AMA Journal of Ethics. December 2017
This month in Journal of Ethics
Health Care Ethics and Professionalism in the Era of Climate Change
“Climate change is the greatest threat to global health in the 21st century”—that is the World Health Organization’s web-based dispatch for immediate action. The WHO’s director-general adds, “The evidence is overwhelming: climate change endangers human health. Solutions exist and we need to act decisively to change this trajectory.” Expected consequences include the spread of disease, drought, and forced migration due to expected weather events and trends. Despite the gravity and relevance to health of these phenomena, roles of health care professionals in responding to and roles of organizations and governments in implementing policies and action plans have neither been clarified nor, by some, considered. This issue of the AMA Journal of Ethics will explore clinical and ethical questions about domestic and global health consequences of climate change and the nature and scope of the obligations that clinicians, organizations, and governments have to address them.
How Should Clinicians Weigh the Benefits and Harms of Discussing Politicized Topics that Influence Their Individual Patients’ Health? Commentary by Diana Alame, MD, MBE, and Robert D. Truog, MD Clinicians can share their expertise with patients and help them weigh competing values.
What Are Risks and Benefits of Not Incorporating Information about Population Growth and Its Impact on Climate Change into Reproductive Care? Commentary by Benjamin P. Brown, MD, and Julie Chor, MD, MPH Family planning discussions can illuminate patients’ values and preferences, including climate change mitigation.
The Importance of Physician Climate Advocacy in the Face of Political Denial Andrew Jameton, PhD Clinicians should promote government policies, health professions curricula, and organizational changes to address the health consequences of climate change.
Rising Waters and a Smaller Island: What Should Physicians Do for Tuvaluans? Jordan Emont, MPH, and Gowri Anandarajah, MD Climate change-induced migration demands clinicians’ attention to health inequities suffered by members of vulnerable communities around the world, such as people of this South Pacific nation.
January Clinicians’ Responsiveness to Violence
February Graphic Medicine and Health Care Ethics
March Global Reproductive Health Ethics in the 21st Century
April Ethical Considerations in Plastic and Reconstructive Surgery
May Trauma Surgery Ethics
June Ethics in Burn Care
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