Moral distress arises not only from organizational constraints on moral action but also from the environmental impacts of health care and climate change.
AMA J Ethics. 2017;19(6):617-628. doi:
10.1001/journalofethics.2017.19.6.mhst1-1706.
The gross negligence of the physicians who cared for Steve Biko, an apartheid-era South African political activist who died of injuries inflicted while in police custody, illustrates how dual loyalty—toward patients and, in this case, the state—makes performance of professional duties difficult.
AMA J Ethics. 2015;17(10):966-972. doi:
10.1001/journalofethics.2015.17.10.mhst1-1510.
Jayant Menon, MD, MEng and Daniel J. Riskin, MD, MBA
The authors describe a historical pattern in which a set of enabling technologies facilitates rapid advances in medical practice, resulting in recognition of new ethical challenges and a decades-long struggle to resolve them.
Because of their preferential option for the poor, Catholic hospitals have become known as a "provider of last resort" for uninsured and underinsured citizens. The Catholic Health Association envisions a health care system in which unequal access to care is no longer a burden the poor must bear.