Farid bin Masood Much has been written for and against AI’s application in healthcare including screening, prediction, and simulation. But there’s a component of clinical work that matters just as much, maybe more: the clinician’s work as a human, including communicating with the patient and making decisions when faced with uncertainty. Much is being written […]
Category: Decision making
No person is an island: Incidental findings in a world of relationships
By Max Tretter One of my favorite TV series of all time is Breaking Bad. Most people probably know the show—and if you don’t, it is well worth watching. Early in the series, the protagonist Walter White, a quiet high school chemistry teacher and father, receives devastating news: he has advanced lung cancer. Confronted with […]
When doctors disagree: Integrating traditional medicines and bifurcations in beneficence
By Kathryn Muyskens Interest in integrating traditional medicine with biomedicine is growing worldwide. From policy endorsements by the World Health Organization to national healthcare reforms, “integrative medicine” is increasingly framed as a pragmatic and culturally sensitive response to how patients actually seek care. Rather than choosing between medical traditions, many patients move fluidly between them. […]
Appetite apocalypse
By Professor Ed Jesudason We seem to spend a lot of time these days thinking about undue influence: scams perpetrated against the elderly or people looking for love; the possibility of coercion in assisted dying; our democracy undermined by money and sex scandal; society enraged and misled by social media algorithms. If alcohol is a […]
Weaponized beneficence: Decision-making capacity challenges as instruments of medical hegemony
By Omar F. Mirza, Yekaterina Angelova, Marie S. Thearle, Gregg A Robbins-Welty, and Stephanie Cheung Informed consent is part of the bedrock of clinical ethics. Composed of voluntariness, disclosure, and capacity, informed consent is designed to center the patient in their own care amidst an asymmetric power dyad that can easily overpower individual choice. Despite […]
Making healthcare decisions for patients with a disorder of consciousness: We have no idea what we are doing, should not pretend we do, and should prioritise their treatment
By Charles Foster In a recent article in the American Journal of Bioethics Neuroscience Clarke et al provide a welcome and sophisticated counter to much of the dogmatic literature relating to the making of healthcare decisions for a person with a disorder of consciousness (‘PDOC’). They take into account many factors that are often ignored […]
Consensual lethal organ harvesting: dissecting ‘double effect donation’
By Anthony McCarthy and Helen Watt. Imagine I am an altruistic person in good health who is struck by how many people my organs (heart, lungs etc) could save if I became a live donor. Perhaps my life is not going well, and I want to make a greater contribution to society than I have […]
The moral vulnerability of clinician teams
By Bernadette Wren. The authority of clinicians is underpinned by a responsibility to ensure that all treatment decisions are made at the intersection of evidence, law and ethics. We hear a lot in the public square about the science and practice of evidence-gathering, much of it unrealisable. And occasionally the law gets a look-in. But […]
Different emergency departments, different triage systems: when is it an ethical problem that two patients with the same condition are triaged with different criteria? And should the public know about it?
By Davide Battisti and Silvia Camporesi. It is likely that, like us, you will have had an experience in Emergency Departments (EDs), or that you can recall an experience of accompanying a relative or friend there. Let’s consider the scenario where the reason for you, your relative, or friend going to the ED was the […]
Re-thinking consent for treatment: clinical interests and the public interest
By Abeezar I. Sarela. In its recent guidance on consent, the General Medical Council (GMC) advises doctors to not provide treatment that ‘you (the doctor) don’t think would be in their (the patient’s) clinical interests’. It follows that doctors should only provide treatments that are in the patient’s clinical interests. But, what exactly is meant […]