Because health systems with high-functioning primary care services have decreased mortality and improved health outcomes, the sector can be classified as a public good, like police and fire services and public education.
AMA J Ethics. 2015;17(7):637-646. doi:
10.1001/journalofethics.2015.17.7.stas1-1507.
This comic invites readers to consider aesthetic and ethical intersections of how odds might be presented—even exaggerated—to cultivate fear in public health messaging.
AMA J Ethics. 2023;25(8):E643-645. doi:
10.1001/amajethics.2023.643.
This multipaneled comic follows a woman robot preparing for a breast examination. Oil “leakage” recurs in the comic, suggesting its ethical importance in metaphorically representing a patient’s stress responses.
AMA J Ethics. 2023;25(8):E646-650. doi:
10.1001/amajethics.2023.646.
Patients seeking IVF are highly motivated to become parents and may wish to preserve financial resources for surrogacy or adoption should IVF not succeed, so risk sharing appeals to them, which makes its high cost especially problematic.
The Department of Health and Human Service's decision to include a religious exemption to its requirement that private health plans cover contraception without patient cost-sharing raises questions about whether such an exemption appropriately balances the needs, beliefs, rights, and obligations of all affected.
Restrictions on employer-based health insurance coverage of medical services or treatments, whether motivated by religious prohibitions, political objections, or concerns about cost, degrade quality of care and undermine the patient-clinician relationship.
Qualifying conscience protections for institutions with requirements that they minimize hardship caused to the patient would prevent religious institutions from acting as a choke point on the path to services.
The most controversial component of the ACA has arguably been the mandate that group health plans cover contraception costs, which has elicited backlash from religious and conservative groups who believe it violates certain employers' religious freedoms.