Open Letter to Health Care Professionals: We Have a Problem
D. Joy Riley, M.D., M.A. Executive Director
To Health Care Professionals: We have a problem. Our health care systems typically have multiple levels of health care “providers” who see and treat patients with or without physician input or oversight. The interposition of electronic medical records and automated systems add another layer of complexity to the health care arena. Young trainees — medical students and others — have, due to various pandemic policies, been “trained” online. The distance between health care professional and patient has increased by many of these factors. The problem we health care professionals have is with the second word ...read more
Worth Your Time: Selections from the Bioethics Library
C. Ben Mitchell, Ph.D. Distinguished Fellow The Tennessee Center for Bioethics & Culture
The Way of Medicine: Ethics and the Healing Profession by Farr Curlin, MD and Christopher Tollefsen
Written by a palliative care physician/ethicist and a philosopher, The Way of Medicine is both diagnostic and prescriptive. Curlin and Tollefsen begin by showing readers why medicine is in crisis. At the heart of the crisis is the “provider of services model” (PSM) as the role of the physician which has not only eroded the profession qua a profession, but has helped to make medicine just another consumer good. Physicians are merely providers and patients ...read more
What We’re Reading
www.CartoonStock.com
C. Ben Mitchell, Ph.D. Distinguished Fellow
Medically assisted deaths rose by 17% in 2020, continuing upward trend: Health CanadaBy Joan Bryden The Canadian Press Posted June 8, 2021 1:01 am
I have several concerns about this situation:
For Health Canada, the government health service, to provide access to P-AS is a financial conflict of interest. Medicalized suicide should not be in the hands of those who hold the purse strings. Pain is manageable but other forms of suffering are not best treated with analgesics. True palliative care must address all forms of suffering. Medicine should not be coopted by the P-AS ...read moreThe Ethics of Rationing COVID-19 Vaccine for the Sickest Among Us
C. Ben Mitchell, Ph.D Distinguished Fellow
We must not allow our combined COVID-19 fatigue to prevent us from asking important questions about public health ethics. At the time I am writing this essay, we are just transitioning into Phase 2 of the vaccination plan. I am sure our public health officials are doing the best they can under unprecedented circumstances, so we should give them the benefit of the doubt. But for the sake of clarity in the future, some retrospective analysis will be crucial.
For instance, in our own state, we have abandoned traditional triage ethics in favor of a purely age-based ...read more
The Prescription for Flourishing Embodiment in Public Bioethics
A Book Review
C. Ben Mitchell, Ph.D. Distinguished Fellow
American public bioethics does not have a sterling history because it misunderstands its most important subject, the human subject. This is the claim of a brilliant new book by O. Carter Snead, the Director of the de Nicola Center for Ethics and Culture and professor of Political Science at the University of Notre Dame.
In What it Means to be Human: The Case for the Body in Public Bioethics (Harvard, 2020), Snead offers a genealogy of American public bioethics. Public bioethics, as contrasted with clinical bioethics, is the realm of human subjects research where, instead ...read more
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
COVID-19 in Wuhan: Plea for Help Retracted
D. Joy Riley, M.D., M.A. Executive Director
One thing is clear: COVID-19, the newest coronavirus to infect humans, has our attention. Locally, people planning to travel—almost anywhere—are wondering about where to obtain face masks. As of Tuesday of this week, reports the New York Times, the United States had 57 cases, with 40 of those related to the Diamond Princess cruise ship that docked in Japan. The NYT article further reported,
“We cannot hermetically seal off the United States to a virus,” Alex M. Azar II, the secretary of health and human services, told a Senate panel on Tuesday. “And we need to ...read more23andMe and Drug Development
D. Joy Riley, M.D., M.A. Executive Director
More than a decade ago—in a different time and a different place—a neighbor offered me a box of stuff he had bought as part of a lot at some estate sale. He needed to get rid of no small amount of “stuff,” so he gave me that box of tarnished silverware and odds and ends. I took it home and spent a couple of days cleaning it. We were already planning a yard sale, and so I placed the now-cleaned items I did not need from the neighbor’s box in the sale. Imagine his surprise ...read more
