Credibility — and How to Lose It

by D. Joy Riley, M.D., M.A.

Executive Director

Is the American Academy of Pediatrics (AAP) behaving badly? This is a cogent question. Recently (24 September 2024), the Attorneys General of twenty states, along with the President of the Arizona Senate and the Speaker of the Arizona House of Representatives wrote to the AAP with multiple concerns:

Re: AAP’s Compliance with State Consumer Protection Laws 

. . . When the American Academy of Pediatrics speaks, its 67,000 pediatrician members, the broader medical community, the public, and especially parents are listening. Since its founding in 1930, it has exercised great influence on the practice ...read more

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Medical Education and Complicity with Evil

By Dennis Sullivan, MD, MA (Ethics) Professor Emeritus of Pharmacy Practice Cedarville University Moral complicity, sometimes called “moral taint,” is the moral guilt attached to a person by their association with a moral wrong. Complicity requires that a person have some association with the act committed, even if they do not personally perform the deed.[1] However, complicity is complex. For many of us, the perception of cooperation with evil seems to diminish with the passage of time. For example, almost all physicians still recommend the vaccine against Rubella (“German measles”), even though tissue from aborted fetuses was used to develop the ...read more

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Seeing Patients Through Medical AI

C. Ben Mitchell, Ph.D.

Distinguished Fellow

The Tennessee Center for Bioethics & Culture

Artificial Intelligence (AI) is being integrated within the practice of medicine in leaps and bounds. Fields such as radiology, telehealth, and emergency medicine are increasingly implementing AI in diagnostics and treatment. Doubtless, AI will eventually enhance patient care, prognostics, and clinical practice generally. But at what cost to the physician-patient relationship and trust?

Keeping the patient in view as a whole person is already a challenge for contemporary medicine. Patients are often objectified by their body parts, disease, or location. “That’s the ovarian cancer in ...read more

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Rational Thinking Revisited: The Cass Review

      Joyce A. Shelton, Ph.D. Professor of Biology Emerita Trinity International University     In April of this year, the National Health Service (NHS in the UK) released a long anticipated definitive report:  The Cass Review: Independent review of gender identity services for children and young people. Four years ago, seeking an evidence-informed way forward in the wake of rising controversy regarding the escalating prescription of puberty blockers, cross-sexualizing hormones and radical gender-altering surgeries for young children experiencing gender confusion, the NHS commissioned this comprehensive review headed by Hilary Cass. Dr. Cass is one of the most highly respected pediatric ...read more

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How Much Power Does WHO Need?

How Much Power Does WHO Need? Read More »

Bringing Light to a Culture of Death

caption id=”attachment_1852″ align=”aligncenter” width=”300″] Stock image[/caption]   by Joyce A. Shelton, Ph.D. Professor of Biology Emerita Trinity International University In contemporary western culture, autonomy (self will, personal choice) is the supreme value. This value is no better exemplified than in the promotion of self-controlled death through legalization of physician assisted suicide. Physician Assisted Suicide (PAS) means a physician provides a patient-requested lethal medication that their patient can then use to end his or her life. Most recently, we have witnessed the legalization of PAS, also termed Medical Aid in Dying (MAiD), to ever ballooning proportions in Canada and now in ...read more

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Mr. B in Solitary Confinement

Janet Liljestrand, M.D., M.A. Mr. B was in solitary confinement. His crime? Candida auris, a fungus which is particularly difficult to treat, grew from one of his cultures taken during a fever while a patient in a nursing home. Referred to as an opportunistic infection, the average person is unlikely to become ill with C. auris, but those in poor health or with an immune deficiency are susceptible. The CDC has recommended that a patient who has a culture that is positive for C. auris, regardless of the site of the culture, be in isolation for the duration ...read more

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Can We Deal with the Truth?

  D. Joy Riley, M.D., M.A. Executive Director Two things have happened in recent weeks that should get our attention. Both are truth claims, and come from opposite ends of the cultural and political spectra. First of all, what is truth? The Free Dictionary is helpful: truth is defined as “Conformity to fact or actuality.” That which conforms to reality is truth. An example often bandied about is my action based on what I believe about gravity. That is, if I believe that the gravitational pull of the earth does not exist (is not true), then I should ...read more

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Permanent or Irreversible: What Difference Does It Make?

D. Joy Riley, M.D., M.A. Executive Director A number of years ago, I was out of town when we had significant flooding at home. There was some leaking of water into the basement, and one of our then-teenage sons decided to make sure I would be aware of where exactly the leaks had appeared. He used a hot pink permanent marker to delineate the problem on the drywall for me. When my husband arrived home at the end of a full day, he became rather “excited” about our son’s decision. Thankfully, an older son found a solution to ...read more

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23andMe: The Gift That Keeps on Giving

Joyce A. Shelton, Ph.D. Professor of Biology Emerita Trinity International University

23andMe is a leading provider of personalized genetic testing (screen shot of product above). For $229 and a test tube of spit, anyone can have their DNA analyzed and receive direct reports on their ancestry, genetic traits, health risks and pre-dispositions, carrier risks and more. Consumers are also invited to share their genetic information with relatives and healthcare professionals and they can choose to have their “de-identified” data shared with pharmaceutical and medical research companies for the development of new drugs and treatments. About 80% of consumers agree to share their personal ...read more

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