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The past 50 years in medicine have brought amazing advances in technology and pharmacology that have been able to defer death for many more people until much later in life, notes Nancy E. Havas, MD, FAAFP, associate professor at the Center for Bioethics and Medical Humanities at Medical College of Wisconsin in Milwaukee.
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Decisions about whether to offer genetic testing and screening to children should be driven by what is in the best interest of the child, emphasizes Lainie Friedman Ross, MD, PhD, Carolyn and Matthew Bucksbaum professor of clinical ethics and associate director of the MacLean Center for Clinical Medical Ethics in Chicago, IL.
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When the Department of Health and Human Services announced plans in 2011 for a mystery shopper study of access to primary care, some physicians raised ethical concerns about the use of deception with human subjects without soliciting their informed consent.
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The majority of third-year medical students were able to recall the four ethical principles, appreciated the relevance of preclinical ethics education, and had positive self-assessments of their clinical-ethical reasoning abilities, according to a recent study.
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Although not subject to the provisions of the Physician Payment Sunshine Act, which become effective in September 2014, sales of medications or products in provider offices could unduly influence patients, says Margaret R. McLean, PhD, associate director and director of bioethics at Markkula Center for Applied Ethics at Santa Clara (CA) University.
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As a bioethicist, is your approach too theoretical or removed from the practical issues that face clinicians?
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If an undocumented patient presents to an emergency department, the hospital will likely meet its obligations to stabilize the patient as required by the Emergency Medical Treatment and Labor Act, but what happens after that?
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There is an enormous disparity between the number of patients with end-stage organ failure and the number of organs available for transplantation, resulting in patients dying on the waiting list, according to Christie P. Thomas, MD, professor in the Division of Nephrology at University of Iowa Health Care in Iowa City and chair of the Organ Procurement and Transplantation Networks (OPTN) Living Donor Committee.
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Obesity may be the most difficult and elusive public health problem this country has ever encountered, according to a 2013 Hastings Center Report.
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Hospital ethics committees can place the care of undocumented patients on their discussion agenda periodically, and can facilitate discussions about this issue during medical or interdisciplinary grand rounds, according to a 2013 report.