Health Care Ethics Consortium of Georgia ...ethics in action

How much science spending is too much science spending?

Dr. Atul Gawande discusses a topic he admits he doesn't know how to talk about himself: his dying patients.

"Break patent and give me the drug!" say Fabry disease patients, raising the question of when HHS can invoke march-in rights to allow other manufacturers to produce drugs in a shortage.

A happy medium for patients who are ready to die and for families who cannot imagine "starving them to death."

Abstract  The moral discourse surrounding end-of-life (EoL) decisions is highly complex, and a comparison of Germany and Israel can highlight the impact of cultural factors. The comparison shows interesting differences in how patient’s autonomy and doctor’s duties are morally and legally related to each other with respect to the withholding and withdrawing of medical treatment in EoL situations. Taking the statements of two national expert ethics committees on EoL in Israel and Germany (and their legal outcome) as an example of this discourse, we describe the similarity of their recommendations and then focus on the differences, including the balancing of ethical principles, what is identified as a problem, what social role professionals play, and the influence of histo...

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Content Type Journal ArticleCategory Short Literature NoticesDOI 10.1007/s11019-010-9272-1 Journal Medicine, Health Care and PhilosophyOnline ISSN 1572-8633Print ISSN 1386-7423 (Source: Medicine, Health Care and Philosophy)

Content Type Journal ArticleCategory Books ReceivedDOI 10.1007/s11019-010-9271-2 Journal Medicine, Health Care and PhilosophyOnline ISSN 1572-8633Print ISSN 1386-7423 (Source: Medicine, Health Care and Philosophy)

Content Type Journal ArticleCategory EditorialDOI 10.1007/s11019-010-9275-yAuthors Henk ten Have, Duquesne University Center for Healthcare Ethics Fisher Hall 33, 600 Forbes Avenue Pittsburgh PA 15282 USABert Gordijn, Duquesne University Center for Healthcare Ethics Fisher Hall 33, 600 Forbes Avenue Pittsburgh PA 15282 USA Journal Medicine, Health Care and PhilosophyOnline ISSN 1572-8633Print ISSN 1386-7423 (Source: Medicine, Health Care and Philosophy)

GAO reports that DTC genetic test results are unreliable and marketing over-promises. You don't say!

To swap or not to swab? Reporter Mary Carmichael chronicles her week deliberating about whether to take a direct-to-consumer genetic test.

Little discussed, bone marrow donation has many of the same ethical and social issues of other major tissue and organ donations.

It is ethically and legally permissible to turn off LVAD in compliance with patience requests.

Can a hospital refuse to give patient tissue samples along with medical records? Many more patients are asking the question in the era of paersonalized medicine.

ALS patient expresses wishes to give up his organs--while his is living.

The great Spanish IVF embryo giveaway has resulted in uncertainty about biological parenthood for hundreds of couples in the UK.

(Source: Developing World Bioethics)

Authors: Larkin GL, Hooker RS Physician assistants (PAs), nurse practitioners (NPs), and medical residents constitute an increasingly significant part of the American health care workforce, yet patient assent to be seen by nonphysicians is only presumed and seldom sought. In order to assess the willingness of patients to receive medical care provided by nonphysicians, we administered provider preference surveys to a random sample of patients attending three emergency departments (EDs). Concurrently, a survey was sent to a random selection of ED residents and PAs. All respondents were to assume the role of patient when presented with hypothetical clinical scenarios and standardized provider definitions. Despite presumptions to the contrary, ED patients are generally unwilling to be seen...

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Authors: Sofaer N, Eyal N PMID: 20694895 [PubMed - in process] (Source: The American Journal of Bioethics : AJOB)

Authors: Hunter D, Wilson J PMID: 20694896 [PubMed - in process] (Source: The American Journal of Bioethics : AJOB)

Authors: Jecker NS PMID: 20694897 [PubMed - in process] (Source: The American Journal of Bioethics : AJOB)