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Physicians often provide high-intensity care for patients at the end of life, even when the physicians would not choose this for themselves.
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Almost all (96%) of 173 oncology nurses surveyed reported concerns about system barriers in their efforts to help patients prepare for the end of life, according to a 2014 study.
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[Editor's note: With this month's issue of Medical Ethics Advisor, we mark 25 years of efforts to bring you the most up-to-date research and news in the ethics arena of health care. Going forward, we hope to continue this tradition, and we invite you, the readers, to share your own ideas and experiences with our editorial advisory board and editor.]
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One fortunate change in 25 years is that medical ethics has entered the mainstream of discussion and debate, but increased visibility can have unfortunate drawbacks, as well.
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The Montana Supreme Court issued a ruling just as 2009 ended, on Dec. 31, which determined Montanans have the right under that state's public policy to seek a physician's aid in assisted suicide, with no threat of sanction or legal action against the physician.
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With the advent of consumer-directed health care (CDHC), two professors argue, contrary to the common notion that physicians should ignore financial considerations when treating patients, that it is entirely appropriate for physicians to be sensitive to a patient's financial position when a patient is paying out of pocket.
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A surgeon and a pediatrician are among the four American physicians have been named as recipients of the first Hastings Center Cunniff-Dixon Physician Awards.
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While Rebecca Walker, PhD, assistant professor, Department of Social Medicine Adjunct Assistant Professor, Department of Philosophy at the University of North Carolina at Chapel Hill, says she does not "mean any one thing" by the use of the term "justice," she does have justice concerns regarding the use of psychosocial criteria in determining individuals who are selected to receive organs from donation for transplantation.
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While it is illegal for an individual to sell his or her organs to transplant recipients in the United States and in most other countries, experts indicate the selling of organs is widespread in certain developing countries.
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To many who observe the organ transplant arena, it's both a simple and yet complex reckoning of supply and demand.
