In the past, forced sterilizations violated the autonomy of vulnerable women. Today, measures intended to protect such women from the abuses of the past may in fact hamper their autonomy in a different way.
When the tension between solidarity and individualism hardens into entrenched oppositional politics, attempts to widen health care coverage are stymied.
Informed assent, in which the family or surrogate decision makers for a patient are invited to defer to clinicians' judgment rather than specifically consenting to withholding or withdrawing futile treatments, is consistent with quality care and may protect surrogates from feeling responsible for the patient’s death.
Health care professionals and those who teach them must be prepared to examine the implications of carbon dioxide emissions on human well-being and make decisive steps towards sustainability.
Physicians will have a greater impact on health if they advocate for changes needed to prevent illness and harm than if they simply patch up those who are sick or harmed.
Rebecca Lunstroth, JD, MA and Eugene Boisaubin, MD
Task-based small-group sessions may be more effective for teaching medical students concepts such as justice, resource allocation, and professionalism.
Virtual Mentor interviews Dr. Sayeed to discuss the distinctive challenges of becoming a new mother. He also shares his insights on caring for terminally ill children and helping mothers and fathers come to terms with the unimaginable fact that their child is dying.
Even seasoned doctors can have trouble confronting the topic of death. For medical students, training and role modeling are needed to make them valuable to patients facing death.
Situations in which the patient’s family seems not to be acting in good faith or the patient's suffering is uncontrollable are relatively rare and do not warrant giving physicians unilateral power to withhold or withdraw treatment in all cases of perceived medical futility.