FYI: on Nursing (not about ethics)
From University of Tennessee, Knoxville Alumni Magazine - just because you're all nurses :)
http://alumnus.tennessee.edu/2015/05/what-is-a-nurse/
New Partnership in H.I.V. Research
http://mobile.nytimes.com/2015/05/11/business/drugmaker-and-university-ally-to-seek-cure-for-aids.html?emc=edit_th_20150511&nl=todaysheadlines&nlid=25414714&_r=0&referrer=
Actually more interesting for general ethics, as society tries to figure out appropriate private-public relationships.
Feminist Approaches to Medical Care: Listen to Women
http://thinkprogress.org/health/2015/05/11/3654568/gender-roles-women-health/
See if you can connect your reading on Ethics of Care/Feminist Ethics to this essay.
Article about Dr. Arthur Caplan's Bioethics Career
http://mobile.nytimes.com/2015/05/07/business/eager-to-opine-on-the-toughest-calls-in-medical-ethics.html?nlid=25414714&src=recpb&_r=0&referrer=
Compassionate Use of Drugs @ Johnson & Johnson
New program to be overseen by bioethicist Arthur Caplan
http://mobile.nytimes.com/2015/05/07/business/company-creates-bioethics-panel-on-trial-drugs.html?emc=edit_th_20150507&nl=todaysheadlines&nlid=25414714&_r=0&referrer=
"How to Solve the E.R. Problem" NYTimes
Op-Ed by Ezekiel J. Emanuel May 6, 2015
From University of Tennessee, Knoxville Alumni Magazine - just because you're all nurses :)
http://alumnus.tennessee.edu/2015/05/what-is-a-nurse/
New Partnership in H.I.V. Research
http://mobile.nytimes.com/2015/05/11/business/drugmaker-and-university-ally-to-seek-cure-for-aids.html?emc=edit_th_20150511&nl=todaysheadlines&nlid=25414714&_r=0&referrer=
Actually more interesting for general ethics, as society tries to figure out appropriate private-public relationships.
Feminist Approaches to Medical Care: Listen to Women
http://thinkprogress.org/health/2015/05/11/3654568/gender-roles-women-health/
See if you can connect your reading on Ethics of Care/Feminist Ethics to this essay.
Article about Dr. Arthur Caplan's Bioethics Career
http://mobile.nytimes.com/2015/05/07/business/eager-to-opine-on-the-toughest-calls-in-medical-ethics.html?nlid=25414714&src=recpb&_r=0&referrer=
Compassionate Use of Drugs @ Johnson & Johnson
New program to be overseen by bioethicist Arthur Caplan
http://mobile.nytimes.com/2015/05/07/business/company-creates-bioethics-panel-on-trial-drugs.html?emc=edit_th_20150507&nl=todaysheadlines&nlid=25414714&_r=0&referrer=
"How to Solve the E.R. Problem" NYTimes
Op-Ed by Ezekiel J. Emanuel May 6, 2015
http://mobile.nytimes.com/2015/05/06/opinion/how-to-solve-the-er-problem.html?emc=edit_th_20150506&nl=todaysheadlines&nlid=25414714&_r=0&referrer= We'll read about health care reform at the end of the course, but this OpEd came out today. We aren't scheduled to read his essay, but you can find it in your textbook on p. 686.
Outbreak tonight 5
May 15 on Frontline
http://www.pbs.org/wgbh/pages/frontline/outbreak/ http://mobile.nytimes.com/2015/05/07/business/eager-to-opine-on-the-toughest-calls-in-medical-ethics.html?nlid=25414714&src=recpb&_r=0&referrer=
The vivid, inside story of why the Ebola
outbreak wasn’t stopped before it was too late.
A Very Short History of Vaccines in America | The Vaccine War | FRONTLINE | PBS http://www.pbs.org/wgbh/pages/frontline/health-science-technology/the-vaccine-war/a-very-short-history-of-vaccines-in-america/
Rural Indiana Struggles to Contend With H.I.V. Outbreak - NYTimes.com
A serious epidemic of HIV not too far away. Should Indiana step up treatment? Continue its needle-exchange program? How should we combat i.v. drug use, especially when it occurs across multiple generations within many families?
Runaway Drug Prices - NYTimes.com
What is a fair price for a life-saving or other drug?
"The Operator: Is the most trusted doctor in America doing more harm than good?"
Concerns about Dr. Oz's health recommendations. By Michael Specter http://www.newyorker.com/magazine/2013/02/04/the-operator February 4, 2013 New Yorker
Against her wishes, I want custody of the fertilized eggs
we made with I.V.F.
Double the N.I.H. Budget - NYTimes.com
This should be relevant (albeit tangentially) to topics for later in the course e.g., thinking about genetic techniques in medicine and thus considerations for health care reform. For example, you might argue that we should spend less on health care and more on basic research -- a macroallocation decision.
The government budget allocated for healthcare reform is important and controversial. The money designated for Medicare and Medicaid is astounding, however many argue how much money should be allowed, or the persons that should be awarded Medicaid. It is a controversial subject to decide who "deserves" to have free healthcare. In terms of doubling budgets for healthcare research, I think most would agree that cures and prevention are important for many diseases, especially those with highest mortality rates, or nearing cures; but I think it's difficult to say that one or two particular disease processes deserve more allocated money than another. What if you or a loved one suffered from the least researched and/or financially supported disease? I think a better solution may be to distribute funds a little more evenly in terms of the needs of that particular disease process.
ReplyDeleteThe article on frozen embryos was very interesting to me. It is a topic I have never thought about before. The couple in the article have very strong different opinions on what happens to the frozen embryos since they have split up. He wants to carry out the plan to give birth to them by using a surrogate. I feel he should have the right to do so even though as a couple they signed a consent stating that they would do it together. If he is willing to raise them by himself asking nothing from her he should be given the right to move forward. To me it is the same thing when a women gets pregnant she has all the control to what happens to the baby. If she wants to keep it or terminate the pregnancy it is all up to her. However, I feel in this case the embryos should be given to the father because it doesn't affect her body or her way of life. She can move on with someone else without any responsibilities. He is willing to take all responsibilities to raise them. She should had thought more about the choice of life before she created life.
ReplyDeleteI read the article on the runaway drug prices in the NY Times and I can't believe the government lets the pharmasutical companies get away with charging so much for their drugs. I mean the government chimed in when the toy stores and toy companies couldn't agree on the costs of the toys sold (ex: playstation). Why wouldn't they do the same in this situation. And the costs of those medications, unbelievable! I think the companies should have to report their profits and losses related to all medications. Someone should hold them accountable. Now I know why so many people want to buy their medications from Canada.
ReplyDeleteI also read the article on rural Indiana and HIV outbreak. Passing out clean needles to stop the sharing of needles and the transmission of HIV seems so unbelievable to me. How many wrongs does it take to make it right? I don't know what the solution should be other that offering more facilities that the people can go to to help get better. I seems like a bandaid on the problem. The one good thing coming from it was that the prostitution problem has decreased. I bet the crime rate goes up to supplement lost income.
ReplyDeleteI also read the article on rural Indiana and HIV outbreak. Passing out clean needles to stop the sharing of needles and the transmission of HIV seems so unbelievable to me. How many wrongs does it take to make it right? I don't know what the solution should be other that offering more facilities that the people can go to to help get better. I seems like a bandaid on the problem. The one good thing coming from it was that the prostitution problem has decreased. I bet the crime rate goes up to supplement lost income.
ReplyDeleteI read the article on the runaway drug prices in the NY Times and I can't believe the government lets the pharmasutical companies get away with charging so much for their drugs. I mean the government chimed in when the toy stores and toy companies couldn't agree on the costs of the toys sold (ex: playstation). Why wouldn't they do the same in this situation. And the costs of those medications, unbelievable! I think the companies should have to report their profits and losses related to all medications. Someone should hold them accountable. Now I know why so many people want to buy their medications from Canada.
ReplyDeleteAfter reading the article on frozen embryos, there are so many implications here. The woman wants the embryos destroyed and I see her point, but the man involved has rights too, Can she waive her rights and responsibilities to those embryos? That would need to be considered as well as him taking full responsibility. Maybe this could be handled as a sort of adoption process. This is more than property in my opinion. This is an ethical issue.
ReplyDeleteThe article on HIV and Indiana is not surprising. I believe that needle exchanges, training programs for families at risk, and emergency treatment kits should be available across the nation. My belief is making treatment for overdose available and needle exchanges will not increase the number of people using illicit drugs, but hopefully increase the number of those that use these drugs to do it more safely. There will always be a certain number of people in any society that practice risky behaviors and use drugs. We should not hide from that and strive for a more informed and prepared society.
The government should definitely increase funds for research. The organizations that raise funds for research, such as for breast cancer and Alzheimer's, should have very limited administrative fees. Many of those organizations give 10% toward research. This is unacceptable. If we wish to finds cures, we must have virtually unlimited research funds.
Then I will speak briefly on drug prices. This ties in to the research article. The price of a life saving drug should never be so much that everyone wouldn't have access. In effect, the price tag put on these drugs just means society has determined who is most productive and deserves to be saved. Ironically, the money used to produce these drugs was paid for by those people who cannot afford it through their contribution in taxes, and the company that produced it get tax incentives, grants and deductions for cost of development of those drugs. It is complicated and really hard to wrap your mind around it all.
Since I work in the ER i thought the article how to solve the er problem was good. Er visists have increased since the affordable care act. I think part of this is because people have insurance now but no primary care md. I think seattle is doing a great job in trying to figure out what population uses the er and giving incentives to not use th er. But I also think we need to look at other issues. Urgent cares not seeing some patients and sending them directly to the er, not enough primary care md. Patients not being able to get an appointment to see theri md then that same dr. telling them to come to the er. I think there are lots of things that need to be done. But at least seattle is looking at a way to try and solve some of the issues.
ReplyDelete