» Health Care Where the World Finds Bioethics Thu, 08 Oct 2015 18:31:15 +0000 en-US hourly 1 Perceived discrimination linked to smoking and poor diet Thu, 08 Oct 2015 18:23:25 +0000 0 At Risk of Financial Ruin Thu, 08 Oct 2015 13:45:06 +0000 According to figures from the Kaiser Family Foundation, one of the best sources of reliable health policy information, the majority of Americans will have to exhaust all their “liquid assets” to cover medical expenses, if they reach the maximum out-of-pocket … Continue reading

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Moral Distress Amongst American Physician Trainees Regarding Futile Treatments at the End of Life Thu, 08 Oct 2015 12:35:00 +0000 0 Hayley West "I Remember You" [EOL in Art 150] Thu, 08 Oct 2015 08:30:00 +0000 0 2015 Mill Valley Film Festival Thu, 08 Oct 2015 06:44:00 +0000 Bioethics and the Mill Valley Film Festival

Bioethics Screen Reflections Supports the California Film Institute 38th Mill Valley Film Festival ( From October 8, 2015 to October 18, 2015 we will screen/review the following films:

The Assassin 
A Light Beneath Their Feet
Son of Saul (Saul Fia)
Here Is Harold (Her er Harold)
Love Between the Covers
Beasts of No Nation
Creative Control
A Perfect Day
Paper Tigers
In Defense of Food

A special focus will follow bioethical issues reflected in the 38th Mill Valley Film Festival category of “Mind the Gap”  which considers the relatively small number of women able to earn a living in the film industry, despite the large percentage of talent and skill women represent in the field.  

Follow along with us over the month of October. Mill Valley Film Festival programmers have proven to be among the most savvy in the field. Their online film notes can guide direct viewing for the year even, if you are not able to attend. But, do try to join us. Often the world, continental and USA premieres  offered become the most highly awarded films of their release years. 

We will keep you posted 

@Bioethicsscreen  and @MVFilmfest
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Medical students and physicians share their writings on “becoming a real doctor” Wed, 07 Oct 2015 18:15:42 +0000 0 Is It Fair to Reward Medicaid Patients for Doing What They’re Supposed to Do? Wed, 07 Oct 2015 17:29:54 +0000 Most conservatives agree that Medicaid costs are too high. Most liberals agree that Medicaid patients should receive necessary medical care for free. And both conservatives and liberals agree that we should embrace ways to encourage Medicaid patients to obtain important … Continue reading

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Briefing Now Complete in Brain Death Dispute before Nevada Supreme Court Wed, 07 Oct 2015 14:36:00 +0000 0 Physician Aid in Dying – Legal History Worldwide Wed, 07 Oct 2015 13:33:00 +0000 0 Caring for people and animals Wed, 07 Oct 2015 12:39:30 +0000 Read More »]]> 0 "Fragility" [EOL in Art 149] Wed, 07 Oct 2015 09:30:00 +0000 In "Fragility" Elpida Hadzi-Vasileva fills the central atrium of Fabrica’s building, a former church,  with a series of delicate veils: rising from floor to ceiling, diffusing the light, obscuring the way forward. Two narrow passages, carefully pierced through the veined walls, invited us in. At the centre of the work one clear viewpoint toward the filtered light from the main window was revealed, an experience the artist compared to the flash of light reportedly observed when close to death.

"Fragility," like much of the artist’s work over the past decade, re-appropriated animal viscera. In this instance caul fat, a membrane that holds the vital organs together, was transformed from a perishable waste product of the pork industry into a sublimely beautiful translucent material via a lengthy chemical process akin to embalming.

Beyond its sensory impact, much of the pleasure in the work lay in understanding its inherent contradictions: the disconnect between the initial state of the material and its aesthetically pleasing result; the artist’s need to witness decay and her effort to halt it, and her desire to bury the viewer in a corporeal labyrinth whilst all the time suggesting a dimension beyond the physical.

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8th Annual Pediatric Bioethics Conference (Nov. 6 in Jacksonville, FL) Wed, 07 Oct 2015 08:30:00 +0000 0 The 2015 Quality of Death Index Wed, 07 Oct 2015 03:53:00 +0000 0 Making an Example of Martin Shkreli Tue, 06 Oct 2015 14:54:00 +0000 Nicole Dubowitz]]> 0 Wake Up to Dying Project [EOL in Art 148] Tue, 06 Oct 2015 08:00:00 +0000 0 Elective or life-saving? Catholic hospitals and the ban on tubal ligation Tue, 06 Oct 2015 01:10:53 +0000 0 California Enacts End of Life Option Act Mon, 05 Oct 2015 19:55:00 +0000 0 Modernizing Human Subjects Research Protections: A Plan for Return of Results Mon, 05 Oct 2015 18:30:44 +0000 0 Minnesota Compassionate Care Act – Listening Session Mon, 05 Oct 2015 16:59:00 +0000 0 The Future of Disease – in One Picture Mon, 05 Oct 2015 14:13:47 +0000 Here are some projections on what illnesses Medicare enrollees are experiencing now, and what they will be experiencing 20 years from now, courtesy of the Brookings Institute:

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UK Court Permits Clinicians to Stop Life Support over Muslim Parents’ Objections Mon, 05 Oct 2015 10:00:00 +0000 0 Welcome Nell into her New Home [EOL in Art 147] Mon, 05 Oct 2015 08:00:00 +0000 0 New Case – Andrea Lago v. Santiago Hospital Sun, 04 Oct 2015 21:37:00 +0000 0 Endings [EOL in Art 146] Sun, 04 Oct 2015 08:30:00 +0000 0 Jane Burton – Child 1 [EOL in Art 145] Sat, 03 Oct 2015 10:00:00 +0000 0 End-of-Life Remains Major Issue in Ethics Consults Sat, 03 Oct 2015 08:30:00 +0000 0 Venom experts say global snake bite death tolls ‘grossly underestimated’ Fri, 02 Oct 2015 19:22:53 +0000 0 So Much for the Job Killing Effects of Obamacare Fri, 02 Oct 2015 13:01:26 +0000 Despite passionate warnings that the Affordable Care Act would demolish the American economy, things haven’t exactly turned out that way. Here is evidence Dan Diamond circulated a while back. Dan is someone I suggest you follow on Twitter if you … Continue reading

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Art of Death Conference and Exhibition [EOL in Art 144] Fri, 02 Oct 2015 09:30:00 +0000 0 Treating Cancer: Doing Nothing is Also a Choice Fri, 02 Oct 2015 09:00:00 +0000 James Salwitz, a New Jersey oncologist recently colorfully observed: "Too many times patients are dragged away to receive therapy after therapy, until they are wasted, decrepit and dead."

Unfortunately, this is not always easy to convey to patients.  Dr. Salwitz had told his patient:  “You do not have to do anything. There is no law or rule requiring you to undergo aggressive therapy.”  But the patient heard those words and said, to himself, “Dr. Salwitz is giving up on me.” The patient's trust in Dr. Salwitz was gone and he transferred his care to another physician.

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PAS and Conscience? Thu, 01 Oct 2015 23:43:35 +0000 Read More »]]> 0 Modernizing Human Subjects Research Protections: Changing the Landscape of Biospecimen Research Thu, 01 Oct 2015 17:43:37 +0000 0 Action Movies Create Couch Potatoes Thu, 01 Oct 2015 13:43:30 +0000 0 Is it ethical for parents to create a savior sibling? Thu, 01 Oct 2015 10:10:53 +0000 0 Australia’s Only Music Thanatologist [EOL in Art 143] Thu, 01 Oct 2015 08:30:00 +0000 0 Rights Come to Mind Brain Injury, Ethics, and the Struggle for Consciousness Thu, 01 Oct 2015 08:00:00 +0000 0 Cancer Drugs Aren’t As Cost-Effective As They Used To Be Wed, 30 Sep 2015 13:52:51 +0000 Cancer drugs have become increasingly expensive in recent years. No one blinks anymore when a new lung cancer or colon cancer treatment comes to market priced at more than $100,000 per patient. In part, we don’t blink because we have … Continue reading

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Richard Lewer "Worse Luck…i’m Still Here" [EOL in Art 142] Wed, 30 Sep 2015 10:00:00 +0000 0 Trend toward MORE Aggressive Care at End of Life for Cancer Patients Wed, 30 Sep 2015 08:30:00 +0000 Recently, in JAMA Oncology, researchers report an eight-fold increase in the adjusted percentage of decedents who received "all care"  at the end of life.  

The authors looked at survey data from nearly 2000 next-of-kin surrogates of Health and Retirement Study participants with cancer who died between 2000 and 2012, including data from in-depth “exit” interviews conducted with the surrogates after the participant’s death. The HRS is a nationally representative, biennial, longitudinal panel study of US residents older than 50 years. 

Patients receiving “all care possible” at EOL increased during the period (7% to 58%, P = .004).  The authors concluded that "cancer care continues to be both highly intensive and geographically variable, likely driven in large part by local practice patterns instead of patients’ preferences."

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New Bioethics Commission Classroom Discussion Guides Now Available Tue, 29 Sep 2015 18:33:05 +0000 0 Laura Dunemann: It’s Time For Death [EOL in Art 141] Tue, 29 Sep 2015 13:18:00 +0000 0 New Futility Case: Hunt v. Delaware DFS Tue, 29 Sep 2015 13:01:00 +0000 0 The Lost Narrative Tue, 29 Sep 2015 00:34:03 +0000 Read More »]]> 0 After Banning Torture, Psychology Association at a Crossroads Mon, 28 Sep 2015 14:54:00 +0000 Evelyne Shuster]]> 0 Death Makes Life Possible (film) Mon, 28 Sep 2015 13:27:00 +0000 0 "Steve as Christ’s Head" [EOL in Art 140] Mon, 28 Sep 2015 10:00:00 +0000 0 "Goodbye Michael, Goodbye Old Friend" [EOL in Art 139] Sun, 27 Sep 2015 10:00:00 +0000 0 Implementing Rasouli – CPSO Says Ontario Physicians Must Obtain Consent to Stop Life-Sustaining Treatment Sat, 26 Sep 2015 10:00:00 +0000 Two weeks ago, the Ontario College of Physicians and Surgeons gave final approval to its Planning for and Providing Quality End-of-Life Care policy.  

Section 5.2 concerns "Potentially Life-Saving and Life-Sustaining Treatment."  Three paragraphs are of note:

"A decision regarding a no-CPR order cannot be made unilaterally by the physician. Where a physician is of the opinion that CPR should not be provided for a patient and that a no-CPR order should be written in the patient’s record, the College requires physicians to discuss this with the patient and/or substitute decision-maker at the earliest and most appropriate opportunity, and to explain why CPR is not being proposed. This discussion must occur before a no-CPR order can be written."

"If the patient or substitute decision-maker disagrees and insists that CPR be provided, physicians must engage in the conflict resolution process as outlined in Section 8 of this policy which may include an application to the Consent and Capacity Board. Physicians must allow the patient or substitute decision-maker a reasonable amount of time to disagree before a no-CPR order can be written."

"While the conflict resolution process is underway, if an event requiring CPR occurs, physicians must provide CPR. In so doing, physicians must act in good faith and use their professional judgment to determine how long to continue providing CPR."

Over at the Healthcare Consent Quality Collaborative, they are "scratching their heads trying to make sense of the actions that are now required of Ontario physicians."  In particular, the final paragraph instructs physicians to "begin CPR (i.e. disregard their clinical judgment about the ineffectiveness of such an action), but then only provide CPR for a period of time considered appropriate by use of the same professional judgment."

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"Peter and Anne Snell" [EOL in Art 138] Sat, 26 Sep 2015 10:00:00 +0000 0 Beyond the Rant: Negotiating the (Ethical) Costs of Care for Patients, Payers and Hospitals Fri, 25 Sep 2015 22:22:00 +0000 Beyond the Rant: Negotiating the (Ethical) Costs of Care for Patients, Payers and Hospitals 

October 5, 2015
1:00 – 4:00 pm

Wilf Auditorium
University of Minnesota Masonic Children’s Hospital
2450 Riverside Ave
Minneapolis, MN, 55454 

3 Contact Hours
No registration required

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