Determining the severity of a breach of medical privacy, and therefore whether or not it will be reported to the US Department of Health and Human Services, by the patient's reaction puts the hospital's interest in avoiding reporting breaches above the patient's best interests.
Each time-saving, patient-safety-guarding feature in digital health care technology brings with it opportunities to offer unnecessary care, reap unnecessary payment, and add to the country's overall cost of health care.
Particularly in a small community, patients may want to avoid the social stigma of seeking mental health care by receiving it from their primary care physician—who may know them well enough to have some insights an unfamiliar specialist would not.
Assigning community based on race suggests that phenotype reveals something consistent about biology that is equal in standing to factors like weight, dietary habits, smoking history, and whether or not you had rheumatic fever as a child.
This poster on a screening method for symptoms and their relation to population health won honorable mention in the 2017 Conley Art of Medicine Contest.
AMA J Ethics. 2018;20(2):197-198. doi:
10.1001/journalofethics.2018.20.2.imhl2-1802.
Forced migration of Pacific Islanders raises ethical issues of health and health care disparities, which are examined in the case of Tuvaluan immigrants.
AMA J Ethics. 2017;19(12):1211-1221. doi:
10.1001/journalofethics.2017.19.12.imhl1-1712.
Writing a case study of a psychiatric patient may change the patient-physician dynamic even if the patient consents to be written about. And when the patient is a minor and consent must involve her parents, the process becomes even more complicated.
The pharmaceutical industry's influence on the process of defining illness can be positive, as when drug companies increase public awareness of disease and develop effective therapies, or negative, if it pushes the boundaries of illness too far in pursuit of profit.