Hot Topics: Health Care

Blog Posts (5073)

April 17, 2018

Jahi McMath - Tentative Ruling Setting "Separate Trial" on Brain Death

On Thursday, April 19, 2018, at 3:00 p.m., Alameda County judge Stephen Pulido will hear Jahi McMath's Motion for a Bifurcated Bench Trial to Determine whether the American Association of Neurology and American Academy of Pediatrics Guidelines should be applied to the facts of this case to determine whether Jahi McMath meets the definition of "brain death" under the UDDA.

The court issued a tentative ruling stating that it "intends to issue a Trial Setting Order that sets a separate trial on the issue of whether Plaintiff Jahi McMath is a person with the capacity and/or standing to prosecute the First Cause of Action of the First Amended Complaint for Professional Negligence."  In the contemplated trial, "the Court will determine whether Plaintiff Jahi McMath meets the legal definition of "brain death" pursuant to the criteria set forth by the Legislature in H&S Code § 7180."

Notably: "Although the issue of whether Plaintiff has the capacity or standing to pursue her claim is ordinarily a legal issue, the Court may not make the required determination as a matter of law if the parties present conflicting evidence regarding Plaintiff's condition."
April 17, 2018

The End is Nigh: Bioethics and Antibiotic Resistance

by Craig Klugman, Ph.D.

 ‘We’re out of Options’: Doctors Battle Drug-Resistant Typhoid Outbreak – 13 April 2018

New Concerns Over ‘Super Gonorrhea’ That’s Resistant to All Drugs – 4 April 2018

‘Nightmare’ bacteria, resistant to almost every drug, stalk U.S.

April 17, 2018

Alfie Evans - Bad Legal Advice Fuels Medical Futility Conflict

A letter from the Christian Legal Centre purporting to provide legal advice  to the parents of Alfie Evans completely misstates their rights.  The courts have already adjudicated that it is not in Alfie's best interests to receive life-susta...
April 17, 2018

New Moral Anesthesia for Abortion

“Is it possible, once again, to hold in tension seemingly opposite ideas about abortion?” This is the main question asked by Dr. Lisa Harris in the lead editorial in the April 12, 2018 NEJM. Her concern is that in her view, since the creation in January of the new Conscience and Religious Freedom division at HHS, subsequent comments by HHS leaders “suggest that they are... // Read More »
April 16, 2018

A Drug to Treat Cancer and Heart Disease (Miracle Cure or Media Hype?)

In a recent New York Times article, physician-author Siddhartha Mukherjee wrote about a clinical trial that he characterized as “beautiful,” for potentially illuminating a surprising connection between heart disease and cancer. Mukherjee is a justifiably acclaimed writer, who publishes regularly in The New Yorkerand The New … Continue reading

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April 16, 2018

"62 Days" - New Documentary Film on Marlise Muñoz and the Involuntary Treatment of Dead Pregnant Women

62 DAYS is a documentary film about Marlise Muñoz, a brain-dead pregnant woman whose family was forced to keep her on life support against her wishes.  This film shows the human story behind the headlines, and shines a light on a controversial law.

62 DAYS - 3 Min TRAILER from Rebecca Haimowitz on Vimeo.

April 15, 2018

TROs and Preliminary Injunctions Undermine Clinician Power to Declare Therapeutic Obstinacy in France and UK

A significant and still-growing body of jurisprudence in France and the United Kingdom supports the right of clinicians to refuse administration of life-sustaining treatments that they determine to be non-beneficial, futile, or therapeutically obstinat...
April 14, 2018

Society for Medical Decision Making - 40th Annual North American Meeting

The Society for Medical Decision Making will hold its 40th Annual North American Meeting in Montreal in October. If you are involved in health care decision making, working in a hospital, university, foundation, industry or government, at any sta...
April 13, 2018

Development and Certification of Decision Aids: Promoting Shared Decision-Making for Patients with Serious Illness

I leave Harvard Medical School and beautifully warm Boston, today, for the blowing snow of Minnesota. But I will be back Wednesday for "The Development and Certification of Decision Aids: Promoting Shared Decision-Making for Patients with Ser...
April 12, 2018

Defining Death: Organ Transplantation and the 50-Year Legacy of the Harvard Report on Brain Death

It was a great pleasure to be included in Harvard's annual bioethics conference on "Defining Death: Organ Transplantation and the 50-Year Legacy of the Harvard Report on Brain Death."  This was a real who's who of experts on brain death and bioet...

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Published Articles (77)

AJOB Neuroscience: Volume 9 Issue 1 - Mar 2018

Disorders of Consciousness, Agency, and Health Care Decision Making: Lessons From a Developmental Model Megan S. Wright, Claudia Kraft, Michael R. Ulrich & Joseph J. Fins

AJOB Neuroscience: Volume 9 Issue 1 - Mar 2018

When Does Consciousness Matter? Lessons From the Minimally Conscious State Joseph Vukov

AJOB Primary Research: Volume 8 Issue 1 - Mar 2018

“God is the giver and taker of life”: Muslim beliefs and attitudes regarding assisted suicide and euthanasia Chaïma Ahaddour, Stef Van den Branden & Bert Broeckaert

American Journal of Bioethics: Volume 18 Issue 3 - Mar 2018

The Default Position: Optimizing Pediatric Participation in Medical Decision Making Aleksandra E. Olszewski & Sara F. Goldkind

American Journal of Bioethics: Volume 18 Issue 3 - Mar 2018

Pediatric Participation in Medical Decision Making: Optimized or Personalized? Maya Sabatello, Annie Janvier, Eduard Verhagen, Wynne Morrison & John Lantos

American Journal of Bioethics: Volume 18 Issue 2 - Feb 2018

I, My Love, and Apps Craig Klugman

American Journal of Bioethics: Volume 18 Issue 1 - Jan 2018

From “Longshot” to “Fantasy”: Obligations to Pediatric Patients and Families When Last-Ditch Medical Efforts Fail Elliott Mark Weiss & Autumn Fiester

American Journal of Bioethics: Volume 18 Issue 1 - Jan 2018

Managing Expectations: Delivering the Worst News in the Best Way? Alyssa M. Burgart & David Magnus

American Journal of Bioethics: Volume 17 Issue 12 - Dec 2017

Our Life Depends on This Drug: Competence, Inequity, and Voluntary Consent in Clinical Trials on Supervised Injectable Opioid Assisted Treatment Daniel Steel, Kirsten Marchand & Eugenia Oviedo-Joekes

AJOB Primary Research: Volume 8 Issue 4 - Dec 2017

Counseling parents at risk of delivery of an extremely premature infant: Differing strategies Marlyse F. Haward, Annie Janvier, John M. Lorenz & Baruch Fischhoff

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News (2087)

March 8, 2018 9:00 am

Like It Or Not, Personal Health Technology Is Getting Smarter (NPR)

With a network of smart devices collecting information on sleep, exercise, heart activity, weight and more, a clinical team equipped with powerful AI might be empowered to make more medical decisions remotely, he says, with fewer office visits.

March 7, 2018 9:00 am

U.S. Immigration Policy Threatens Shake-Up In Home Health Business (NPR)

On a rare rainy night in Albuquerque, two dozen students are learning the proper way to care for older people. Teacher Liliana Reyes is reviewing the systems of the body — circulatory, respiratory and so on — to prepare them for an upcoming exam. These students are seeking to join a workforce of about 3 million people who help older adults remain in their homes. They assist these clients with things like bathing, dressing, and taking medication on time. About a quarter of these workers are immigrants.

January 2, 2018 9:00 am

Retirement home shut down months after attack on 86-year-old (CNN)

December 29, 2017 9:00 am

Doctor faces charges over opioid prescriptions and 5 patient deaths (CNN)

A Pennsylvania doctor charged with causing the deaths of five patients by unlawfully prescribing opioids surrendered his license to prescribe controlled substances at a federal court hearing.

December 15, 2017 9:00 am

After mistakenly declaring newborn dead, New Delhi hospital loses license (CNN)

The Delhi government has canceled the license of a private hospital where a newborn baby was mistakenly declared dead.

November 7, 2017 9:00 am

How Should Organizations Promote Equitable Distribution of Benefits from Technological Innovation in Health Care? (AMA Journal of Ethics)

Technological innovations typically benefit those who have good access to and an understanding of the underlying technologies. As such, technology-centered health care innovations are likely to preferentially benefit users of privileged socioeconomic backgrounds. Which policies and strategies should health care organizations adopt to promote equitable distribution of the benefits from technological innovations?

October 12, 2017 9:00 am

Birth control: Trump expands opt-out for workplace insurance (Washington Post)

President Donald Trump is allowing more employers to opt out of providing no-cost birth control to women by claiming religious or moral objections, issuing new rules Friday that take another step in rolling back the Obama health care law.

September 21, 2017 9:00 am

As Federal Government Cuts Obamacare Ads, Private Insurer Steps Up (NPR)

Open enrollment for Affordable Care Act insurance doesn’t start for another six weeks. But the quirky insurance startup Oscar Health is launching an ad campaign Monday aimed at getting young people to enroll.

September 5, 2017 9:00 am

F.D.A. Approves First Gene-Altering Leukemia Treatment, Costing $475,000 (The New York Times)

The Food and Drug Administration on Wednesday approved the first-ever treatment that genetically alters a patient’s own cells to fight cancer, a milestone that is expected to transform treatment in the coming years.

July 5, 2017 10:00 am

For Parents of U.K. Infant, Trump’s Tweet Is Latest Twist in an Agonizing Journey (The New York Times)

The long journey for Connie Yates and Chris Gard, whose infant son, Charlie, cannot breathe or move on his own, appeared to have come to an end last week. The courts had ruled that the baby’s rare genetic condition was incurable and that the only humane option was to take him off life support. The couple announced that they were getting ready “to say the final goodbye.” Then Pope Francis and President Trump weighed in, offering statements of support and thrusting a global spotlight onto a heart-rending case that has become a cause célèbre in Britain.

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