Art of Medicine

Apr 2023

Greener Health Care Is a Necessity

Brian Robert Smith
AMA J Ethics. 2023;25(4):E294-298. doi: 10.1001/amajethics.2023.294.

Abstract

This series of 4 images visually considers ethical questions about the US health sector’s emissions.

Figure 1. Smokestacks

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Media

Affinity Designer iterated through the artificial intelligence (AI) art program Midjourney, with custom parameter weighting.

 

Caption

This drawing explores the dissonance between a hospital’s healing capacity and its emissions’ environmental harms. Air pollution threatens patients’ health in a variety of ways, including by exacerbating respiratory and cardiovascular illness and increasing spread of infectious diseases.1

Figure 2. Landfill

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Media

Affinity Designer iterated through the AI art program Midjourney, with custom parameter weighting.

 

Caption

Mountains of plastic represent one environmental harm of the US health sector. Vast amounts of waste, especially single-use plastics, suggest the importance of finding sustainable alternatives.

Figure 3. Drought

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Media

Affinity Designer iterated through the AI art program Midjourney, with custom parameter weighting.

 

Caption

Dystopian consequences of the Anthropocene are represented here by first responders,2 on whom we rely when facing emergencies and who have limited capacity as individuals for the collective response needed to mitigate climate change, which is annually causing millions of deaths worldwide.3 In this bleak landscape, those tasked with saving lives are also stranded.

Figure 4. Reclaimed

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Media

Affinity Designer iterated through the AI art program Midjourney, with custom parameter weighting.

 

Caption

An operating room overrun with lush vegetation represents hope for a more sustainable, “greener” approach to health care. Plants’ reclamation of a once sterile, artificial place prompt a reimagining of spaces designated for health and well-being.

References

  1. Rice MB, Thurston GD, Balmes JR, Pinkerton KE. Climate change. A global threat to cardiopulmonary health. Am J Respir Crit Care Med. 2014;189(5):512-519.
  2. Kolbert E. The Sixth Extinction: An Unnatural History. Henry Holt & Co; 2014.

  3. Zhao Q, Guo Y, Ye T, et al. Global, regional, and national burden of mortality associated with non-optimal ambient temperatures from 2000 to 2019: a three-stage modelling study. Lancet Planet Health. 2021;5(7):e415-e425.

Citation

AMA J Ethics. 2023;25(4):E294-298.

DOI

10.1001/amajethics.2023.294.

Conflict of Interest Disclosure

The author(s) had no conflicts of interest to disclose. 

The viewpoints expressed in this article are those of the author(s) and do not necessarily reflect the views and policies of the AMA.