Hot Topics: Health Disparities
As part of the Fordham University Center for Ethics Education’s Advancing Health and Social Justice Web Series, Dr. Anthony Estreet, Dr. Gabriel Maldonado, and Dr. Kimberly Nelson led a panel on Wednesday, October 8th titled, “COVID-19 and Justice for Racial & LGBTQ Communities.” moderated by Dr. Steven Swartzer, Associate Director for Academic Programs and Strategic […]Full Article
In many ways, black bioethics can be explained very simply as the exploration and interrogation of any event, ideal, technological advancement, person, or institution that directly or indirectly affects the health or well-being of black (loosely defined) individuals or the black population. Black bioethics is taking what we do in bioethics and specifically applying it to black people. But in other ways black bioethics is more than this; it is a rebellion against bioethics.
The post Black Bioethics and How the Failures of the Profession Paved the Way for Its Existence appeared first on The Hastings Center.Full Article
Keisha Ray, Ph.D.
Recently the term black bioethics has been having its moment. With the world’s recently increased attention to racial justice, institutional racism, and medical racism, there has been more attention to the relationship between black people and health and health care. …Full Article
by Daniel Du Pont, MD, MBE and Jill Baren, MD, MS, MBA, FACEP, FAAP
The novel coronavirus outbreak, like any pandemic, has brought with it many difficult choices.…Full Article
by Nneka Sederstrom, PhD, MPH, MA, FCCP, FCCM
In my previous article, Unblinded, I challenged the actions of using the crisis standards of care scoring systems to allocate scares resources like ventilators and argued against a color-blind ideology.…Full Article
With some reluctance, I’ve come to the sad realization the COVID-19 pandemic has been a stress test for bioethics, a field of study that intersects medicine, law, the humanities and the social sciences. As both a physician and medical ethicist, I arrived at this conclusion after spending months at what was once the epicenter of the pandemic: New York City. I was overseeing a 24/7 bioethics consultation service.
The post Covid-19 Makes Clear that Bioethics Must Confront Health Disparities appeared first on The Hastings Center.Full Article
For years, leaders in public health, including members of the American Public Health Association (APHA) have been calling for the recognition of racism as a public health issue. On their website, the APHA states that racism is a “driving force of the social determinants of health (like housing, education and employment) and is a barrier […]Full Article
by David Magnus, Ph.D.
The past three months have witnessed this country (and the world) go through the most serious pandemic since 1918; the greatest economic collapse since the great depression; and the murder of George Floyd has set off a protest movement across the country that has arguably not been seen since 1968.
Vexing, Veiled, and Inequitable: Social Distancing and the “Rights” Divide in the Age of COVID-19
Ethical Advocacy Across the Autism Spectrum: Beyond Partial Representation
Meaningful Fissures: The Value of Divergent Agendas in Patient Advocacy
The Genetic Revolution Highlights the Importance of Nondiscriminatory and Comprehensive Health Insurance Coverage
Filthy Lucre or Fitting Offer? Understanding Worries About Payments to Research Participants
Trust and Expectations of Researchers and Public Health Departments for the Use of HIV Molecular Epidemiology
A Cross-Cultural Neuroethics View on the Language of Disability
Bedside Rationing Under Resource Constraints—A National Survey of Ethiopian Physicians’ Use of Criteria for Priority Setting
“The issue of physician burnout pervades not just medical training but also the years after…this chronic erosion of empathy has resulted in the attitude that apathy is not just tolerated but, in some cases, even justified.” Here, empathy is crucial.Full Article
What needs to be considered as some governments move towards a “herd immunity approach? What does it mean to have “herd immunity”? How would this affect the population and the future of the pandemic? Here, in this Washington Post piece, John Authers discusses the moral decision in immunity. He brings in concepts of utilitarianism and economic status in the consideration for herd immunity.Full Article
Home health aides during COVID-19 help to keep the most vulnerable patients out of the hospital. Yet, this population of workers has been largely overlooked. Health aides struggle to receive PPE and have not been compensated well for their efforts.Full Article
“In health care, a new force is redrawing barriers: algorithms that blindly soak up and perpetuate historical imbalances in access to medical resources.” Investigations reveal algorithms commonly inject racial bias into decisions for vulnerable areas. How can we better redesign software to reduce the infusion of racism into health care as we move towards a more digital age?Full Article
“It’s not by dint of circumstance or luck that predominantly white counties — by and large — have not had as many diagnoses as compared to more diverse counties,” he says. “There’s a systemic issue that’s underlying all of this.”Full Article
“Which countries should get a vaccine first? To what degree should helping essential workers, the poor, minorities and the young (or old) affect vaccine distribution?…” A few of many questions to consider when developing methods to distribute. If the vaccine proves to be a highly efficacious intervention, access to the product will be key to closing disparities in health outcomes due to COVID-19 infection.Full Article
“Black women are marginalized again, even as they seek medical care. Their health suffers under systemic racism, exacerbated by sexism.” Michele Goodwin paints a picture of biases in healthcare disproportionately affecting black women. These effects on women health outcomes are intersectional, a combination of racism on the basis of skin and exacerbated by sexism for Black women.Full Article
“Data encompasses problems that can occur when machine learning is trained on bias…AI applications in healthcare often involve robots working with humans.” AI can be trained on information that may further propagate discrimination on the basis of race and machine learning. Where does the blame fall when these applications do more harm than good? Can AI effectively be trained in a way that does not introduce more disparities in healthcare?Full Article
“Dermatology, the medical specialty devoted to treating diseases of the skin, has a problem with brown and black skin. Though progress has been made in recent years, most textbooks that serve as road maps for diagnosing skin disorders often don’t include images of skin conditions as they appear on people of color.” – Roni Rabin
Medical disparities exist on the level of doctor-patient interact as well as education of the future generation of doctors. Lack of representation of people of color in skin outcomes presents persistent issues in treatment and healthcare.Full Article
People across the country are mourning the death this weekend of actor Chadwick Boseman, who died from colon cancer at the age of 43. Boseman’s death is reinvigorating discussions about the rising incidence of colon cancer in young people, meaning those under age 50, as well as about racial inequities in colon cancer screening and deaths from the disease.Full Article