AMA Journal of Ethics®

Illuminating the art of medicine

Journal of Ethics Header

AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. November 2008, Volume 10, Number 11: 689-778.

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November 2008 Contents

Ethical Questions in Prevention

Ethics Poll

West Virginia has a pilot Medicaid program that gives enhanced benefits (e.g., weight-loss programs, chemical-dependency treatment, diabetes-management classes, and waiver of the cap on prescription-drug reimbursement) to patients who keep appointments, take their medications, and follow health-improvement plans. Patients who do not adhere to those specifications have to pay for the enhanced benefits. Which of the following best states what you think about this pilot "wellness promotion" plan?
Extremely traumatic events are thought to stimulate a large release of neurotransmitters, which produces a heightened, ongoing response to the memory of the event. Studies have shown that traumatized patients who take the beta-blocker propranolol have fewer symptoms of posttraumatic stress disorder than those who receive a placebo. Once treatment with propranolol is proven safe and effective, how would you feel about the possibility of preventing chronic symptoms in response to traumatic events by altering the memory of them pharmacologically?

From the Editor

Prevention Finds a New Place in Medicine
Anna Shifrin
Full Text | PDF
Virtual Mentor. 2008; 10:691-693.

Educating for Professionalism

Clinical Cases

Practice Incentives and Professional Responsibility
Commentary by David Satin and Justin Miles
Full Text | PDF
Virtual Mentor. 2008; 10:694-699.

Balancing Health Promotion and Healing
Commentary by Michael F. Roizen, Iyaad M. Hasan, and David Clive
Full Text | PDF
Virtual Mentor. 2008; 10:700-707.

Ethics of Expedited Partner Therapy
Commentary by Matthew R. Golden, Matthew Hogben, and Mark A. Levine
Full Text | PDF
Virtual Mentor. 2008; 10:708-718.

Conley Contest Winning Essay

First, Do Not Punish: Individual Incentives in Health Policy
Benjamin M. Howard
Full Text | PDF
Virtual Mentor. 2008; 10:719-723.

Medical Education

A Larger Role for Preventive Medicine
Sharon K. Hull
Full Text | PDF
Virtual Mentor. 2008; 10:724-729.

Journal Discussion

Preventing Bad Memories: Is It Ethical?
Donald J. Phillips
Full Text | PDF
Virtual Mentor. 2008; 10:730-734.

Clinical Pearl

Managing Prehypertension
David S. Hatem
Full Text | PDF
Virtual Mentor. 2008; 10:735-739.

Law, Policy, and Society

Health Law

Practicing Preventive Medicine through Preventive Employment Practices
Kristin E. Schleiter
Full Text | PDF
Virtual Mentor. 2008; 10:740-746.

Policy Forum

Uncertainties in the Absence of Data: Use of Pravastatin in Young Children
Anna Shifrin and Darshak Sanghavi
Full Text | PDF
Virtual Mentor. 2008; 10:747-749.

Medicine and Society

Patients Are Hardly Too Thin or Too Rich: Doctorsí Preventive Medicine Duties
Henry S. Perkins
Full Text | PDF
Virtual Mentor. 2008; 10:750-755.

Op-Ed and Correspondence

Op-Ed

Motivating Prevention: from Carrots and Sticks to ìCarrotsî and ìSticksî
Nir Eyal
Full Text | PDF
Virtual Mentor. 2008; 10:756-762.

Resources

Suggested Readings and Resources
PDF
Virtual Mentor. 2008; 10:763-775.

About the Contributors
Full Text | PDF
Virtual Mentor. 2008; 10:776-778.