Hot Topics: Justice
by Joyeeta G Dastidar, MD
In New York City, the epicenter of the COVID-19 pandemic in the country with a quarter of the nation’s cases, hospitals prepared for ventilator shortages.
Covid-19 is making bioethics more relevant than ever. The ethical dilemmas raised by the pandemic are urgent and heart-wrenching. Who should get a ventilator if we do not have enough? How can we protect the most vulnerable from discrimination in the face of difficult triage decisions? How do we weigh individual liberty against the public interest of keeping people confined? While such questions are not new for bioethicists, the need to answer them urgently, globally, and in very concrete settings, creates unprecedented circumstances. Is this an opportunity for bioethics to learn some important lessons? What should post-Covid bioethics look like?Full Article
Written by Stephen Rainey It is presently feared that ‘lockdown’ may be beginning to fray at the edges, as people tire of their restrictions. From the start of the emergency, discussion focussed upon the ability of the public to stay the course where restrictions were at stake. This neatly ignores the public’s being ahead of […]Full Article
by Laura Guidry-Grimes, PhD and Katie Savin, MSW
The COVID-19 pandemic has led to intense conversations about ventilator allocation and reallocation during a crisis standard of care (CSC).
by Joseph Stramondo, Ph.D.
While I have warned against using quality of life criteria when developing triage protocol, what about the strategy of using as a criterion the likelihood of whether a patient will survive COVID-19 even with aggressive treatment?…Full Article
This essay received an honourable mention in the Graduate Category Written by University of Oxford Student, Brian Wong Injustices are ubiquitous around us. From authoritarian regimes’ crackdown on human rights, to exploitative trafficking of illegal migrants, to human-induced destruction of rainforests upon which indigenous groups depend – injustices are negative states of affairs violating moral […]Full Article
by Joseph Stramondo, PhD
Bioethicists and physicians scrambling to develop triage protocols for the COVID-19 crisis might have been surprised that counsel from Self Advocates in Leadership (SAIL), Disability Rights Washington (DRW), and The Arc of the United States (The Arc) filed a complaint recently with the U.S.…Full Article
Yesterday’s Child: How Gene Editing for Enhancement Will Produce Obsolescence—and Why It Matters
Impartiality and infectious disease: Prioritizing individuals versus the collective in antibiotic prescription
Serious Ethical Violations in Medicine: A Statistical and Ethical Analysis of 280 Cases in the United States From 2008–2016
Serious Ethical Violations by Physicians: What’s the Solution?
Physician Sexual Assault: The Moral Imperative for Gender Equity in Medicine
Abusive Doctors: How the Atlanta Newspaper Exposed a System That Tolerates Sexual Misconduct by Physicians
Shrinking Poor White Life Spans: Class, Race, and Health Justice
Performance-Enhancing Drugs, Sport, and the Ideal of Natural Athletic Performance
Ethical Dilemmas in Protecting Susceptible Subpopulations From Environmental Health Risks: Liberty, Utility, Fairness, and Accountability for Reasonableness
The inequitable racial landscape of the United States is hardly deniable. The effects of racism on health status and on access to health care are well documented. Comprehensive race/ethnicity data relevant to Covid-19 will likely affirm inequitable patterns in exposure, testing, and treatment, patterns that are already being observed by practitioners in some facilities and officials in some states.Full Article
It’s a moment that people with disabilities have long feared: there’s a shortage of life-saving equipment, like ventilators, and doctors say they may be forced to decide who lives and who dies. People with disabilities worry those judgments will reflect a prejudice that their lives hold less value.Full Article
A murder case raises the question: Is it OK for police to lie to get an innocent person’s DNA?Full Article
Former billionaire and pharmaceutical executive John Kapoor has been sentenced to five years and six months in prison. His sentencing is the culmination of a months-long criminal trial in Boston’s Moakley U.S. Courthouse that resulted in the first successful prosecution of pharmaceutical executives tied to the opioid epidemic.Full Article
Letters to FTC, CMS, health care companies follow disturbing revelations of flawed algorithms impacting care for black patientsFull Article
The new owner of a consumer DNA database that has powered a revolution in forensics vowed to resist attempts by police to circumvent the site’s privacy rules.Full Article
The specialty of emergency medicine is firmly grounded in social justice and providing access to expert care to everyone who comes in. That means treating anyone, with any condition, at any time. And yet, embedded into emergency department operations is a system that might be perceived as unjust: the concept of triage.Full Article
State officials stripped Stuart Copperman of his medical license almost 20 years ago. Armed with a new law, his former patients hope to file civil lawsuits.Full Article