Steven H Miles, MD
For the first part of my medical career, I worked in intensive care units, hospitals, clinics, and nursing homes. Every morning I got a note telling me which of my patients were hospitalized. I was expected to see them. I made house calls to families in crisis (although this was being suppressed and so I did this off duty). When families or patients were frightened, usually by medical instability or the imminence of death, I wrote my phone number on my business card and gave it to them. (Many colleagues assured me I would be abused by this practice; I never was.)…
by Steven H Miles, MD
The Nazi Doctors at Nuremberg in 1945 brought enormous attention on medical war crimes. The unearthing of complicity of United States physicians and psychologists with interrogational torture during the war on terror of at the beginning of the 21st century reignited attention to participation of physicians in human rights crimes. In retrospect, two aspects of that renewed attention deserved more scrutiny. There was a lack of attention to international context for the United States experience and, against this background, the fact that no US physicians were held accountable for complicity with torture was as noteworthy as their collaboration with that practice.…
by Steven H. Miles, MD and Arthur Caplan, Ph.D.
Nicole Mone Arteaga was trying to get pregnant. It had been difficult for her. She had a miscarriage. Then, unexpectedly, she got pregnant again. Because of her miscarriage history, she cooperated with weekly medical monitoring, On June 19th, she was told, according to news interviews, that the fetus no longer had a heartbeat. Her doctor offered her a choice between a medication to cause the uterus to expel the fetal remains or a surgical procedure. She decided on the drug option so that she could avoid a surgical procedure and remain at home.…
by Steven Miles, MD
The following remarks were delivered on April 27, 2017 upon Steven Miles’ retirement
Bioethics is not scholastic theorizing. It must venture outside the walls of Academic Health Centers to speak on behalf of marginalized and silenced people including those without access to affordable health care, prisoners and enemies, nursing home residents and refugees. Bioethics is about our ethos—how we live.
No one who reveres Universities ever really leaves. I set out as an itinerant emeritus carrying a backpack stuffed with University’ values and tools.
- The practice of medicine has been my liberal arts education. Intimate moments with those in profound despair schooled me.