By Molly M. King Before we face another swell of the pandemic, we have the opportunity as a country to take stock of early lessons learned about the vulnerabilities of our nation’s healthcare system. As our nation celebrates the 30th anniversary of the Americans with Disabilities Act, we have other shortcomings to reflect on, as […]
Latest articles
Proving our worth: why clinical ethicists should help discuss treatment allocation decisions
By Trevor M. Bibler. Clinical ethicists across the nation, and throughout the world, have recently devoted their waking hours to developing triage and allocation policies in response to the COVID 19 pandemic. As these policies develop, we find general agreement that shared processes should take the place of ad hoc, bedside allocation decisions, and that […]
We should sit this one out: Why ethicists should not help discuss treatment allocation decisions
By Claire Horner. Ethicists help both health care professionals and patients and their families by working through complex ethical questions or facilitating communication in a conflict. Clinical Ethics Consultation (CEC) is generally defined as “a set of services provided by an individual or group in response to questions from patients, families, surrogates, health care providers […]
The importance of mourning rituals to the dead
By Luís Cordeiro Rodrigues In Sophocles’ play Antigone, Creon, the new ruler of Thebes, decides that, as a punishment for Polynices’s rebellion, Polynices will not receive a proper funeral but will instead lie unburied on the battlefield to be eaten by animals. Antigone, one of Polynices’s sisters, defies Creon’s orders and gives her brother a […]
PPE in the hospital: ethical decision-making that balances health professional wellbeing and duty to care
By Rosalind McDougall, Lynn Gillam, Danielle Ko, Isabella Holmes, Clare Delany Prior to the COVID-19 pandemic, clinicians in well-resourced healthcare systems usually had the information and resources they needed to appropriately protect themselves while still providing optimal care for patients. However, achieving both staff protection and high quality patient care has now become difficult in […]
Mechanical ventilators: the evidence of effectiveness
By Jonathan J. Darrow and Jing Luo As government leaders move to relax physical distancing requirements related to severe acute respiratory coronavirus 2 (SARS-CoV-2), a central assumption is that mechanical ventilators will form part of the safety net needed to sustain life in those afflicted with the disease it causes, Covid-19. Ventilators have been described as […]
Patents, private governance and access to vaccines and treatments for Covid-19
By Aisling McMahon Recent moves such as by the United States and United Kingdom to negotiate deals to access large quantities of vaccines/medicines for Covid-19 within their territories raise serious questions around access to healthcare and global equitable distribution. Such attempts to secure preferential access, although understandable within the national context, can jeopardise supplies of […]
Must Clinical Ethics Committees involve patients or families in their meetings?
By Dominic Wilkinson @Neonatalethics and Michael Dunn @ethical_mikey Originally posted on PRACTICAL ETHICS In a high court case reported last week, a judge strongly criticised a London hospital’s clinical ethics committee (CEC). The case related to disputed treatment for a gravely ill nine-year old child. There had been a breakdown in the relationship between the […]
Reconceiving the womb in medicine, law and society
By Elizabeth Chloe Romanis, Dunja Begović, Alex Mullock and Margot Brazier. Our new JME article, Re-Viewing the Womb is a collaborative endeavour from the Centre for Social Ethics and Policy at Manchester, which was established over 30 years ago by Professors Margot Brazier and John Harris. Our centre has always had an active interest in repro-ethics […]
We need to talk about corona apps
By Lucie White. The initial hype about a digital contact tracing app that could control the COVID-19 outbreak until an effective vaccine or treatment can be found has died down – governments are downplaying the potential of what was initially sold as a crucial means of escaping lockdown. At the same time, many countries are […]