 0 Piketty, Capitalism, and Progressive Taxation http://theeconomismscam.blogspot.com/2014/09/piketty-capitalism-and-progressive.html http://theeconomismscam.blogspot.com/2014/09/piketty-capitalism-and-progressive.html#comments Sun, 14 Sep 2014 18:43:00 +0000 http://www.bioethics.net/?guid=7f6d3570696369e9b5d80a4613cf0eb4
One of the most important graphs in The Golden Calf is taken from Wilkinson and Pickett (The Spirit Level, 2009) and shows the widening gap between the richest and poorest in America in income, between 1975 and 2004. It’s the second half of my life. The first part of my life, beginning in 1949, was the “good news” part, when the economy worked well, and a worker with one job could buy a home and raise a family and send kids to college. This was followed by the “bad news,” economism or neoliberalism, especially under Reagan starting in 1980, when income stagnated for the lower and middle classes and virtually all the new wealth was snapped up by the top few percent. By this picture, economism was a bizarre development, and one was hard pressed to explain why such a thing should have occurred.

Thomas Piketty, Professor at the Paris School of Economics, has now cast considerable new light on these developments (Capital in the Twenty-First Century, trans. Arthur Goldhammer, Cambridge: Belknap Press of Harvard University Press, 2014). As he points out, until modern computers, economics tended to be light on facts. It’s only within the past couple of decades that the available data have been recorded and investigated, to allow those familiar with them a reasonable peek at the actual history. And history, in fact, is what economics should be concerned about; Piketty takes a dim view of American neoclassical economics and favors a collaborative view of the economist as one of the social sciences.

Piketty offers data on capital and income between 1800 and the present for Britain and France, and going back to the late 1800s for the United States and other major countries. He focuses a good deal of the basic equation, r > g, meaning that the rate of return on capital virtually always exceeds the growth rate of the economy; the former tends to be 3-5 percent and the latter runs from less than 1 percent to 1.5 percent. Piketty notes that this is basic to the whole idea of civilization—it allows people to be engaged in something besides pure subsistence.

When Piketty graphs the history of the relationship between the after-tax rate of return to capital and the growth rate of world output, as best as is known from the year 0 to the present, capital return always exceeds the growth rate except at one point—the years 1913-2012. So the data that informed my standard way of thinking between 1949 and 1975-80 turns out to be wildly out of sync with the norm.

Piketty describes what he considers most important, capital/income ratio, roughly as follows. For Europe, inequality was very pronounced, until the shocks of the twentieth century, in the years 1914-1945. Then income inequality rose again. The major change was that before the twentieth century, there were a small number of rich people who had almost all the wealth, and the vast majority of laborers who had virtually none of it. Now there is a middle class which collectively holds a significant amount of wealth, one-quarter to one-third of the total; while the extreme upper class, especially the top 1 percent, now holds around 60 percent of the wealth.

The United States presents a different picture. The middle class was establishing itself all along. However, during the Gilded Age, income inequality rose in America as well. It then decreased during the world wars and depression, but America was spared the extreme trials of Europe. Since 1975, income inequality has risen even higher in the U.S. than in Europe.

Piketty talks then of the future of the remainder of the twenty-first century, and finds increasing income inequality to be an unstable factor, so he is hopeful that something can be done about it. His favorite is a progressive tax on capital. He favors a modest plan that would produce maybe 2 percent of GDP, but argues that the capital tax is more important than the amount raised, since it carries an important message. In particular, for it to work at all, it would require that data be gathered in a way that it is not currently, and particularly that international tax havens be opened to scrutiny. On Piketty’s plan, everyone would know everyone else’s wealth, throughout the world. He admits that this is a nearly-utopian goal and will require many stages of development.

Piketty speaks of the future as if everything will be smooth and there will be no more “shocks” equivalent to the World Wars. He admits that he cannot predict what would happen if shocks supervene.
Returning to my own views, it’s discouraging to find that the time that one had thought of as the halcyon days when everything was most fair and reasonable (the era 1945-1980 roughly) was a brief, highly atypical time period. It is, by contrast, encouraging to find that progressive taxation can so effectively reverse the worst of the trends. The only problem will be gaining the political will to succeed in such a mission in the US. Piketty’s own guess is, “Without a radical shock, it seems fairly likely that the current [state of affairs in the US] will persist for quite some time. The egalitarian pioneer ideal has faded into oblivion, and the New World may be on the verge of becoming the Old Europe of the twenty-first century’s globalized economy. [514]”]]>
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“Enhancement” and Moral Development http://feedproxy.google.com/~r/bioethics-at-tiu/~3/JKwnEguEo1c/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/JKwnEguEo1c/#comments Sun, 14 Sep 2014 13:46:44 +0000 http://blogs.tiu.edu/bioethics/?p=5275 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/14/enhancement-and-moral-development/feed/ 0 It’s not primarily about the guns http://feedproxy.google.com/~r/bioethics-at-tiu/~3/34hKh4mNpXI/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/34hKh4mNpXI/#comments Sat, 13 Sep 2014 02:57:50 +0000 http://blogs.tiu.edu/bioethics/?p=5259 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/12/its-not-primarily-about-the-guns/feed/ 0 Palliative Care – Free Webinar Series http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/v7PLltrpVrw/palliative-care-free-webinar-series.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/v7PLltrpVrw/palliative-care-free-webinar-series.html#comments Fri, 12 Sep 2014 23:56:00 +0000 http://www.bioethics.net/?guid=51b775760f1df96740c42cacb07d2c6f http://medicalfutility.blogspot.com/feeds/3578373081594123569/comments/default 0 Healthcare Versus Other Social Spending http://www.peterubel.com/health_policy/healthcare-versus-other-social-spending/ http://www.peterubel.com/health_policy/healthcare-versus-other-social-spending/#comments Fri, 12 Sep 2014 13:59:16 +0000 http://www.peterubel.com/?p=7013 Continue reading ]]> http://www.peterubel.com/health_policy/healthcare-versus-other-social-spending/feed/ 0 Keeping up with Clinical Research with Human Embryonic Stem Cells http://feedproxy.google.com/~r/bioethics-at-tiu/~3/SzcOvXiClpI/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/SzcOvXiClpI/#comments Fri, 12 Sep 2014 01:26:09 +0000 http://blogs.tiu.edu/bioethics/?p=5262 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/11/keeping-up-with-clinical-research-with-human-embryonic-stem-cells/feed/ 0 Clever Graphic to Stop Public Urination – Yes, Urination http://www.peterubel.com/uncategorized/clever-graphic-to-stop-public-urination-yes-urination/ http://www.peterubel.com/uncategorized/clever-graphic-to-stop-public-urination-yes-urination/#comments Thu, 11 Sep 2014 12:55:35 +0000 http://www.peterubel.com/?p=7008 Continue reading ]]> http://www.peterubel.com/uncategorized/clever-graphic-to-stop-public-urination-yes-urination/feed/ 0 West Virginia e-Directive Registry – Model for Other States http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/l3L07r5PaU0/west-virginia-e-directive-registry.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/l3L07r5PaU0/west-virginia-e-directive-registry.html#comments Thu, 11 Sep 2014 11:04:00 +0000 http://www.bioethics.net/?guid=a298af1f924945cf725f8cb57ab54cae http://medicalfutility.blogspot.com/feeds/6992699523125838336/comments/default 0 Extending the Zadroga Act https://thebioethicsprogram.wordpress.com/2014/09/11/extending-the-zadroga-act/ https://thebioethicsprogram.wordpress.com/2014/09/11/extending-the-zadroga-act/#comments Thu, 11 Sep 2014 10:56:14 +0000 http://thebioethicsprogram.wordpress.com/?p=409 ]]> https://thebioethicsprogram.wordpress.com/2014/09/11/extending-the-zadroga-act/feed/ 0 Who’s Afraid of GMO? http://www.amc.edu/BioethicsBlog/post.cfm/who-s-afraid-of-gmo http://www.amc.edu/BioethicsBlog/post.cfm/who-s-afraid-of-gmo#comments Thu, 11 Sep 2014 04:09:48 +0000 http://www.bioethics.net/?guid=46aa521d05b58fd73aca6c67e5484d6f http://www.bioethics.net/2014/09/whos-afraid-of-gmo/feed/ 0 Nana Cams: Personal Surveillance Video and Privacy in the Age of Self Embellishment http://www.bioethics.net/2014/09/nana-cams-personal-surveillance-video-and-privacy-in-the-age-of-self-embellishment/ http://www.bioethics.net/2014/09/nana-cams-personal-surveillance-video-and-privacy-in-the-age-of-self-embellishment/#comments Wed, 10 Sep 2014 21:27:01 +0000 http://www.bioethics.net/?p=52461 by Craig Klugman, Ph.D.

In David Eggers’ novel, The Circle, a fictional internet company creates and encourages users to videostream their lives. Wearing a small camera, people can share every experience of every day with whomever wants to follow them…except to the bathroom. The first streamers become instant celebrities and instant villians. The result is the end of privacy as anyone has known it. The upshot, according to the fictional company, is that if people know they are being watched (or might be being watched), people will behave more civilly.…

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What is Democratic Deliberation? A Q&A with Bioethics Commission Chair Amy Gutmann http://blog.bioethics.gov/2014/09/10/what-is-democratic-deliberation-a-qa-with-bioethics-commission-chair-amy-gutmann/ http://blog.bioethics.gov/2014/09/10/what-is-democratic-deliberation-a-qa-with-bioethics-commission-chair-amy-gutmann/#comments Wed, 10 Sep 2014 16:46:11 +0000 http://blog.bioethics.gov/?p=1410 http://blog.bioethics.gov/2014/09/10/what-is-democratic-deliberation-a-qa-with-bioethics-commission-chair-amy-gutmann/feed/ 0 Are Some Life Saving Treatments Overkill? http://www.peterubel.com/uncategorized/are-some-life-saving-treatments-overkill/ http://www.peterubel.com/uncategorized/are-some-life-saving-treatments-overkill/#comments Wed, 10 Sep 2014 12:42:54 +0000 http://www.peterubel.com/?p=7004 Continue reading ]]> http://www.peterubel.com/uncategorized/are-some-life-saving-treatments-overkill/feed/ 0