Interactions of food systems with health systems raise numerous ethical issues about individual and public health, environmental sustainability, and respect for cultural traditions. Clinicians can engage these issues during encounters with patients and through education and advocacy.
AMA J Ethics. 2018;20(10):E913-917. doi:
Holly K. Tabor, PhD and Aaron Goldenberg, PhD, MPH
Rare genetic disease research has something to teach precision medicine about addressing some patients’ limited access to treatment. Health disparities exacerbated by high costs and limited availability of drugs can, perhaps, be mitigated when patient activism accelerates drug development.
AMA J Ethics. 2018;20(9):E834-840. doi:
Emily L. Evans, PhD, MPH and Danielle Whicher, PhD, MHS
Clinical decision support systems leverage data generated in the course of standard clinical care to improve clinical practice. They need to ensure privacy and quality of patients’ data, but must also allow queries of electronic health records.
AMA J Ethics. 2018;20(9):E857-863. doi:
Transitions in relabeling personalized medicine as precision medicine, precision health, or wellness genomics reflect shifting the locus of responsibility for health from individuals to clinicians and in shifting focus from genetic risk to genetic enhancement.
AMA J Ethics. 2018;20(9):E881-890. doi:
Precision medicine creates patient subgroups to develop targeted interventions. This raises ethical issues about privacy, informed consent, and social justice. It also raises questions about cost, what to do with faulty data, and the role of genetic stratification in treating and monitoring patients.
AMA J Ethics. 2018;20(9):E798-803. doi:
Mandatory genetic testing of health care professionals could help structure health care organizations’ responses to a pandemic. Patients and more susceptible employees can benefit, and these benefits must be weighed against concerns about fairness, autonomy, genetic privacy, and potential loss of employment opportunities.
AMA J Ethics. 2018;20(9):E819-825. doi: