This was a challenge before COVID-19. The pandemic has underscored the already urgent need to reconcile these differences as soon as possible. I joined Jeff Segal, MD, JD on the Medical Liability Minute, to discuss brain death.
- An allocation team, not the treating clinicians, makes the allocation decisions. This promotes objectivity, avoids conflicts of commitment, and minimizes clinicians’ moral distress.
- The framework is designed to enhance medical benefit for communities, ensure meaningful access and individualized assessments for all patients, avoid discrimination, and mitigate disparities in outcomes due to social inequalities.
- The model policy uses a weighted lottery or categorical reserve system to fairly allocate drug supplies if there is insufficient supply to treat all eligible patients.
Art Caplan and I talk with Cathy Wurzer at the End in Mind Project.
My key objective for June is completing "From Informed Consent to Shared Decision Making: Improving Patient Safety and Reducing Medical Liability Risk with Patient Decision Aids."
FORTHCOMING IN 2020
Is There a Right to Delay Determination of Death by Neurologic Criteria? JAMA NEUROLOGY (forthcoming 2020) (with Ariane Lewis, and Richard J. Bonnie).
Brain Death: Status Shift and Implications, AMA JOURNAL OF ETHICS (forthcoming 2020).
HASTENING DEATH BY VOLUNTARILY STOPPING EATING AND DRINKING: CLINICAL, ETHICAL, AND LEGAL DIMENSIONS (forthcoming Oxford University Press 2021) (with Timothy Quill, Paul Menzel, Judith Schwarz).
Jack Kevorkian, AMERICAN NATIONAL BIOGRAPHY (forthcoming 2020).
Medical Aid in Dying: Key Variations among U.S. State Laws, JOURNAL OF HEALTH & LIFE SCIENCES [AHLA] (forthcoming 2020).
Extrajudicial Resolution of Medical Futility Disputes: Key Factors in Establishing and Dismantling the Texas Advance Directives Act, in INTERNATIONAL PERSPECTIVES ON END OF LIFE REFORM: POLITICS, PERSUASION, AND PERSISTENCE (Cambridge University Press forthcoming 2021) (Ben White and Lindy Wilmott eds).
Medical Futility, in GUIDANCE FOR HEALTHCARE ETHICS COMMITTEES (2d ed. Cambridge University Press forthcoming 2020).
Video Advance Directives: Growth and Benefits of Audiovisual Recording, 73 SMU LAW REVIEW (forthcoming 2020).
ALREADY PUBLISHED IN 2020
Brain Death Testing: Time for National Uniformity, 20(6) AMERICAN JOURNAL OF BIOETHICS 1-3 (2020).
Making Medical Treatment Decisions for Unrepresented Patients in the ICU: An Official ATS/AGS Policy Statement, 201(10) AMERICAN JOURNAL OF RESPIRATORY & CRITICAL CARE MEDICINE 1182-1192 (2020) (with multi-professional committee).
Hospital Mergers and Conscience-Based Objections — Growing Threats to Access and Quality of Care, 382(15) NEW ENGLAND JOURNAL OF MEDICINE 1388-1389 (2020) (with Ian D. Wolfe).
It’s Time to Revise the Uniform Determination of Death Act, 172(2) ANNALS OF INTERNAL MEDICINE 143-144 (2020) (with Ariane Lewis and Richard Bonnie).
Revising the Uniform Determination of Death Act: Response to Miller and Nair-Collins, HASTINGS BIOETHICS FORUM (January 29, 2020) (with Ariane Lewis and Richard J. Bonnie).
THE RIGHT TO DIE: THE LAW OF END-OF-LIFE DECISIONMAKING (3d ed. Wolters Kluwer Law & Business) (with Alan Meisel & Kathy L. Cerminara) (2020).