Medical tourism presents ethical dilemmas and has many downsides. The CDC does recognize that many people from the United States travel to Mexico for care and its website provides some guidance and warnings. Last week, members of a drug cartel kidnapped four travelers to Mexico and killed two of them. Safety along the US-Mexico border…
Hospital and physician liability for saving the life of someone who wished not to be saved is an area of evolving law. While years ago, such cases were routinely dismissed, recent caselaw recognizes the cause of action under medical malpractice. Increasing public awareness of the importance of advance directives and movements like medical aid in…
I envision a broad bioethics, one that covers the relationships and interactions between science and society. Bioethics ranges from dilemmas arising in the relationship between doctors and people seeking care (often clinical ethics) to largescale societal moral dilemmas. The individual and societal issues are intertwined: each has implications for the other. Does a policy, personal…
Organizations and scholars frame the current food crisis as a global phenomenon due to a confluence of events and circumstances like droughts, the pandemic, and the war in Ukraine. As Samantha Power noted this week, “a decade of progress” has been “obliterated”. The number of people with unmet food needs is steeply increasing after a…
Reactions to Dobbs v. Jackson Women’s Health are wide ranging, and many seem to reflect emotion and use charged language. I do not mean to downplay the tossing out of an established constitutional right, but a cooling off period may allow for more reasoned discussion. While in the past courts disagreed about where in the…
Diagnosis is a tricky word. Doctors diagnose some scientific truths: for example, a finding of a tumor and the accompanying pathology report describing cellular activity and genetic information, etc. Diagnosis is also the term used for many things for which science does not provide a distinct test – diagnosis depends in those cases on a…
The social determinants of health by Marmot and Wilkinson are a list of social circumstances that impede or positively influence good health. Pointing out barriers to achieving health, the social determinants set the backdrop for justice-based bioethics. Access to good jobs in which one has agency or discretion and a living wage and access to…
Bioethics concerns justice, fairness, and the social determinants of health. One example of an area in which bioethics can contribute to promoting justice is in advocating for access to civil justice. While few people (and a decreasing number of people) wronged in a tort actually file a lawsuit, the ability to do so is a…
One strategy for improving public trust in science, the COVID-19 vaccine and possibly future COVID-19 vaccines or vaccines for emerging virus should be improving trustworthiness at all levels. The way bioethics and public health approach public trust often leaves out the most crucial element: improving trustworthiness and maintaining trustworthy institutions. Doctors and other healthcare professionals…
When ethics becomes too rules-based the thinking and making sense of complex situations can be obscured by techniques that declare some ethical decisions final and powered by precedent or guidelines. A stronger practicum that includes ethical tools designed to help people wrestle with complex dilemmas using rationality, logic, and compassion may lead to better ethical…
