By Rammina Yassaie and Lucy Brooks Our paper “Reassessing ‘Good’ Medical Practice and the Climate Crisis” takes an ethical dive into the roles and responsibilities of the medical profession and the medical regulator, in light of the climate and ecological crisis and its profound implications for health. The health sector has been called to action […]
Category: healthcare
Medical authority and expectations of conformity: undermining person-centred maternity care
By Anna Nelson. There is an ongoing ‘maternity crisis’ in the UK, and too many women and birthing people face barriers to accessing respectful, person-centred maternity care. Charities, campaigners and journalists continue to emphasise the consequences of this state of affairs, both for individuals and for society more widely. Individuals may experience harm to their […]
Musings on artificial intelligence, fairness and conceptions of justice to help with implementation considerations
By Michal Pruski. I am currently undertaking a mixed-methods project which is looking at barriers and facilitators to the adoption of machine learning in Wales with respect to value-based healthcare – focusing on the potential application of artificial intelligence (AI) to patient reported outcome measures (often known as PROMs). The project is in the early […]
Martha’s Rule and trust in healthcare: Beyond the ‘right’ to a second opinion
By Isabel Hanson. After the tragic death of thirteen-year-old Martha Mills in the UK, Martha’s mother Merope Mills said that she was told to “’Trust the doctors’… It turned out to be the worst advice I will receive in my whole life”. Martha had developed sepsis from an abdominal injury. Her mother knew that something […]
Sustainable health care beyond the paradox of prevention
By Cristina Richie. High carbon health care has global environmental effects—population health is damaged by the carbon of health care industries. Many countries have medically underserved residents, and as such, it could be argued that there is an obligation on the part of health care systems to reduce carbon emissions through laws or policy. For […]
Allocating physicians to rural areas in Japan: Validity and ethical considerations
By Masatoshi Matsumoto. Physicians predominantly cluster in urban areas, often leaving rural populations underserved. This phenomenon is observed worldwide. Consequently, the question arises: is it both necessary and justifiable for governments to allocate physicians to rural regions? In addressing this issue, the Japanese government has adopted an approach involving the establishment of Jichi Medical University […]
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 […]
What place does kindness have in medicine?
By Katherine Cheung. Asking whether kindness should play a role in medicine, and if our physicians should be asked to be kind, looks like a redundant question – it seems as though any person should answer yes. However, Dr. Edwin Jesudason interestingly points out that in choosing to be kind, we might also have to […]
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 […]
Housestaff unionization in the United States and our duties to each other
By Karel-Bart Celie. In a recent issue of JAMA, Ahmed et al. published data on healthcare unionization in the United States between 2009 and 2021. Despite the observed association between unionization and higher wages, better benefits, and more equitable compensation, unionization among healthcare workers has evidently remained low. Richman and Schulman (R&S) wrote a commentary […]