By Bruce Blackshaw and Daniel Rodger It is widely recognised that late-term fetuses and infants differ little in features that are thought to be morally relevant such as consciousness and rationality. This poses a problem for ethicists who argue for the permissibility of abortion but wish to rule out infanticide. Some just bite the bullet—Alberto […]
Category: clinical ethics
COVID-19: In focussing on intensive care we must not lose sight of the wider professional duty to care for all patients.
By Anne Slowther and Sarah Mitchell As the number of cases and number of deaths from COVID-19 continues to rise exponentially much of the health care response, and subsequent bioethics commentary, has focussed on provision of intensive care for critically ill patients who require ventilation. This is understandable given the mismatch between the number of people […]
Personal Protective Equipment for front-line health workers: an ethical imperative
By Elizabeth Fenton Covid-19 poses risks to health care workers that exceed those posed to members of the public. Repeated exposure to infected patients increases their risk of infection, and might also make their symptoms more severe if they become infected. Although reported numbers vary, in Italy approximately 9% of COVID-19 cases are health workers, […]
Clinical ethics in a public health crisis: supporting our clinician colleagues at the frontline
By Rosalind McDougall. Clinical ethicists around the world are responding to COVID-19 in an effort to support our clinician colleagues at the frontline. The clinical ethics community is compiling resources, developing ethical guidelines, and contributing to hospital policy as the scale of the crisis increases. The hope is that ethics can offer a structured way […]
Being, and getting, in the know
By Sara Filoche, Peter Stone, Fiona Cram, Sondra Bacharach, Anthony Dowell, Dianne Sika-Paotonu, Angela Beard, Judy Ormandy, Christina Buchanan, Michelle Thunders, and Kevin Dew Have you ever been a patient where you felt that a healthcare practitioner was merely talking at you, rather than with you? Or that your opinion (or value) didn’t count? If […]
How I came to write “Why not Common Morality?”
By Rosamond Rhodes When I first began my work at Mount Sinai, I was the sole philosopher at the institution, and I certainly felt like a stranger among the hundreds of medical professionals. As the only bioethicist on campus, I was called upon by any department that wanted ethics education for their trainees and any […]
Public Reason and Physicians’ Duty to Refrain from Religious Discourse
By Jake Greenblum and Ryan Hubbard We recently offered a reply to criticisms of our view that physicians should refrain from deliberating with their patients on religious grounds when helping them make medical decisions. Part of what prompted our research into this topic is recent work discussing appropriate ways of communicating with religious patients who […]
The irrelevance and elusiveness of consciousness
By Charles Foster I am aware (as my academic critics will agree) of only a tiny proportion of what I do and what I am. It is not clear what sort of creature I am, but what is clear is that very little of me is visible to myself – let alone to others. We […]
Unrepresented Patients and Medical Error: Disclosure and Apology
By Arjun S. Byju and Kajsa A. Mayo What should a clinical team do when an error occurs in the care of a patient who lacks both capacity and a surrogate, to whom an expression of contrition could otherwise be offered? This vexing question served as the initial impetus for our paper. As medical students, […]
Moral exploitation and junior doctors
By Joshua Parker. Medicine’s power to affect human well-being explains why the nature of doctors’ practice is deeply moral. With almost every medical decision having some moral component, doctors’ work carries a number of moral burdens. Aside from the decision-making itself, which of course can be very difficult and the risk of error consequential, there […]