The Problem of Ill-Gotten Gain in Health Care
C. Ben Mitchell, Ph.D. Distinguished Fellow
The politicized debate about President Trump’s treatment for Covid-19 may have shrouded an important set of questions about the science of developing treatments, viz., the problem of ill-gotten gain.
Among other treatment protocols, the President received Regeneron’s REGN-COV2, a “cocktail” of two neutralizing antibodies that has shown promise in some animal studies (see here and here). The media jumped on an association between REGN-COV2 antibodies and fetal cells, some even claiming that the antibodies were developed from fetal cells.
Screenshot of NYT headline on Oct. 8, 2020
The fact of the matter is REGN-COV2 was tested for its virus-neutralizing ...read more
A Project for Our Time
D. Joy Riley, M.D., M.A. Executive Director
The responses to the COVID-19 pandemic have been by turns dramatic and disconcerting, and, at times, draconian. I read about Steve Reiter’s deplorable experience and his new project in a BreakPoint commentary in July, and he was kind enough to speak with me by telephone on 24 July.
Steve’s beloved wife, Elizabeth, had diagnoses of lupus and pulmonary hypertension, among other difficulties. She had had a lengthy hospitalization in 2014, but had recovered. Steve attributes her recovery to excellent medical care and the 24/7 presence of her family. She had a Hickman line placed, and Steve ...read more
Welcome to our Distinguished Fellow!
Dr. Mitchell most recently served as the Graves professor of moral philosophy at Union University in Jackson, Tennessee, until his retirement at the end of August 2020. Prior to joining the Union faculty, he taught bioethics and contemporary culture for a decade at Trinity Graduate School in Deerfield, Illinois, a suburb of Chicago, where he was also director of the Center for Bioethics & Human ...read more
Flourishing in Difficult Times
Zen Nails, in Brentwood, TN, recently reopened for business. The nail salon had been closed due to the coronavirus pandemic. But it had not been idle. The owners, along with other volunteers, decided to contribute to the common good in a very needed way. They sewed masks and donated them to medical workers as well as to the Navajo nation.
Read the story here.
Focusing on “Culture”
D. Joy Riley, M.D., M.A. Executive Director
The Tennessee Center for Bioethics & Culture exists to promote human dignity in the face of 21st Century bioethics challenges. Our theme for 2020 is Human Flourishing. Living in the surreal time of a pandemic with all the increased complexity of our lives, flourishing can almost seem too high an ideal. Artist Carol Harkness penned the following essay (lightly edited) about the important building blocks of culture—integrally related to flourishing—and that not only for our day.
We are still busy with bioethics as well. Here are a few recent articles you may want to check out:
“Dying ...read moreWhen Breath Is (Not Enough) Air: Let’s Talk about Ventilators
There has been much public discussion about ventilators amidst the COVID-19 pandemic. It is humbling to consider that we, or someone we love, might require one. Most people know something about the benefit of a ventilator when needed; but how well do we really understand the functions and risks of mechanical ventilation? The pandemic presents an opportune time to learn about this. So I posed a series of questions about these machines and the processes involved in using them to a physician, who is a specialist in using ventilators to treat very ill patients. Those questions, and her answers, follow.
1) ...read moreWhen the Foundations Are Wobbling, Part II
Death Certificates and COVID-19
D. Joy Riley, M.D., M.A. Executive Director
One of the tasks assigned to physicians is the completion of death certificates—at least, the portion of death certificates that list cause of death (COD). I learned the importance of accuracy of death certificate completion as a pathology student fellow, an extra year of pathology training in the middle of my medical school career. We were instructed never to use the mechanism of death, such as cardiac or respiratory arrest, as a cause of death. Additionally, the use of terms like “probable” or “suspected” were not allowed. After all, the goal of ...read more
When the Foundations Are Wobbling, Part I
The Denominator of Death Rates
D. Joy Riley, M.D., M.A. Executive Director
How many people in the U.S. have died of SARS-CoV-2 infection, or COVID-19? That is difficult to say, and not for lack of numbers on the website of the Centers for Disease Control and Prevention (CDC). The case fatality rate for a particular disease is, basically, the number of persons dying of a disease, divided by the number of persons who have the disease, and multiplied by 100, to give an answer in terms of percentage:
# persons dying of COVID-19 disease X 100 # persons infected with SARS-CoV-2
How is this complicated? ...read more
Flourishing in the Midst of Crisis
Focus on the “Local”
D. Joy Riley, M.D., M.A. Executive Director
It may seem ironic in this time of coronavirus* epidemic that The Tennessee Center for Bioethics & Culture’s theme for 2020 is Human Flourishing. Of course, the theme was chosen before the populace was on such intimate terms with the infection. The theme was also chosen before tornadoes** struck Middle Tennessee; before we knew we would need a hefty dose of encouragement in 2020. In this month’s post, several Tennesseans are featured. From a pharmacist in western Tennessee to a group of studio singers in Music City, these can help us to ...read more
Flourishing . . . In a Time of Debate
Ben Voth, Ph.D., associate professor of corporate communications and public affairs at Southern Methodist University, is also director of debate at SMU. His book, James Farmer, Jr.: The Great Debater (Lanham, MD: Lexington Books, 2017) provides exemplars of debate from the previous century – ones from whom we could learn much today. Voth’s book is not a biography of James Farmer, Jr., but a dissection of how Farmer, reared by his capable parents (his father was both a minister and a professor) and trained by Melvin Tolson at Wiley College, used rhetoric properly fitted to action to change the world. ...read more
