A bioethicist argues that children with Down syndrome should not be subjected to cosmetic surgery to change their appearance unless they are at the age and have the capacity to make the decision for themselves.
A physician defends her position that children should only participate in clinical trials when they have child assent and the parents also have been educated about the purpose of the research when there is no direct benefit to the child.
Physicians are cautioned that the two obstacles to reforming post-marketing clinical trials are the FDA's reluctance to revisit past approvals and its inability to enforce pharmaceutical companies' commitment to conduct Phase IV trials.
A physician outlines the RAND Health Insurance Experiment and its conclusion that the deductible feature of consumer-directed health plans can reduce health care spending significantly.
Consumer-directed health plans will result in a more responsive and sustainable health care system in which patients will take more responsibility for management of their chronic conditions.
Illustrations that have commented on medicine and society have evolved over the last 150 years from being judgmental and harsh towards racial and ethnic minorities to now emphasizing the positive aspects of diversity.
Cindy Tworek, PhD, MPH and Kimberly Horn, EdD, MSW
Ethical implications of the Medicaid plan in West Virginia that offers enhanced benefits packages to those who sign contracts to make healthy lifestyle choices.