Force feeding, unnecessary x-rays, misusing health information, and discharging unstable patients are classic dual-loyalty dilemmas reminiscent of the Holocaust.
AMA J Ethics. 2021;23(1):E38-45. doi:
10.1001/amajethics.2021.38.
Refusal of pediatric euthanasia can be considered iatrogenic insofar as it inadvertently prolongs patient suffering, but attitudes differ cross-culturally.
AMA J Ethics. 2017;19(8):802-814. doi:
10.1001/journalofethics.2017.19.8.msoc1-1708.
The AMA Code of Medical Ethics' opinions on confidential care for sexually active minors and physicians' exercise of conscience in refusal of services.
The AMA Code of Medical Ethics' opinion on adolescent care affirms competent minors' right to confidentiality except in situations for which confidentiality for adults may be breached.
When a severely ill child comes into the emergency room, assent for emergency care is no more required than is parental permission. Conveying the needed care is the top priority.