Hot Topics: Health Care
The NIH Human Fetal Tissue Research Ethics Advisory Board met on 31 July 2020 to “make recommendations regarding the ethics of research involving human fetal tissue (HFT) proposed in NIH grant and cooperative agreement applications and R&D contract proposals, as set forth in the NIH Guide Notice NOT-OD-19-128.” The meeting agenda included a brief time …Full Article
Today, August 1, 2020, is the one-year anniversary of the New Jersey Medical Aid in Dying for the Terminally Ill Act.
Compassion & Choices reports that 42 large medical centers, hospitals, and hospices across the state have adopted policies allowing their doctors to offer MAID to terminally ill patients who request it.
The New Jersey Hospital Association has a implementation toolkit here. Compassion & Choices has a free online “Find Care” tool that enables New Jerseyans to find the nearest healthcare facility with this patient-supportive policy.
Personal ventilators used by people with disabilities should not reallocated to people with Covid-19. Triage protocols should be immediately clarified and explicitly state that personal ventilators will be protected in all cases.Full Article
This new book addresses the ethical problems that physicians have to face every day while caring for critically ill patients. Improved treatments in emergency and critical care, have resulted in more patients surviving with reduced quality of life. This entails trade-offs for many patients, their families, and the teams caring for them. In 16 chapters experts in their respective fields describe compelling ethical challenges resulting from these discrepancies and discuss potential solutions.
- How Ethics Can Support Clinicians Caring for Critically Ill Patients
- Patients and Teams Caring for Them: Parallels Between Critical Care and Emergency Medicine
- Indication and Prognostication
- Consent, Advance Directives, and Decision by Proxies
- Cultural Diversity
- Inter-professional Shared Decision-Making
- Shared Decision-Making With Patients and Families
- Emergency Medicine and Critical Care Triage
- Usage of Cutting-Edge Technology: ECPR
- Usage of Cutting-Edge Technology: ECMO
- Limiting Life-Sustaining Therapies
- Advancing Palliative Care in Intensive Care and Emergency Medicine
- Organ Donation and Transplantation
- Disproportionate Care, Ethical Climate, and Moral Distress
- To Treat or Not to Treat: How to Arrive at an Appropriate Decision Under Critical Circumstances
- Epilogue: Critical Care During a Pandemic – A Shift from Deontology to Utilitarianism?
Greed is a common concern—a risk, from one perspective, an indictment, from another—raised regarding medical care and the people who profit from providing certain aspects of it. Nurses don’t get rich. Doctors, in rich nations, often do. Public hospitals generally don’t; private, for-profit ones do, and manage their work to make sure they do. There’s …Full Article
The Uniform Law Commission has authorized the appointment of a Study Committee on Updating the Uniform Determination of Death Act. This study committee will study the need for and feasibility of updating the Uniform Determination of Death Act (1980), ...Full Article
The U.S. District Court for the Eastern District of Michigan has denied Farid Fata's motion for compassionate release from federal prison due to his age, health and the risks presented by COVID-19. He has served 5 years of his 45-year sentence. Fata w...Full Article
As more workplaces open up, a seldom-used legal action is being taken against employers charged with inadequately protecting employees from the coronavirus: public nuisance lawsuits.
The post Lawsuits of Last Resort: Employees Fight for Safe Workplaces during Covid-19 appeared first on The Hastings Center.Full Article
New Zealand's referendum on end of life choice is September 19, 2020. Parliament already passed the End of Life Choice Act, but it has not come into force. The Act will come into force only if more than 50% of voters in the referendum vo...Full Article
The best chance of bringing the Coronavirus pandemic to an end with the least loss of life and the greatest return to normality seems to be the introduction of an effective vaccine. But how should such a vaccine be distributed? To be effective, particularly in protecting the most vulnerable in the population, it would need […]Full Article
Ethics Lessons From Seattle’s Early Experience With COVID-19
Should Extremely Premature Babies Get Ventilators During the COVID-19 Crisis?
Eliminating Categorical Exclusion Criteria in Crisis Standards of Care Frameworks
Ethical Challenges Arising in the COVID-19 Pandemic: An Overview from the Association of Bioethics Program Directors (ABPD) Task Force
Patient and Family Descriptions of Ethical Concerns
Using Implementation Science to Enact Specific Ethical Norms: The Case of Code Status Policy
Beneficence, Interests, and Wellbeing in Medicine: What It Means to Provide Benefit to Patients
The United States leads the world in coronavirus cases and deaths. Although many people have called out the inadequacies of our health care system, Covid-19 has exposed the most significant shortcomings. The need for change can no longer be ignored. Here are three lessons from this pandemic that should be leveraged for change.Full Article
More than four in ten deaths linked to the pandemic were in the state’s long-term care facilities. What went wrong?Full Article
Medical workers remain devoted to curing and easing the pain of the desperately ill during the COVID-19 pandemic. But what can be done about their pain?Full Article
A group of medical dissenters argues that tailoring treatment to the genetic profiles of individuals, a longstanding goal for researchers, is less important than the old-fashioned public health measures being used against the pandemic.Full Article
As the coronavirus overwhelms the health care system, people with other illnesses struggle to find treatment.Full Article
It’s a moment that people with disabilities have long feared: there’s a shortage of life-saving equipment, like ventilators, and doctors say they may be forced to decide who lives and who dies. People with disabilities worry those judgments will reflect a prejudice that their lives hold less value.Full Article
A 71-year-old bioethicist explains why he considers rationing mechanical ventilation based on age to be one morally relevant criterion.Full Article
As the coronavirus pandemic fills medical beds, saps supplies of lifesaving equipment and protective gear, and exhausts clinicians, ethics experts will be on hand to help hospitals make tough choices. At the heart of the matter is a question: How do you choose between patients when allocating limited resources?Full Article