Bioethics.net » Health Care http://www.bioethics.net Where the World Finds Bioethics Mon, 21 Jul 2014 19:32:44 +0000 en-US hourly 1 http://wordpress.org/?v=3.8.3 DALLAS BUYERS CLUB meets SCIENTIFIC INTEGRITY http://www.bioethicsscreenreflections.com/2014/07/dallas-buyers-club-meets-scientific_5424.html http://www.bioethicsscreenreflections.com/2014/07/dallas-buyers-club-meets-scientific_5424.html#comments Sun, 20 Jul 2014 20:24:00 +0000 http://www.bioethics.net/?guid=6015456ee231fcefff0d30cd89b8062c
DALLAS BUYERS CLUB  is a biopic about an unlikely hero, directed by Québécois Jean-Marc Valle and written by Craig Borten and Melisa Wallack. In case you get a call from your local AIDS-Walk coordinator, remember 50,000 cases of AIDS (Acquired Immune Deficiency Syndrome) still occur in the USA annually. Transmission is largely preventable with education, testing and early intervention. Ethnic peoples of color are disproportionately affected in new cases. Thirty-five years ago, I never imagined AIDS would be the defining disease of my career and then some.  After my AIDS-Walk call, I pulled out my notes on Dallas Buyers Club, which screened October, 2013 at the Mill Valley Film Festival. It has won three Oscars and too many to count other awards.

The year 2013, brought a number of film releases with main characters who had significantly degenerate moral fiber. You know them, good acting, sex, drugs, brutality prominent but few redeeming qualities.  Dallas Buyers Club (DBC) is not one of those films. Its lead character is definitely a degenerate, but develops moral fiber.  If “The Star” of a film is the person who undergoes the most change, Ron Woodroof (Matthew McConaughey) may be the star of the millennium. His character moves from self-serving reprobate to enlightened self-interest. In the process, he believably expands compassion for others. The compassion fall-out includes Jared Leto, (Rayon) who well plays a stereotype of a transgender woman whose script, in contrast to Woodroof’s, traverses only the narrow ground between dying and dying more.


Dr. Eve Saks (Jennifer Gardner) spoke particularly to me. She had that deer in the headlights feel to her -- as she decided to which side of the road she would jump -- with her patients, or with her retrograde moving profession. Her subtle portrayal of an overwhelmed newbie was reminiscent of my internship at Cook County Hospital, Chicago in 1985.  I saw 17 hospitalized patients with AIDS, within my first 35 days. Fortunately, I had good role modeling by Drs. Ron Sable, Renslow Sherer and Dr. Jonathan Mann. 

Among those 17 patients was an 8 year old girl with Leukemia, AIDS and tuberculosis - the later was diagnosed on autopsy, which brings me to the bioethical point. Four years before that autopsy, I was told in medical school that miliary or disseminated tuberculosis no longer existed -- that was then, this was now.  Diseases change and so should the manner of treating and studying them and their cures.  In medicine it’s not “location, location,” but “observation, observation.”

DBC is about how AIDS, science, research and Federal Drug Administration regulations were forced to change. The change was pushed by the autonomy of people who ran the most risk of dying from AIDS and their allies.  The principle of justice requires equipoise or the equitable distribution of burdens and benefits.  The job of clinicians is to understand and communicate the burdens and benefits so that individuals, who can, are able to exercise their autonomy. When there is no proven cure, those with life threatening illnesses and intact decisional capacity, now, can choose through the informed consent process, to run the risks of clinical research protocols, whose outcomes are as yet unproven.  Access to such trials is currently a health disparity. Navigating the clauses in the three proceeding sentences is the job of bioethics in new diseases, therapies and research.  This is how we learned that oral anti-virals could reduce HIV/AIDS vertical transmission from mother to child. 

Data safety monitors (DSM), augment institutional review boards and were given teeth during the rise of the AIDS epidemic.  DSM allowed tracking of acceptable burdens associated with research, on vulnerable persons while the studies are in progress.  DSM also can stop studies where the burdens outweigh the benefits, or the benefit is so clear that lifesaving therapies should not be with-held to complete the research.  This acceptability should be consistent with the 2013 World Medical Association amended Declaration of Helsinki on Medical research. Significantly this amendment references identifiable human material or data. This would recognize the privacy of genomic material correcting ethical violations associated with HeLa cells and other genetic technologies. Consider, non-small-cell lung cancer, the most ubiquitous cancer in the world.  In that case, we look at the value of Palliative Care, genomic-bio-marker driven therapy and clinical trials, all three at once. The criteria for treatment look like a menu at an over stocked diner, but bioethics helps to navigate them.   Such protocols would not be possible without changes in policy and procedure reflected by the struggles of those affected by HIV/AIDS and the bioethical analysis accompanying them.

Set in 1985, the story is sandwiched between the year before AZT was found effective (the first of the anti-viral drugs used in HIV/AIDS) and the year after, Robert Gallo and Luc Montagnier both discovered HIV-1 as the agent causing AID.  The footprints of the Dallas Buyers Club are everywhere.

references:

Dallas Buyers Club (35mm) directed by Jean-Marc-Vallee (2013) Focus Features (USA) 116 min

Some other films about the HIV/AIDS epidemic:

How to Survive A Plague (35mm) David France (2012) Sundance theatrical/IFC (USA) 109min

Philadelphia(35mm) directed by Jonathan Demme (1993) Tri Star (USA) 125 min

Yesterday (35mm) directed by Darrell Roodt(2004)HBO USA ( South Africa) 96 min ( Zulu, English  subtitled)

The Declaration of Helsinki http://www.wma.net/en/30publications/10policies/b3/  accessed July 16, 2014 2013

HIV/AIDS statistics USA http://www.cdc.gov/hiv/statistics/basics/ataglance.html accessed July 16, 2014.

World Association of Bronchoscopy and Interventional Pulmonology Academy : Small Sample Tissue Acquisition and Processing for Diagnosis and Biomarker-driven Therapy of NSCLC. Bioethical issues video commentary. http://www.wabipacademy.com/site/webcast/clinicalstem1/step40
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Do Oregon and North Dakota Healthcare Surrogates Perform Better? http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/0Ji0uKF5OGs/do-oregon-and-north-dakota-healthcare.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/0Ji0uKF5OGs/do-oregon-and-north-dakota-healthcare.html#comments Sun, 20 Jul 2014 02:39:00 +0000 http://www.bioethics.net/?guid=e11a5fa76c059e8fd3f90bc9ecaa42ef http://medicalfutility.blogspot.com/feeds/7201307440792355734/comments/default 0 Is complicity important in Hobby Lobby decision? http://feedproxy.google.com/~r/bioethics-at-tiu/~3/DJgTLXVUPUE/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/DJgTLXVUPUE/#comments Fri, 18 Jul 2014 19:22:54 +0000 http://blogs.tiu.edu/bioethics/?p=5091 http://blogs.tiu.edu/bioethics/2014/07/18/complicity-and-hobby-lobby/feed/ 0 Safeguarding Children in Emergencies through Ethical Pediatric Research http://blog.bioethics.gov/2014/07/18/safeguarding-children-in-emergencies-through-ethical-pediatric-research/ http://blog.bioethics.gov/2014/07/18/safeguarding-children-in-emergencies-through-ethical-pediatric-research/#comments Fri, 18 Jul 2014 15:00:29 +0000 http://blog.bioethics.gov/?p=1357 http://blog.bioethics.gov/2014/07/18/safeguarding-children-in-emergencies-through-ethical-pediatric-research/feed/ 0 Pope Cited by NRLC before Senate Judiciary Committee http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/zQjUkQC0Rdo/pope-cited-by-nrlc-before-senate.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/zQjUkQC0Rdo/pope-cited-by-nrlc-before-senate.html#comments Fri, 18 Jul 2014 08:30:00 +0000 http://www.bioethics.net/?guid=40eae27a1f373a9fe777c380b6ead861 http://medicalfutility.blogspot.com/feeds/8593926875789946832/comments/default 0 Great but “unaffordable” new drugs http://feedproxy.google.com/~r/bioethics-at-tiu/~3/Q34MIADif6E/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/Q34MIADif6E/#comments Thu, 17 Jul 2014 21:03:09 +0000 http://blogs.tiu.edu/bioethics/?p=5088 Read More »]]> http://blogs.tiu.edu/bioethics/2014/07/17/great-but-unaffordable-new-drugs/feed/ 0 Nature Isn’t What It Used To Be http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=6997&blogid=140 http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=6997&blogid=140#comments Thu, 17 Jul 2014 14:54:00 +0000 http://www.bioethics.net/?guid=8641d15c6d29231bfea39ab2ff0332f5 http://www.bioethics.net/2014/07/nature-isnt-what-it-used-to-be/feed/ 0 She Ain’t Heavy, She’s My Brother http://thebioethicsprogram.wordpress.com/2014/07/17/she-aint-heavy-shes-my-brother/ http://thebioethicsprogram.wordpress.com/2014/07/17/she-aint-heavy-shes-my-brother/#comments Thu, 17 Jul 2014 13:37:44 +0000 http://thebioethicsprogram.wordpress.com/?p=386 ]]> http://thebioethicsprogram.wordpress.com/2014/07/17/she-aint-heavy-shes-my-brother/feed/ 0 Only a Third Who Express a Preference to Die at Home, Actually Die at Home http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/1q6h0XElZO8/only-third-who-express-preference-to.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/1q6h0XElZO8/only-third-who-express-preference-to.html#comments Thu, 17 Jul 2014 12:15:00 +0000 http://www.bioethics.net/?guid=d4c7a3bc428bc6e65e5db270ccef5721 http://medicalfutility.blogspot.com/feeds/7415326883297836327/comments/default 0 Rationing Is Not a Four-Letter Word http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/pAAXl7DCQDk/rationing-is-not-four-letter-word.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/pAAXl7DCQDk/rationing-is-not-four-letter-word.html#comments Thu, 17 Jul 2014 08:00:00 +0000 http://www.bioethics.net/?guid=13c8db2f5d918455ca0b45dff9d37934 Philip M. Rosoff is a practicing physician and Professor of Pediatrics and Medicine at Duke University Medical Center, where he is also a member scholar of the Trent Center for Bioethics, Humanities, and History of Medicine, and Director of Clinical Ethics at Duke University Hospital.

He has just published Rationing Is Not a Four-Letter Word with MIT Press.  I like this book's thesis and explored it (a little) in some posts like "Top 10 North American Death Panels."

Here is the abstract:

Most people would agree that the healthcare system in the United States is a mess. Healthcare accounts for a larger percentage of gross domestic product in the United States than in any other industrialized nation, but health outcomes do not reflect this enormous investment. In this book, Philip Rosoff offers a provocative proposal for providing quality healthcare to all Americans and controlling the out-of-control costs that threaten the economy. He argues that rationing—often associated in the public’s mind with such negatives as unplugging ventilators, death panels, and socialized medicine—is not a dirty word. A comprehensive, centralized, and fair system of rationing is the best way to distribute the benefits of modern medicine equitably while achieving significant cost savings.
Rosoff points out that certain forms of rationing already exist when resources are scarce and demand high: the organ transplant system, for example, and the distribution of drugs during a shortage. He argues that if we incorporate certain key features from these systems, healthcare rationing would be fair—and acceptable politically. Rosoff considers such topics as fairness, decisions about which benefits should be subject to rationing, and whether to compensate those who are denied scarce resources. Finally, he offers a detailed discussion of what an effective and equitable healthcare rationing system would look like.
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Reading the Body: Live! http://medhum.med.nyu.edu/blog/?p=4043 http://medhum.med.nyu.edu/blog/?p=4043#comments Wed, 16 Jul 2014 14:29:09 +0000 http://medhum.med.nyu.edu/blog/?p=4043 http://medhum.med.nyu.edu/blog/?feed=rss2&p=4043 0 Freedom and our connection to the root http://feedproxy.google.com/~r/bioethics-at-tiu/~3/sSS8IGkpdxQ/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/sSS8IGkpdxQ/#comments Wed, 16 Jul 2014 13:40:48 +0000 http://blogs.tiu.edu/bioethics/?p=5081 Read More »]]> http://blogs.tiu.edu/bioethics/2014/07/16/freedom-and-our-connection-to-the-root/feed/ 0 Defending Advance VSED – Hasten Death by Dehydration http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/VTRiulawiKY/defending-advance-vsed-hasten-death-by.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/VTRiulawiKY/defending-advance-vsed-hasten-death-by.html#comments Wed, 16 Jul 2014 07:30:00 +0000 http://www.bioethics.net/?guid=963f3837e0c6a308703058f8c326cfc6 http://medicalfutility.blogspot.com/feeds/8441768351840706734/comments/default 0 Suicide Prevention: There’s an App for That http://www.amc.edu/BioethicsBlog/post.cfm/suicide-prevention-there-s-an-app-for-that http://www.amc.edu/BioethicsBlog/post.cfm/suicide-prevention-there-s-an-app-for-that#comments Wed, 16 Jul 2014 04:07:39 +0000 http://www.bioethics.net/?guid=e4102ef25f0b5584bd923f164809452d http://www.bioethics.net/2014/07/suicide-prevention-theres-an-app-for-that/feed/ 0 A “diagnosis” a physician can no longer make? http://feedproxy.google.com/~r/bioethics-at-tiu/~3/nmVN5EgIXc8/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/nmVN5EgIXc8/#comments Wed, 16 Jul 2014 03:06:13 +0000 http://blogs.tiu.edu/bioethics/?p=5038 Read More »]]> http://blogs.tiu.edu/bioethics/2014/07/15/a-diagnosis-a-physician-can-no-longer-make/feed/ 0 The VA Crisis is Fundamentally an Ethics Crisis http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=6993&blogid=140 http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=6993&blogid=140#comments Tue, 15 Jul 2014 14:54:00 +0000 http://www.bioethics.net/?guid=bcc9f5876d887e31b4bf1d25d34bb0c4 Evelyne Shuster]]> http://www.bioethics.net/2014/07/the-va-crisis-is-fundamentally-an-ethics-crisis/feed/ 0 Hello, From Michigan! http://www.peterubel.com/2014/07/15/hello-from-michigan/ http://www.peterubel.com/2014/07/15/hello-from-michigan/#comments Tue, 15 Jul 2014 13:51:50 +0000 http://peterubel.com/?p=5936 http://www.peterubel.com/2014/07/15/hello-from-michigan/feed/ 0 Call for Papers – AALS Section on Law, Medicine & Health Care Works-in-Progress for New Teachers http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/bDXeFia2qLk/call-for-papers-aals-section-on-law.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/bDXeFia2qLk/call-for-papers-aals-section-on-law.html#comments Tue, 15 Jul 2014 08:30:00 +0000 http://www.bioethics.net/?guid=8adc812f0270f0a50c647b2d36896537 Call for Papers


AALS Section on Law, Medicine & Health Care

Works-in-Progress for New Law School Teachers

AALS Annual Meeting, Washington, DC

Saturday, January 3, 2015


  
The AALS Section on Law, Medicine and Health Care is pleased to announce a Call for Papers for a special Works-in-Progress for New Law School Teachers Program.  The Section will run the Program from 5:15 to 6:30 p.m. on Saturday, January 3, at the AALS 2015 Annual Meeting in Washington, DC.


This program will bring together junior and senior health law scholars for a lively discussion of the junior scholar's’ works-in-progress.  Junior health law scholars will submit papers that they expect to submit in the spring 2015 law review submission cycle.  After they briefly present their papers in a concurrent roundtable setting, senior scholars will provide oral comments and critiques.  This new program presents an opportunity for the audience to hear cutting edge health law scholarship by recent members of the academy.


We will limit our selection to two or three papers.

Form & Length of Submission


Eligible faculty members are invited to submit either manuscripts or abstracts dealing with any aspect of health law or policy.  Abstracts must be comprehensive enough to allow the committee to meaningfully evaluate the aims and likely content of the papers proposed.  Papers may be accepted for publication but must be at a stage where input still would be useful.  Papers must not be published prior to the Annual Meeting.


Deadline & Submission Method


To be considered, manuscripts or abstracts and a CV must be submitted electronically to both: 
Chair, Section on Law, Medicine, and Health Care
Ani B. Satz, Emory University School of Law, asatz@law.emory.edu
Chair-elect, Section on Law, Medicine, and Health Care
Thaddeus Pope, Hamline University School of Law, tpope01@hamline.edu

The deadline for submission is September 1, 2014.


Selection & Notification


Papers will be selected after careful review and discussion by the Executive Board of the AALS Section on Law, Medicine, and Health Care.


The authors of the selected papers will be notified by September 22, 2014.


If a selected author has submitted only an abstract for review, the author must submit the corresponding manuscript by December 15, 2014.


The Call for Paper participants will be responsible for paying their annual meeting registration fee and travel expenses.


Eligibility


Full-time untenured faculty members of AALS member law schools are eligible to submit papers.  The following are ineligible to submit: foreign, visiting (without a full-time position at an AALS member law school) and adjunct faculty members, graduate students who are not also enrolled in a qualifying J.D. program, fellows, non-law school faculty, and faculty at fee-paid non-member schools.  Papers co-authored with a person ineligible to submit on their own may be submitted by the eligible co-author.



Please forward this Call for Papers to any eligible faculty who might be interested.


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Med Student vs. Dr. Oz http://feedproxy.google.com/~r/bioethics-at-tiu/~3/UxNseYkVsBA/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/UxNseYkVsBA/#comments Tue, 15 Jul 2014 02:49:29 +0000 http://blogs.tiu.edu/bioethics/?p=5066 Read More »]]> http://blogs.tiu.edu/bioethics/2014/07/14/med-student-vs-dr-oz/feed/ 0 Patient Modesty: Volume 67 http://bioethicsdiscussion.blogspot.com/2014/07/patient-modesty-volume-67.html http://bioethicsdiscussion.blogspot.com/2014/07/patient-modesty-volume-67.html#comments Mon, 14 Jul 2014 18:31:00 +0000 http://www.bioethics.net/?guid=a2d363269c2ee65f31d67f303a342064








 So with Volume 66 reaching some 170 postings, we should move on to this Volume 67.  What is special on starting this new Volume is the fact that Artiger  joined us in Volume 66.  Artiger is a male physician (surgeon) verified by the Medscape medical website, where we both participate, who has provided us  with the long-needed professional input and education from the outside of this blog.  It appears that those writing to this thread have found his comments of interest and has accepted his presence here.  I have no idea how long Artiger will stick around but as long as he decides to do so, I will find him most welcome as a significant contributor to the ongoing discussion.  Here is Artiger's last posting from Volume 66. ..Maurice.


Misty, participating in this blog simply reinforced my current practice. I work on the assumption that everyone cares about modesty. If you'll go back to my original comments (posted by Maurice on June 26 at 7:30am), you'll see what I am thinking about during an examination or procedure. When discussing breast incisions with women, I tell them about where the scar will be, and my method of closure to achieve the best possible cosmetic outcome. Many of them tell me that they don't care what it looks like, and I respond by telling them that I care what it looks like.

I certainly understand if a female patient wants to drive another 100 miles or more to see a female surgeon. Like I said, I've got plenty more here that come to see me because of the service and courtesy I provide, not to mention how quickly I get them in to see me or get their procedure scheduled. Some people care more about that than gender. As an example I may have already mentioned, in an area we used to live, my wife drove 100 miles (past 2 female OB/gyn's) to see my best friend from medical school. Why? Because he gave her the best in care and service. I didn't have to convince her, seeing him was her idea. Never bothered either of us in the slightest, even when we would go visit them socially or take trips with them.

Don, yes, discussing these issues and concerns are about half of the office visit. Although we don't shave (we use clippers) we don't remove any more hair than necessary, just enough to allow for a clear field for the proposed incision. As for catheters, that is always discussed ahead of time as well. Catheters are useful but they are not without their risks, and they are not to be taken lightly.

No, the referring providers usually don't cover these things (they really wouldn't have a clue where to begin, I'll tell you candidly), as it's not their place to do so. That is what the office visit with me is for. If they could discuss all these things adequately then they could just call and schedule the procedure. I have never felt comfortable doing it that way, but there are a lot of places where you can get a colonoscopy without ever meeting the person who will do it. That's another part of my office visit that I feel is important...I want the patient to know me, who I am, what I look like, have all of their questions answered, and be comfortable with me as their surgeon.

Graphic:

Thom, Robert A.: Paré. Photograph. Britannica Online for Kids. Web. 14 July 2014.  
Ambroise Paré was a French army surgeon in the 1500s who invented compassionate ways to handle wounds and hemorrhages. The painting was done by Robert A. Thom in about 1954.

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Funerals – Posing the Dead as Living http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/j7RM2DnL6_s/funerals-posing-dead-as-living.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/j7RM2DnL6_s/funerals-posing-dead-as-living.html#comments Mon, 14 Jul 2014 09:00:00 +0000 http://www.bioethics.net/?guid=b2763e701bf3a4c0eb963360e1d0751a http://medicalfutility.blogspot.com/feeds/2053754438315235300/comments/default 0 New York’s Medical Marijuana Law May Just Be a Political Hoax? http://www.amc.edu/BioethicsBlog/post.cfm/new-york-s-medical-marijuana-law-may-just-be-a-political-hoax http://www.amc.edu/BioethicsBlog/post.cfm/new-york-s-medical-marijuana-law-may-just-be-a-political-hoax#comments Mon, 14 Jul 2014 05:07:23 +0000 http://www.bioethics.net/?guid=12124f8f08ff5ef3a95b2b49a0502e2d http://www.bioethics.net/2014/07/new-yorks-medical-marijuana-law-may-just-be-a-political-hoax/feed/ 0 20th World Federation Conference of Right to Die Societies 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http://feedproxy.google.com/~r/bioethics-at-tiu/~3/s-duPkJy1ds/#comments Sat, 12 Jul 2014 12:00:47 +0000 http://blogs.tiu.edu/bioethics/?p=5050 Read More »]]> http://blogs.tiu.edu/bioethics/2014/07/12/safeguarding-our-stories-our-selves/feed/ 0 International Conference on End of Life: Law, Ethics, Policy, and Practice http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/vnBhlUOHmyM/international-conference-on-end-of-life.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/vnBhlUOHmyM/international-conference-on-end-of-life.html#comments Sat, 12 Jul 2014 07:30:00 +0000 http://www.bioethics.net/?guid=211babc8f4ba681b9fec06b090cc650b http://medicalfutility.blogspot.com/feeds/105574543263462393/comments/default 0 How To Tell Someone That She Is Dying http://www.peterubel.com/2014/07/11/how-to-tell-someone-that-she-is-dying/ http://www.peterubel.com/2014/07/11/how-to-tell-someone-that-she-is-dying/#comments Fri, 11 Jul 2014 15:25:48 +0000 http://peterubel.com/?p=5931 Continue reading ]]> http://www.peterubel.com/2014/07/11/how-to-tell-someone-that-she-is-dying/feed/ 0 Multidisciplinary Members and Staff Reflect the Unique Field of Bioethics http://blog.bioethics.gov/2014/07/11/multidisciplinary-members-and-staff-reflect-the-unique-field-of-bioethics/ http://blog.bioethics.gov/2014/07/11/multidisciplinary-members-and-staff-reflect-the-unique-field-of-bioethics/#comments Fri, 11 Jul 2014 14:54:23 +0000 http://blog.bioethics.gov/?p=1354 http://blog.bioethics.gov/2014/07/11/multidisciplinary-members-and-staff-reflect-the-unique-field-of-bioethics/feed/ 0 The Recent Stem Cell News http://feedproxy.google.com/~r/bioethics-at-tiu/~3/R6NzKZAiQzI/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/R6NzKZAiQzI/#comments Fri, 11 Jul 2014 13:49:39 +0000 http://blogs.tiu.edu/bioethics/?p=5047 Read More »]]> http://blogs.tiu.edu/bioethics/2014/07/11/the-recent-stem-cell-news/feed/ 0 Nominate the Medical Futility Blog http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/ELiQaBuAglA/nominate-medical-futility-blog.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/ELiQaBuAglA/nominate-medical-futility-blog.html#comments Fri, 11 Jul 2014 09:30:00 +0000 http://www.bioethics.net/?guid=4060441872c6bc39073de6cbb9e1e4c7 http://medicalfutility.blogspot.com/feeds/1629298915949153432/comments/default 0 The Principle of Equivalence Reconsidered: Assessing the Relevance of the Principle of Equivalence in Prison Medicine http://www.bioethics.net/articles/the-principle-of-equivalence-reconsidered-assessing-the-relevance-of-the-principle-of-equivalence-in-prison-medicine/ http://www.bioethics.net/articles/the-principle-of-equivalence-reconsidered-assessing-the-relevance-of-the-principle-of-equivalence-in-prison-medicine/#comments Thu, 10 Jul 2014 19:36:48 +0000 http://www.bioethics.net/?post_type=articles&p=52016 http://www.bioethics.net/articles/the-principle-of-equivalence-reconsidered-assessing-the-relevance-of-the-principle-of-equivalence-in-prison-medicine/feed/ 0 Hensinki Declaration revisions weaken protections for developing country trial participants http://www.bioethicsinternational.org/blog/2014/07/10/hensinki-declaration-revisions-weaken-protections-for-trial-participants-developing-countries/ http://www.bioethicsinternational.org/blog/2014/07/10/hensinki-declaration-revisions-weaken-protections-for-trial-participants-developing-countries/#comments Thu, 10 Jul 2014 16:46:37 +0000 http://www.bioethicsinternational.org/blog/?p=6730 http://www.bioethicsinternational.org/blog/2014/07/10/hensinki-declaration-revisions-weaken-protections-for-trial-participants-developing-countries/feed/ 0 Moral Distress Education Project http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/-DuB3RDAxAs/moral-distress-education-project.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/-DuB3RDAxAs/moral-distress-education-project.html#comments Thu, 10 Jul 2014 09:00:00 +0000 http://www.bioethics.net/?guid=85a30efc7d99547cdcb1531f039e54b6 Medical futility disputes have been repeatedly measured as one of the biggest causes of moral distress, especially among nurses.

The University of Kentucky has launched a completely free continuing education version of The Moral Distress Education Project. The program functions as a self-guided documentary that provides up to 2.0 hours credits. 

Unidentified or unresolved moral distress leads to retention problems; horizontal violence; and patient-care gaps. By the end of this program learners will understand the root causes of moral distress and how to prevent it by developing better communication strategies and systems-based approaches to reduce moral distress and moral residue, which improves patient care overall and faculty/staff competencies. By completing all three modules, you'll become aware of what moral distress is, and how it occurs. You’ll also be able to properly define moral distress and share definitions with colleagues/coworkers.



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Time to Divorce Health Insurance & Employment http://www.bioethics.net/2014/07/time-to-divorce-health-insurance-employment/ http://www.bioethics.net/2014/07/time-to-divorce-health-insurance-employment/#comments Thu, 10 Jul 2014 05:07:31 +0000 http://www.bioethics.net/?p=52010 by Craig Klugman, Ph.D.

In my last blog, I talked about ideologically-backed corporate control of health care choices as a result of the U.S. Supreme Court’s Hobby Lobby decision. That piece has led to several conversations this past week, many of which have revolved around the question of how to fix the problem of employer theology limiting or curtailing choices, because nearly half of all people in the U.S. have health insurance through their employer.

The result of these conversations is a consensus that there are two health policy moves that can be made: Changing a law and changing a system.…

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Relevance of Case-Based Studies in Workshops on RCR for Diverse Audiences: the importance of including both (Part II) http://www.amc.edu/BioethicsBlog/post.cfm/relevance-of-case-based-studies-in-workshops-on-rcr-for-diverse-audiences-the-importance-of-including-both-part-ii http://www.amc.edu/BioethicsBlog/post.cfm/relevance-of-case-based-studies-in-workshops-on-rcr-for-diverse-audiences-the-importance-of-including-both-part-ii#comments Thu, 10 Jul 2014 03:07:26 +0000 http://www.bioethics.net/?guid=ea950338807ccb9723f424070427dd9d http://www.bioethics.net/2014/07/relevance-of-case-based-studies-in-workshops-on-rcr-for-diverse-audiences-the-importance-of-including-both-part-ii/feed/ 0 Understanding Cultural Diversity at End-of-Life – New eBook http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/7kWpXG675p0/understanding-cultural-diversity-at-end.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/7kWpXG675p0/understanding-cultural-diversity-at-end.html#comments Wed, 09 Jul 2014 15:24:00 +0000 http://www.bioethics.net/?guid=152e28043988bf25688d8a69a1002f1d http://medicalfutility.blogspot.com/feeds/6263621996854362937/comments/default 0 Burwell v. Hobby Lobby: A thin margin indeed http://feedproxy.google.com/~r/bioethics-at-tiu/~3/OVtx1kmls-4/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/OVtx1kmls-4/#comments Wed, 09 Jul 2014 02:52:35 +0000 http://blogs.tiu.edu/bioethics/?p=5036 Read More »]]> http://blogs.tiu.edu/bioethics/2014/07/08/burwell-v-hobby-lobby-a-thin-margin-indeed/feed/ 0 Merck Says It Regrets Strong-Arming Italian Researcher http://www.bioethicsinternational.org/blog/2014/07/08/merck-says-it-regrets-strong-arming-italian-researcher/ http://www.bioethicsinternational.org/blog/2014/07/08/merck-says-it-regrets-strong-arming-italian-researcher/#comments Tue, 08 Jul 2014 16:32:34 +0000 http://www.bioethicsinternational.org/blog/?p=6728 http://www.bioethicsinternational.org/blog/2014/07/08/merck-says-it-regrets-strong-arming-italian-researcher/feed/ 0 Persons, Personhood, and Primates http://feedproxy.google.com/~r/bioethics-at-tiu/~3/_m-Tw4UQXWA/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/_m-Tw4UQXWA/#comments Tue, 08 Jul 2014 15:07:55 +0000 http://blogs.tiu.edu/bioethics/?p=5022 Read More »]]> http://blogs.tiu.edu/bioethics/2014/07/08/persons-personhood-and-primates/feed/ 0 Hobby Lobby Decision Likely to Increase Health Care Inequity http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=6970&blogid=140 http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=6970&blogid=140#comments Tue, 08 Jul 2014 14:54:00 +0000 http://www.bioethics.net/?guid=03bd387edbcdd50d18e7c831ce6267dc Michael K. Gusmano]]> http://www.bioethics.net/2014/07/hobby-lobby-decision-likely-to-increase-health-care-inequity/feed/ 0 Palliative Care – An Illustrated Story http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/aMr5RdYre80/palliative-care-illustrated-story.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/aMr5RdYre80/palliative-care-illustrated-story.html#comments Tue, 08 Jul 2014 01:28:00 +0000 http://www.bioethics.net/?guid=8e29d0c18bd39b2c7b221d3867d6bf38 http://medicalfutility.blogspot.com/feeds/2646854848596455611/comments/default 0 Don’t Cry for Me, Doctor Tina? http://www.peterubel.com/2014/07/07/dont-cry-for-me-doctor-tina/ http://www.peterubel.com/2014/07/07/dont-cry-for-me-doctor-tina/#comments Mon, 07 Jul 2014 15:07:01 +0000 http://peterubel.com/?p=5926 Continue reading ]]> http://www.peterubel.com/2014/07/07/dont-cry-for-me-doctor-tina/feed/ 0 Alzheimer’s Disease, Biomarkers, and Suicide: Why We Need to Think About All Three Together http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=6955&blogid=140 http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=6955&blogid=140#comments Mon, 07 Jul 2014 14:54:00 +0000 http://www.bioethics.net/?guid=5ee128972db34f7e456046ec33b369bc http://www.bioethics.net/2014/07/alzheimers-disease-biomarkers-and-suicide-why-we-need-to-think-about-all-three-together/feed/ 0 Imagine there were no Private Academic Publishers http://www.amc.edu/BioethicsBlog/post.cfm/imagine-there-were-no-private-academic-publishers http://www.amc.edu/BioethicsBlog/post.cfm/imagine-there-were-no-private-academic-publishers#comments Mon, 07 Jul 2014 02:07:42 +0000 http://www.bioethics.net/?guid=41efbbf120ebaea2d745039284ec0be8 http://www.bioethics.net/2014/07/imagine-there-were-no-private-academic-publishers/feed/ 0 Louisville Judge Orders Kosair Children’s Hospital to Continue Ventilating Brain Dead Child http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/YMCTRL-4Paw/louisville-judge-orders-kosair.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/YMCTRL-4Paw/louisville-judge-orders-kosair.html#comments Fri, 04 Jul 2014 12:40:00 +0000 http://www.bioethics.net/?guid=16154ce0a0b9f856a522eea79116e2d5 http://medicalfutility.blogspot.com/feeds/8432285877120770509/comments/default 0 Louisville Judge Orders Kosair Children’s Hospital to Continue Ventilating Brain Dead Child http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/YMCTRL-4Paw/louisville-judge-orders-kosair.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/YMCTRL-4Paw/louisville-judge-orders-kosair.html#comments Fri, 04 Jul 2014 12:40:00 +0000 http://www.bioethics.net/?guid=16154ce0a0b9f856a522eea79116e2d5 http://medicalfutility.blogspot.com/feeds/8432285877120770509/comments/default 0 POLST Introduces No New Risks http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/EUrdgoIsXO0/polst-introduces-no-new-risks.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/EUrdgoIsXO0/polst-introduces-no-new-risks.html#comments Fri, 04 Jul 2014 08:30:00 +0000 http://www.bioethics.net/?guid=eb74f1896aedfa08cc2f7ef092f3b498 http://medicalfutility.blogspot.com/feeds/2594630445535652540/comments/default 0 POLST Introduces No New Risks http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/EUrdgoIsXO0/polst-introduces-no-new-risks.html http://feedproxy.google.com/~r/MedicalFutilityBlog/~3/EUrdgoIsXO0/polst-introduces-no-new-risks.html#comments Fri, 04 Jul 2014 08:30:00 +0000 http://www.bioethics.net/?guid=eb74f1896aedfa08cc2f7ef092f3b498 http://medicalfutility.blogspot.com/feeds/2594630445535652540/comments/default 0 Musing About the Hobby Lobby Decision http://feedproxy.google.com/~r/bioethics-at-tiu/~3/x7ESfMGap60/ http://feedproxy.google.com/~r/bioethics-at-tiu/~3/x7ESfMGap60/#comments Thu, 03 Jul 2014 23:35:13 +0000 http://blogs.tiu.edu/bioethics/?p=5020 Read More »]]> http://blogs.tiu.edu/bioethics/2014/07/03/musing-about-the-hobby-lobby-decision/feed/ 0 The Curious Case of Hobby Lobby https://thebioethicsprogram.wordpress.com/2014/07/03/the-curious-case-of-hobby-lobby/ https://thebioethicsprogram.wordpress.com/2014/07/03/the-curious-case-of-hobby-lobby/#comments Thu, 03 Jul 2014 10:43:16 +0000 https://thebioethicsprogram.wordpress.com/?p=384 ]]> https://thebioethicsprogram.wordpress.com/2014/07/03/the-curious-case-of-hobby-lobby/feed/ 0