Bioethics.net » Health Care http://www.bioethics.net Where the World Finds Bioethics Fri, 12 Sep 2014 23:56:29 +0000 en-US hourly 1 http://wordpress.org/?v=3.8.4 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 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 Health Reform Watch: Study finds fewer deaths after MA health reform http://www.bioethics.net/news/health-reform-watch-study-finds-fewer-deaths-after-ma-health-reform/ http://www.bioethics.net/news/health-reform-watch-study-finds-fewer-deaths-after-ma-health-reform/#comments Thu, 11 Sep 2014 18:54:17 +0000 http://www.bioethics.net/?post_type=news&p=52477 http://www.bioethics.net/news/health-reform-watch-study-finds-fewer-deaths-after-ma-health-reform/feed/ 0 Addressing Dual Agency: Getting Specific About the Expectations of Professionalism http://www.bioethics.net/articles/addressing-dual-agency-getting-specific-about-the-expectations-of-professionalism/ http://www.bioethics.net/articles/addressing-dual-agency-getting-specific-about-the-expectations-of-professionalism/#comments Thu, 11 Sep 2014 18:45:11 +0000 http://www.bioethics.net/?post_type=articles&p=52472 http://www.bioethics.net/articles/addressing-dual-agency-getting-specific-about-the-expectations-of-professionalism/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 http://thebioethicsprogram.wordpress.com/2014/09/11/extending-the-zadroga-act/ http://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 ]]> http://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 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 What Should We Forget? http://feedproxy.google.com/~r/bioethics-at-tiu/~3/Az5ILpt06DE/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/Az5ILpt06DE/#comments Wed, 10 Sep 2014 00:55:22 +0000 http://blogs.tiu.edu/bioethics/?p=5244 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/09/what-should-we-forget/feed/ 0 Responding to Ebola: Organizational Ethics, Frontline Perspectives http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=7037&blogid=140 http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=7037&blogid=140#comments Tue, 09 Sep 2014 14:54:00 +0000 http://www.bioethics.net/?guid=13cac12fa3a39722bb0a0fefdd25d3ce Chelsea Jack and Nancy Berlinger]]> http://www.bioethics.net/2014/09/responding-to-ebola-organizational-ethics-frontline-perspectives/feed/ 0 Can Social Media Save Us from the “Spiral of Silence?” http://thebioethicsprogram.wordpress.com/2014/09/09/can-social-media-save-us-from-the-spiral-of-silence/ http://thebioethicsprogram.wordpress.com/2014/09/09/can-social-media-save-us-from-the-spiral-of-silence/#comments Tue, 09 Sep 2014 13:37:06 +0000 http://thebioethicsprogram.wordpress.com/?p=405 ]]> http://thebioethicsprogram.wordpress.com/2014/09/09/can-social-media-save-us-from-the-spiral-of-silence/feed/ 0 Health Insurance Prices Declining under Obamacare http://www.peterubel.com/uncategorized/health-insurance-prices-declining-under-obamacare/ http://www.peterubel.com/uncategorized/health-insurance-prices-declining-under-obamacare/#comments Tue, 09 Sep 2014 12:55:42 +0000 http://www.peterubel.com/?p=7000 Continue reading ]]> http://www.peterubel.com/uncategorized/health-insurance-prices-declining-under-obamacare/feed/ 0 Drug Innovation and Government-Operated Health Systems http://www.amc.edu/BioethicsBlog/post.cfm/drug-innovation-and-government-operated-health-systems http://www.amc.edu/BioethicsBlog/post.cfm/drug-innovation-and-government-operated-health-systems#comments Tue, 09 Sep 2014 11:09:31 +0000 http://www.bioethics.net/?guid=15c2a35009139662d90a24f192261b40 http://www.bioethics.net/2014/09/drug-innovation-and-government-operated-health-systems/feed/ 0 7th Annual Pediatric Bioethics Conference http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/YbnBE-Vgdvk/7th-annual-pediatric-bioethics.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/YbnBE-Vgdvk/7th-annual-pediatric-bioethics.html#comments Tue, 09 Sep 2014 07:00:00 +0000 http://www.bioethics.net/?guid=f67a4e31734f8e55685b2a0646542347 On November 7, 2014, Wolfson Children’s Hospital, in partnership with the University of North Florida and the Florida Bioethics Network, presents the Seventh Annual Pediatric Bioethics Conference.






Welcoming Remarks 
Alissa Hurwitz Swota, PhD
University of North Florida and Wolfson Children’s Hospital, Jacksonville, FL

Wolfson Lecture: Ethical Dilemmas in Pediatric Nursing Administration
Veronica Scott-Fulton, DNP, MPH, RN, NEA-BC
Vice President, Operations & Patient Care Services
Wolfson Children’s Hospital

Ethical and Clinical Challenges in Caring for Children with Cancer in the Era of Chemotherapy Drug Shortages: The Not so Good, the Bad, and the Ugly 
Yoram Unguru, MD, MS, MA
Attending Physician, Division of Pediatric Hematology/Oncology, The Herman and Walter Samuelson Children’s Hospital at Sinai Core Faculty, Johns Hopkins Berman Institute of Bioethics; Assistant Professor, Johns Hopkins University School of Medicine

Living with Illness: A Sibling Perspective  
Moderator: Kelly Komatz, MD, MPH, FAAP, FAAHPM
Assistant Professor, UF COM Jacksonville, Department of Pediatrics/Community Pediatrics

Conflict Resolution in Healthcare: Beyond Bioethics Mediation 
Haavi Morreim, JD, PhDProfessor, Department of Internal Medicine, College of Medicine, University of Tennessee; Principal, ADR Institute, LLC

Can We Reasonably Hope to Transform Unreasonable Hopes? 
Ralph Baergen, PhD, MPH 
Professor of Philosophy, Idaho State University

Child Abuse: Working with Parents who may have put their Child in the Hospital 
Kathleen Dully, MD
Medical Director, First Coast Child Protection Team

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Limning the Limits http://feedproxy.google.com/~r/bioethics-at-tiu/~3/iKgixX5dfMU/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/iKgixX5dfMU/#comments Tue, 09 Sep 2014 02:18:54 +0000 http://blogs.tiu.edu/bioethics/?p=5230 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/08/limning-the-limits/feed/ 0 Top U.S. health adviser wants end to partisan fighting over Obamacare http://www.bioethics.net/news/top-u-s-health-adviser-wants-end-to-partisan-fighting-over-obamacare/ http://www.bioethics.net/news/top-u-s-health-adviser-wants-end-to-partisan-fighting-over-obamacare/#comments Mon, 08 Sep 2014 22:47:02 +0000 http://www.bioethics.net/?post_type=news&p=52474 http://www.bioethics.net/news/top-u-s-health-adviser-wants-end-to-partisan-fighting-over-obamacare/feed/ 0 Power of Analogy http://www.peterubel.com/uncategorized/power-of-analogy/ http://www.peterubel.com/uncategorized/power-of-analogy/#comments Mon, 08 Sep 2014 17:44:23 +0000 http://www.peterubel.com/?p=6994 Continue reading ]]> http://www.peterubel.com/uncategorized/power-of-analogy/feed/ 0 Interventions at the End of Life – Social, Comparative and Historical Analysis to Promote Global Improvement http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/6i25MeWQxi8/interventions-at-end-of-life-social.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/6i25MeWQxi8/interventions-at-end-of-life-social.html#comments Mon, 08 Sep 2014 10:00:00 +0000 http://www.bioethics.net/?guid=7bfaecbf0b8edb8562c2ec942010c1a8 The Wellcome Trust has awarded a Senior Investigator Award in the Medical Humanities, entitled: "Interventions at the End of Life – Social, Comparative and Historical Analysis to Promote Global Improvement."  

The research involves a rigorous assessment of the world’s end of life care needs – and will propose strategies for improvement. It will also seek to generate more sustainable and appropriate end of life interventions, across various cultures and settings.

David Clark at the University of Glasgow more fully describes the project here.

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Kathryn Tucker Now at Disability Rights Legal Center http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/SnAamq_lo_4/kathryn-tucker-now-at-disability-rights.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/SnAamq_lo_4/kathryn-tucker-now-at-disability-rights.html#comments Sun, 07 Sep 2014 09:00:00 +0000 http://www.bioethics.net/?guid=1285f968817cad05d4bdd87466f9c0f8 The Disability Rights Legal Center part of the Public Interest Law Center of Loyola Law School Los Angeles has announced Kathryn L. Tucker, Esq., as its new Executive Director and Director of Advocacy and Legal Affairs.  

Tucker joins DRLC from the national nonprofit organization Compassion & Choices, where she worked to improve patient rights and choice at the end of life as Director of Advocacy and Legal Affairs for two decades.  

Tucker also served as lead counsel in two landmark end of life care cases before the United States Supreme Court, which established the right of dying patients to aggressive pain management. Her work has furthered the rights of patients in many states to better end of life care. She helped successfully defend Oregon’s Death with Dignity Act and was instrumental in successful campaigns to pass similar laws in other states.

Tucker has held a faculty appointment at Loyola for a number of years, teaching "Law, Medicine and Ethics at the End of Life.”  Her new position will enable her to continue work on behalf of patients with serious illness, as DRLC  includes the Cancer Legal Resource Center and the HIV Law and Policy Project.

Given the historic tension between end of life choice advocates and much of the Disability Advocacy community, the DRLC Board's selection of Tucker is impressive and commendable.  It is also smart.  Tucker has two decades of experience in moving a multidimensional advocacy agenda forward for a social change movement.  Her work involved state and federal impact litigation as well as state and federal legislative work. She is known for creative aggressive advocacy and achieving outstanding results. Selecting her as Executive Director, positions DRLC to be a leader in the Disability community.

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Memorial to Lives Unworthy of Life http://feedproxy.google.com/~r/bioethics-at-tiu/~3/2BNXfNTOdS4/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/2BNXfNTOdS4/#comments Sun, 07 Sep 2014 06:00:48 +0000 http://blogs.tiu.edu/bioethics/?p=5221 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/07/memorial-to-lives-unworthy-of-life/feed/ 0 AARP Oddly Excludes Right to Die Groups http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/37jHugyqW-s/aarp-oddly-excludes-right-to-die-groups.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/37jHugyqW-s/aarp-oddly-excludes-right-to-die-groups.html#comments Sat, 06 Sep 2014 14:17:00 +0000 http://www.bioethics.net/?guid=6cb4bed2a169b6c347a77bafd0f4bf90 http://medicalfutility.blogspot.com/feeds/8408345452867090895/comments/default 0 Creating a “New Race,” a New Problem…or Both? http://feedproxy.google.com/~r/bioethics-at-tiu/~3/9PIvxV2PiYU/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/9PIvxV2PiYU/#comments Sat, 06 Sep 2014 13:26:42 +0000 http://blogs.tiu.edu/bioethics/?p=5207 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/06/creating-a-new-race-a-new-problem-or-both/feed/ 0 Maine DHHS Cannot Authorize DNR on Baby Aleah Peaslee without Mother Virginia Trask’s Consent http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/XnRzJ7oMoY8/maine-dhhs-cannot-authorize-dnr-on-baby.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/XnRzJ7oMoY8/maine-dhhs-cannot-authorize-dnr-on-baby.html#comments Sat, 06 Sep 2014 11:26:00 +0000 http://www.bioethics.net/?guid=ab3788de0b6afc1c791037c1ab06dbd8 Virginia Trask originally agreed to a DNR order on her brain-damaged daughter, Aleah Peaslee.  But after the baby improved somewhat, Trask changed her mind. But, by then, Trask was no longer in charge of her daughter.  State child welfare officials consented to the DNR order. Trask is now fighting to reverse that order. The Maine Supreme Judicial Court hears arguments on September 23 (In re A.P., Ken-14-192).

Trask argues that the court may allow the Department of Health & Human Services to authorize a DNR order only if the parent's parental rights have been terminated.  The Department argues that it has the authority to consent to a "do-not-resuscitate" order for any child in its custody, if it is in the child's best interest to do so.

In short, a core question at issue is whether temporary substitute decision makers have the right to consent to a DNR order for a child.  Generally, the answer is "no."  These decision makers cannot consent to stopping life-sustaining treatment until parental rights are permanently terminated.  
  • D.K. v. Commonwealth, 221 S.W.3d 382, 384 (Ky. Ct. App. 2007).
  • In re Matthew W., 903 A.2d 333, 335 (Me. 2006). 
  • In re Smith, 133 P.3d 924, 929‐30 (Or. Ct. App. 2006). 
  • In re Stein, 821 N.E.2d 1008 (Ohio 2004).
  • In re Tabatha R., 564 N.W.2d 598, 605 (Neb. 1997).

Most recently, attorneys for the mother of Issac Lopez tried to argue that withdrawing physiological support without consent violated parental rights.  That argument failed, because Issac was already dead and his death terminated parental rights.  But since Aleah is still alive, the argument should be successful.

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5th International Conference on Advance Care Planning & End-of-Life Care http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/_byu-0OwurM/5th-international-conference-on-advance.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/_byu-0OwurM/5th-international-conference-on-advance.html#comments Sat, 06 Sep 2014 07:30:00 +0000 http://www.bioethics.net/?guid=2140caf0082ae76d6d09f132cf458f72 http://medicalfutility.blogspot.com/feeds/5820139267842376192/comments/default 0 IOM Committee on Approaching Death: Addressing Key End of Life Issues Report Release http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/N5xYKYJ_dIM/iom-committee-on-approaching-death.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/N5xYKYJ_dIM/iom-committee-on-approaching-death.html#comments Sat, 06 Sep 2014 00:53:00 +0000 http://www.bioethics.net/?guid=2236b1959b9dee7f5c15dbe92032429c http://medicalfutility.blogspot.com/feeds/2495177959674360509/comments/default 0 New Educational Modules on Vulnerable Populations http://blog.bioethics.gov/2014/09/05/new-educational-modules-on-vulnerable-populations/ http://blog.bioethics.gov/2014/09/05/new-educational-modules-on-vulnerable-populations/#comments Fri, 05 Sep 2014 16:00:35 +0000 http://blog.bioethics.gov/?p=1405 http://blog.bioethics.gov/2014/09/05/new-educational-modules-on-vulnerable-populations/feed/ 0 Red Robin, Red Robin, Please Clog My Arteries! http://www.peterubel.com/behavioral_economics/red-robin-red-robin-please-clog-my-arteries/ http://www.peterubel.com/behavioral_economics/red-robin-red-robin-please-clog-my-arteries/#comments Fri, 05 Sep 2014 12:44:17 +0000 http://www.peterubel.com/?p=6990 Continue reading ]]> http://www.peterubel.com/behavioral_economics/red-robin-red-robin-please-clog-my-arteries/feed/ 0 The Farewell Party (film) http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/xsASTt9tlrs/the-farewell-party-film.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/xsASTt9tlrs/the-farewell-party-film.html#comments Fri, 05 Sep 2014 08:00:00 +0000 http://www.bioethics.net/?guid=adc5987666fe9da5eb50f33a01efa9c9 "The Farewell Party" centers on a group of Jerusalem retirement-home residents who create a euthanasia machine to put a dying friend out of his misery — and then face a moral dilemma when others come seeking the same service.

Co-director Carol Maymon said the seed of the film was the death of her ex-boyfriend’s elderly grandmother.  "We felt like death released her from pain and suffering — but then the paramedics came into the house and tried to resuscitate her for half an hour. . .  They were fighting for her life like she was 16 years old. It was so absurd, and from this absurd moment the idea came. . . .  There was a funny moment when her son told the paramedics: 'If you wake her up, you are taking her with you.'"



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Is an RCT of an Ebola drug ethical? http://feedproxy.google.com/~r/bioethics-at-tiu/~3/ajaIZqqPRdY/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/ajaIZqqPRdY/#comments Fri, 05 Sep 2014 03:25:13 +0000 http://blogs.tiu.edu/bioethics/?p=5204 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/04/is-an-rct-of-an-ebola-drug-ethical/feed/ 0 Patients Killing Doctors http://bioethicsdiscussion.blogspot.com/2014/09/patients-killing-doctors.html http://bioethicsdiscussion.blogspot.com/2014/09/patients-killing-doctors.html#comments Thu, 04 Sep 2014 19:06:00 +0000 http://www.bioethics.net/?guid=62b35835b4eb5bb5c1ce7b7ca0988087 http://bioethicsdiscussion.blogspot.com/feeds/6348421887926545842/comments/default 0 FDA Proposal for Regulating Laboratory Diagnostics Could Improve Patient Care http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=7018&blogid=140 http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=7018&blogid=140#comments Thu, 04 Sep 2014 14:54:00 +0000 http://www.bioethics.net/?guid=d9d24911cc8c6679f8440f33c7d06672 Rachel Sachs]]> http://www.bioethics.net/2014/09/fda-proposal-for-regulating-laboratory-diagnostics-could-improve-patient-care/feed/ 0 Moderate Politicans: No Reason to Run for Office http://www.peterubel.com/uncategorized/moderate-politicans-no-reason-to-run-for-office/ http://www.peterubel.com/uncategorized/moderate-politicans-no-reason-to-run-for-office/#comments Thu, 04 Sep 2014 12:35:27 +0000 http://www.peterubel.com/?p=6985 Continue reading ]]> http://www.peterubel.com/uncategorized/moderate-politicans-no-reason-to-run-for-office/feed/ 0 Legal Briefing: Brain Death and Total Brain Failure http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/GAn5DT_OWbE/legal-briefing-brain-death-and-total.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/GAn5DT_OWbE/legal-briefing-brain-death-and-total.html#comments Thu, 04 Sep 2014 08:30:00 +0000 http://www.bioethics.net/?guid=8f55e7ece22db6e887234cd84ec39f65 My latest legal briefing is now available: "Legal Briefing: Brain Death and Total Brain Failure"  Journal of Clinical Ethics 25, no. 3 (Fall 2014): 245-57.  Here is the abstract:

This issue’s “Legal Briefing” column covers recent legal developments involving total brain failure. Death determined by neurological criteria (DDNC) or “brain death” has been legally established for decades in the United States. But recent conflicts between families and hospitals have created some uncertainty. Clinicians are increasingly unsure about the scope of their legal and ethical treatment duties when families object to the withdrawal of physiological support after DDNC. This issue of JCE includes a thorough analysis of one institution’s ethics consults illustrating this uncertainty. This experience is not unique. Hospitals across the country are seeing more DDNC disputes. 

Because of the similarity to medical futility disputes, some court cases on this topic were reviewed in a prior “Legal Briefing” column. But a more systematic review is now warranted. I categorize recent legal developments into the following nine categories:
1.   History of Determining Death by Neurological Criteria
2.   Legal Status of Determining Death by Neurological Criteria
3.   Legal Duties to Accommodate Family Objections
4.   Protocols for Determining Death by Neurological Criteria
5.   Court Cases Seeking Physiological Support after DDNC
6.   Court Cases Seeking Damages for Intentionally Premature DDNC
7.   Court Cases Seeking Damages for Negligently Premature DDNC
8.   Court Cases Seeking Damages for Emotional Distress
9.   Pregnancy Limitations on DDNC

In the same issue, check out "Family Members’ Requests to Extend Physiologic Support after Declaration of Brain Death: A Case Series Analysis and Proposed Guidelines for Clinical Management."

We describe and analyze 13 cases handled by our ethics consultation service (ECS) in which families requested continuation of physiological support for loved ones after death by neurological criteria (DNC) had been declared. These ethics consultations took place between 2005 and 2013. Patients’ ages ranged from 14 to 85. Continued mechanical ventilation was the focal intervention sought by all families. The ECS’s advice and recommendations generally promoted “reasonable accommodation” of the requests, balancing compassion for grieving families with other ethical and moral concerns such as stewardship of resources, professional integrity, and moral distress. In cases we characterized as finite-goal accommodation, a “reasonable accommodation” strategy proved effective in balancing stakeholders’ interests and goals, enabling steady progress toward resolution. When a family objected outright to a declaration of DNC and asked for an indefinite accommodation, the “reasonable accommodation” approach offered clinicians little practical direction, and resolution required definitive action by either the family or the clinical team. Based on our analysis and reflections on these 13 cases, we propose ethically justified and practical guidelines to assist healthcare professionals, administrators, and ECSs faced with similar cases.

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CRISIS ETHICS: Hope for the best, prepare for the worst http://www.bioethics.net/2014/09/crisis-ethics-hope-for-the-best-prepare-for-the-worst/ http://www.bioethics.net/2014/09/crisis-ethics-hope-for-the-best-prepare-for-the-worst/#comments Thu, 04 Sep 2014 05:52:57 +0000 http://www.bioethics.net/?p=52407 by Craig Klugman, Ph.D.

An Ebola epidemic rages through Western Africa. Civil unrest and terrorist turmoil rocks Syria/Iraq, Libya, Israel/Gaza, and Ferguson, Missouri. A 6.1 earthquake damages Napa and shakes the entire San Francisco Bay Area. All of these events are examples of crisis—a catastrophic disaster (natural or human-made) that disrupts the regular operating of a region.

In terms of health, a crisis is a “state of being that indicates a substantial change in health care operations and the level of care than can be delivered in a public health emergency, justified by specific circumstances” (IOM, Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response 2012).

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A Distinction for the Debate over Brain-Death http://www.amc.edu/BioethicsBlog/post.cfm/a-distinction-for-the-debate-over-brain-death http://www.amc.edu/BioethicsBlog/post.cfm/a-distinction-for-the-debate-over-brain-death#comments Thu, 04 Sep 2014 02:09:27 +0000 http://www.bioethics.net/?guid=3cca549ba910f8d591ca4406f147a7b2 http://www.bioethics.net/2014/09/a-distinction-for-the-debate-over-brain-death/feed/ 0 Physician Aid in Dying Through Legislation: The Vermont Experience http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/wAy8YH6gzxc/physician-aid-in-dying-through.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/wAy8YH6gzxc/physician-aid-in-dying-through.html#comments Wed, 03 Sep 2014 20:08:00 +0000 http://www.bioethics.net/?guid=a8e11cb77000bcfc14a243fda6e192fe In Minneapolis, on Friday, September 12, the University of Minnesota Center for Bioethics hosts Vermont Senator Claire Ayer.  She will present “Physician Aid in Dying Through Legislation: The Vermont Experience.”

In 2013, Vermont became the first eastern state to allow for Physician Aid in Dying (PAD). Of equal or perhaps greater significance, Vermont also became the first state in the country to enact PAD through the legislative process. 

Senator Ayer, chairwoman of the Senate Health and Welfare Committee, spearheaded the measure’s passage. In so doing, she and others overcame numerous procedural and substantive challenges from her peers, the press, and the public. Interestingly, challenges came from both those who wanted more governmental protections and oversight and from those who opposed any government involvement in the doctor patient relationship. The final measure was signed by the Governor on May 20, 2013 and managed to address, at least in part, both concerns.

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Responding to Ebola: Fostering Transparency and Inclusivity http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=7017&blogid=140 http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=7017&blogid=140#comments Wed, 03 Sep 2014 14:54:00 +0000 http://www.bioethics.net/?guid=936a927bddfbc0ca8a8660f255e2daa1 Keymanthri Moodley]]> http://www.bioethics.net/2014/09/responding-to-ebola-fostering-transparency-and-inclusivity/feed/ 0 Who cares about the well-being of women who have abortions? http://feedproxy.google.com/~r/bioethics-at-tiu/~3/c9ksXdfgbLw/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/c9ksXdfgbLw/#comments Wed, 03 Sep 2014 12:35:20 +0000 http://blogs.tiu.edu/bioethics/?p=5201 Read More »]]> http://blogs.tiu.edu/bioethics/2014/09/03/who-cares-about-the-well-being-of-women-who-have-abortions/feed/ 0 Something I Have in Common with Beethoven http://www.peterubel.com/uncategorized/something-i-have-in-common-with-beethoven/ http://www.peterubel.com/uncategorized/something-i-have-in-common-with-beethoven/#comments Wed, 03 Sep 2014 12:10:05 +0000 http://www.peterubel.com/?p=6974 Continue reading ]]> http://www.peterubel.com/uncategorized/something-i-have-in-common-with-beethoven/feed/ 0 Right to Die Conference – Sept. 17-21 in Chicago http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/viwQesIPC7g/right-to-die-conference-sept-17-21-in.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/viwQesIPC7g/right-to-die-conference-sept-17-21-in.html#comments Wed, 03 Sep 2014 08:00:00 +0000 http://www.bioethics.net/?guid=db3dfcbc5e2bc6fe063a6febebc164ee http://medicalfutility.blogspot.com/feeds/6872346507740538373/comments/default 0 Big Data Peeps At Your Medical Records To Find Drug Problems http://www.bioethicsinternational.org/blog/2014/09/02/big-data-peeps-at-your-medical-records-to-find-drug-problems/ http://www.bioethicsinternational.org/blog/2014/09/02/big-data-peeps-at-your-medical-records-to-find-drug-problems/#comments Tue, 02 Sep 2014 23:57:34 +0000 http://www.bioethicsinternational.org/blog/?p=6755 http://www.bioethicsinternational.org/blog/2014/09/02/big-data-peeps-at-your-medical-records-to-find-drug-problems/feed/ 0 Holding Institutions Responsible for Research Misconduct: the recent case of a death of stem cell scientist http://www.amc.edu/BioethicsBlog/post.cfm/holding-institutions-responsible-for-research-misconduct http://www.amc.edu/BioethicsBlog/post.cfm/holding-institutions-responsible-for-research-misconduct#comments Tue, 02 Sep 2014 09:09:11 +0000 http://www.bioethics.net/?guid=3b3798fcf5fcc44775b30e7f7de4e405 http://www.bioethics.net/2014/09/holding-institutions-responsible-for-research-misconduct-the-recent-case-of-a-death-of-stem-cell-scientist/feed/ 0 Overemphasis on Errors of Unwanted Death Exacerabate Errors of Unwanted Life http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/wHdJ1HICrrI/overemphasis-on-errors-of-unwanted.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/wHdJ1HICrrI/overemphasis-on-errors-of-unwanted.html#comments Tue, 02 Sep 2014 08:00:00 +0000 http://www.bioethics.net/?guid=11a1d4e6a0b78c2b830610666cf23c1b http://medicalfutility.blogspot.com/feeds/5456170429191326419/comments/default 0 Is [Your Favorite Politician Here] Narcissistic Enough to Be a Good President? http://www.peterubel.com/uncategorized/is-your-favorite-politician-here-narcissistic-enough-to-be-a-good-president/ http://www.peterubel.com/uncategorized/is-your-favorite-politician-here-narcissistic-enough-to-be-a-good-president/#comments Mon, 01 Sep 2014 15:09:35 +0000 http://www.peterubel.com/?p=6970 Continue reading ]]> http://www.peterubel.com/uncategorized/is-your-favorite-politician-here-narcissistic-enough-to-be-a-good-president/feed/ 0 2014 United States Health Freedom Congress (Minnesota) http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/FPjmPWt93hE/2014-united-states-health-freedom.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/FPjmPWt93hE/2014-united-states-health-freedom.html#comments Mon, 01 Sep 2014 13:34:00 +0000 http://www.bioethics.net/?guid=06ea66b606aaa799f146ebd95f577a36 Come to Hamline University on September 26 and 27 for the 2014 Health Freedom Congress.

The 2014 United States Health Freedom Congress is the 9th national health freedom gathering hosted by NHFC.  This Congress will bring together over 40 health freedom organizations and their leaders from across the nation and numerous other leaders and general participants. Attendees will join and work together for two days. 

The first day, September 26, Voting Members of the Congress will reconvene the Congress formal circle for a limited time in the morning. This will be followed by a full day of activities with General Participants and Voting Members working closely together to discern ways to strengthen the health freedom movement. The daytime work will be followed by an evening workshop on social media entitled “Health Freedom Going Live.”

The second day, September 27, attendees will resume their work from 9:00am - 2:00pm. At 2:00pm the Health Freedom Congress will convene and participate in wrap-up. The Health Freedom Awards Banquet and Keynote speech by Barbara Loe Fisher will begin at 6:30pm Saturday evening.

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California Law on Therapeutic Obstinacy & Non-Beneficial Treatment (Video) http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/P9jPK8KuCec/california-law-on-therapeutic-obstinacy.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/P9jPK8KuCec/california-law-on-therapeutic-obstinacy.html#comments Mon, 01 Sep 2014 12:45:00 +0000 http://www.bioethics.net/?guid=86ee999e1c8e33cf9d5b4436b2540ecd http://medicalfutility.blogspot.com/feeds/6769794039512232486/comments/default 0 What Is Driving Our Health Care? http://feedproxy.google.com/~r/bioethics-at-tiu/~3/A4sMucb71gQ/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/A4sMucb71gQ/#comments Sun, 31 Aug 2014 18:26:38 +0000 http://blogs.tiu.edu/bioethics/?p=5194 Read More »]]> http://blogs.tiu.edu/bioethics/2014/08/31/what-is-driving-our-health-care/feed/ 0 Final Exit Network – 10 Year Anniversary http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/MBb-oDWsGEE/final-exit-network-10-year-anniversary.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/MBb-oDWsGEE/final-exit-network-10-year-anniversary.html#comments Sun, 31 Aug 2014 09:00:00 +0000 http://www.bioethics.net/?guid=8fdb70c20703337d676ec594cb1a32e4 http://medicalfutility.blogspot.com/feeds/7508954891910784701/comments/default 0