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Professional Judgment and Justice: Equal Respect for the Professional Judgment of Critical-Care Physicians
David Magnus & Norm Rizk

This issue’s target article by Kirby (2016) raises an incredibly important and challenging set of issues: Whether, when, and how should limits be placed on patient access to intensive medical care? What are limits of shared decision making? Is bedside rationing ever appropriate? Kirby’s move away from bedside rationing to a mesolevel approach is novel and interesting. However, as some ...

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One Exemption Too Many: The Case for Mandated CCHD Screening
John D. Lantos, Julie Caciki & Jeremy R. Garrett

For more than 50 years, most industrialized countries have mandated population screening of newborns for medical conditions that meet a few straightforward criteria (Wilson and Jungner 1968). The condition must be an important health problem. The screening test should be accurate. There must be an effective treatment that is readily available to the people who have been screened. The cost of the ...

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Medical Ethics and School Football
Steven H. Miles & Shailendra Prasad

Health professionals should call for ending public school tackle football programs. We disagree with the perspective and the argument of a recent report by the American Academy of Pediatrics (AAP) that supports the current organization of reforms of youth tackle football (Council on Sports Medicine and Fitness 2015). […] ...

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Target Article

Legal and Ethical Considerations in Allowing Parental Exemptions From Newborn Critical Congenital Heart Disease (CCHD) Screening
Lisa A. Hom, Tomas J. Silber, Kathleen Ennis-Durstine, Mary Anne Hilliard & Gerard R. Martin

Critical congenital heart disease (CCHD) screening is rapidly becoming the standard of care in the United States after being added to the Recommended Uniform Screening Panel (RUSP) in 2011. Newborn screens typically do not require affirmative parental consent. In fact, most states allow parents to exempt their baby from receiving the required screen on the basis of religious or personally held bel...

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Balancing Legitimate Critical-Care Interests: Setting Defensible Care Limits Through Policy Development
Jeffrey Kirby

Critical-care decision making is highly complex, given the need for health care providers and organizations to consider, and constructively respond to, the diverse interests and perspectives of a variety of legitimate stakeholders. Insights derived from an identified set of ethics-related considerations have the potential to meaningfully inform inclusive and deliberative policy development that ai...

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