By G. Owen Schaefer Honesty and integrity are pillars of medical professionalism which I and many others teach to healthcare students. Sometimes, though, they can be in tension with other considerations – as illustrated in a distressing case study reported in Slate magazine, concerning medical decision-making in the US when ICE comes knocking. The case, […]
Category: clinical ethics
The ethics of Ant Afu: Health AI within China’s super-app ecosystem
By Miranda Qianyu Wang On 15 December 2025, Ant Group rebranded its healthcare app as “Ant Afu,” repositioning it from a diagnostic tool to an “AI Health Friend.” Embedded within Alipay – the digital payment platform used daily by over a billion people in China – Afu offers personalised health companionship and connects users directly […]
Why I changed my mind about the dead donor rule
By Lawrence Masek Must organ transplant teams wait until a potential donor dies before removing a vital organ? I used to answer yes, because removing a vital organ from a living donor seemed intuitively wrong, and I assumed that anyone who answered no either accepted a consequentialist view of organ transplants or denied that potential […]
The moral core of medicine, moral authority and ethical presence
By Hana Abbasian Medicine occupies a distinctive moral position in society. Medical authority is grounded in an ethical orientation toward care, healing, and understanding human vulnerability. This relational perspective is sustained through trust, presence, and responsiveness to suffering. In my recent article in the Journal of Medical Ethics, I examine how medical ethics is transformed […]
Why ‘just culture’ needs philosophy: Understanding the theoretical presuppositions of moving from blame and punishment to repair and learning
By Eva van Baarle, Guy Widdershoven, Bert Molewijk The notion of just culture has become a buzzword in healthcare organizations. It refers to the need for repair and learning when things go wrong, rather than blame and punishment. This orientation, which is also known as a restorative just culture approach, implies a fundamental change in […]
Does pediatric healthcare need department-specific ethicists?
By Brianne Helfrich Pediatric healthcare is different — parental involvement in decision-making, the heightened pressure to “save a child”, and the emerging voices of pediatric patients make this field uniquely challenging. From an ethics perspective, these cases can be complex and emotionally charged. Clinicians often delicately balance the wishes of the families, patients and organizational […]
The 2025 Tennessee Medical Ethics Defense Act is leading to unethical healthcare
By Brianne Helfrich and Joseph Bertino Not all lifestyles or beliefs align perfectly, but in a healthcare system that ought to prioritize just practices, moral or spiritual objections should never impede a patient’s access to necessary care. Across the United States, healthcare workers’ right to conscientious objection—refusing participation in certain procedures that conflict with their […]
What Does It Mean to Provide Medicine in a World of Declining Trust?
By Crystal Lemus What does it really mean to “provide medicine”? For many, the image is clinical—white coats, prescription pads, MRI scans, and protocols. But at its philosophical core, medicine is a moral act: one human being entering into the vulnerability of another. The practice of medicine is rooted in a complex interplay between trust, […]
Hi, I’m a hospice doctor. Here’s your bill.
By Jennifer Eitingon, MD, with Margaret P Battin, PhD When asked about the often serious ethical quandaries hospice providers are often faced when providing care for a patient nearing death, the one thing that plagues most is not the medical aspect of how to manage suffering, nor the existential questions of how we, as embodied […]
Meet your new medical ethicist: ChatGPT
By Daniel Sokol In February 2023, I wrote on this forum about a new honesty test for doctors.[1] Developed with an experienced clinical psychologist, the test was a Situational Judgement Test of 22 real-life scenarios involving truth-telling problems. The ‘correct’ answers were determined by six professors of medical ethics who were also medical doctors. To […]