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…
People put a lot of stock in data. Data is essentially information. It often becomes the basis for an assumption. When we think of data, we think of facts. That works in many settings. For example, an ingredient label, done truthfully, lists ingredients. If it lists flour, one would reasonably assume the product contains flour….
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…
Neuro-rights may protect people from certain harms due to neurotech advances. Neurotech has potential to improve medical treatments and revolutionize care, but there are foreseeable risks. Marcello Ienca defines neuro-rights “as the ethical, legal, social, or natural principles of freedom or entitlement related to a person’s cerebral and mental domain; that is, the fundamental normative…
Vaccine mandates without religious exemptions (or as enforceable against those claiming free exercise) are in uncertain legal terrain. Nineteen states mandate vaccines for healthcare workers, but vary as to religious exemptions. The medical value of mandates with and without exemptions depends on the number of people who successfully claim exemptions or stall in becoming vaccinated…
Hackable Part 4 A hyper-focus on informed consent as the primary tool to ensure autonomy represents some lapses in the field of bioethics. To me, informed consent is more valuable in traditional clinical care or medical research than in engagement with big data. Yet consent is the operational tool behind widespread data collection and the…
COVID-19 vaccine hesitancy requires a trust-based solution. A response to societal problems should be steeped in social solutions. Science does the most good if it coexists with public trust. A focus on misunderstanding science as a primary reason for refusal to get a COVID-19 vaccine distracts from failing to believe scientists and the other reasons…
(Part 3 of series) Children and young adults spend significant time online using apps that collect massive amounts of information, but they may lack digital literacy. Schools also collect much more information than they used to. The voluntarily divulged information in an online profile plus any hackable identifiable data make children vulnerable to future and…