By Rammina Yassaie. Primum non nocere. First do no harm. Words that are ingrained into every doctor from the moment they graduate medical school, as the resounding ethical principle to live and practice by. Medicine is often thought of as a career that involves ‘saving lives’, but how commonly are doctors encouraged to consider the […]
Category: Medical ethics
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 […]
AI in healthcare: promise, peril, and professional responsibility
By Helen Smith, John Downer and Jonathan Ives. Everyone is excited about the idea of AI being brought to the bedside, and who wouldn’t be? We’re short of all staffing groups, daily stories of how everyone is overloaded, overworked, struggling; all help is heartily welcomed, no? But, at risk of being called a killjoy here, […]
Me, my cells and I: reflecting on the value of the genome in light of the Lacks family settlement
By Aileen Editha. “Not only were the HeLa cells derived from Henrietta Lacks – the HeLa cells are Henrietta Lacks” – Ben Crump, attorney for the Lacks family. (He)nrietta (La)cks Henrietta Lacks was a Black tobacco farmer living in Baltimore, Maryland. She was treated for cervical cancer at Johns Hopkins University Hospital, one of the […]
Can representatives of more than 10 million physicians worldwide agree on a foundation of medical ethical principles?
By Ramin W Parsa-Parsi, Raanan Gillon, Urban Wiesing. In today’s polarised world, achieving unanimous support for anything is a rare occurrence – let alone anything ethical. Simply agreeing to disagree to avoid outright confrontation is already a high enough bar to clear. It is in this climate that the World Medical Association (WMA) faced the […]
The Supreme Court on consent for treatment: practical but unfair?
By Abeezar I Sarela. On 12 July 2023, the Supreme Court issued its judgment in McCulloch v Forth Valley Health Board. This judgment resolves a contentious issue in contemporary legal and ethical paradigms of consent for medical treatment; so, it requires careful attention. In an earlier blogpost, I discussed that, as per the ruling of […]
The UK Supreme Court just made meaningful patient involvement in medical decision-making more difficult
By Jennifer O’Neill. This week, the United Kingdom Supreme Court (UKSC) revisited its ruling in the landmark case of Montgomery v Lanarkshire [2015]. In McCulloch v Forth Valley Health Board [2023], the Supreme Court Justices established that doctors do not need to inform patients of all possible treatment alternatives as a requirement of informed consent. […]
“We could use that as a tiebreaker” – Yes, but why should we?
By Borgar Jølstad and Erik Gustavsson. Health care priority setting should be based on morally relevant factors such as need, severity, and maximizing health outcomes. But sometimes we must choose between health care allocations where these primary considerations are tied. It is sometimes suggested, and implemented in practice, that in these situations other, perhaps more […]
Consent for medical treatment: What is ‘reasonable’?
By Abeezar I Sarela. Consent is fundamental to good medical practice. The General Medical Council (GMC) advises doctors to comply with the law in obtaining patients’ consent for medical treatment. Currently, the law on consent derives from the judgment of the Supreme Court in the case of Montgomery v Lanarkshire Health Board. This judgment emphasizes […]