Prognostic uncertainty about risk creates demand for ongoing communication and facilitated reflection about goals and values.

Empathic communication skills help motivate understanding of safety, significance of harms, impact on succeeding generations, and social consequences.

Physicians should provide women considering abortion after Down syndrome screening with unbiased information and not attempt to influence their decision.

Noninvasive prenatal testing arguably constitutes a form of eugenics in a social context in which certain reproductive outcomes are not valued.

Despite clear donor consent, health professionals must communicate clearly about death to family members to avoid confusion.

When police officers and clinicians perceive a moral transgression committed by an agent responding to risk in the field, they are susceptible to moral injury.

Identifying when and how personal, professional, or social value systems are affected by moral injury can inform efforts to mitigate it.

Dr Wendy Dean joins Ethics Talk to discuss her article: “What Law Enforcement Can Learn From Health Care About Moral Injury.”

Lloyd Duplechan joins Ethics Talk to discuss his article, coauthored with Dr David Sine: “Roles of Environmental Services Workers’ Wages and Status in Patient Safety.”