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 […]
Category: healthcare
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 […]
Challenging lesser evil justifications for non-clinically indicated uses of antipsychotics in aged care facilities
By Hojjat Soofi. The administration of antipsychotic medications to residents with dementia in aged care facilities remains a subject of considerable controversy. A major focus of the controversy has been on the (questionable) influence that non-clinical considerations have on the rate of antipsychotic prescriptions in aged care facilities. Often, the primary beneficiaries of antipsychotic uses […]
If some inhalers contribute to global warming, how should healthcare respond?
By Joshua Parker. Most people are surprised to hear that if industrialised healthcare were a country it would be the fifth-largest emitter of greenhouse gases on the planet. In 2019, the NHS was responsible for around 7% of England’s total carbon footprint; approximately 25 million tonnes of CO2 equivalent. We can already see the effects […]
Should doctors help patients import medicines?
By Narcyz Ghinea. In the mid 2010s, breakthrough medicines that promised to cure hepatitis C came onto the market. The catch was, the pharmaceutical company Gilead set the price of up to £70 000 for a 3-month course of treatment. No government would pay that much given the number of people with hepatitis C. In the […]
Demystifying a part of the Wild West of healthcare AI
By Jordan Joseph Wadden. The pace at which we can see technological developments in healthcare is truly amazing. Sometimes it almost seems like technology is moving too fast, which raises some familiar concerns about patient safety, job security, and sometimes even what it means to be human. One of the fastest growing uses of technology […]
The doctor can “see” you now – the ethical considerations of patient rights and safeguards in online mental health act assessments during Covid-19
By Lisa Schölin and Arun Chopra. It is fair to say that when the pandemic hit we were not entirely prepared to move our social lives, work, and healthcare to online platforms. Yet, we had to. But in which services, and more specifically in what situations, can remote contact sufficiently, legally, and safely be used […]
The health supply chain and bioethics: Notes towards a person-centred approach to the health supply chain
By Michael Saunders. In our ongoing research on the COVID-19 pandemic, supply chain strategy, and health system outcomes in Canada, we have heard frequently about the incredible increase in cost of personal protective equipment (PPE) during the first wave of the pandemic. We have heard as well about the cost-saving pressures that regularly shape health […]
Is transhumanism a health problem?
By Michael Kowalik. In medical sciences, health is measured by reference to our species-typical anatomy and functional integrity – the objective standard of human health. Proponents of transhumanism are committed to biomedical enhancement of human beings by augmenting our species-typical anatomy and functional integrity. I argue that this normative impasse is not only a problem […]
Up close and personal: Using AI to predict patient preferences?
By Nikola Biller-Andorno. Have you ever tried to put together a ballpoint pen that has fallen apart? Or, more ambitiously, tried to repair your child’s programmable toy robot that continues to bump into walls? There is nothing like building, taking apart and rebuilding to understand a gadget or system’s flaws and weaknesses. This is what […]