Andrew M. Courtwright, MA and Mia Wechsler Doron, MTS, MD
A positive right to parenthood obligates others to support a person’s attempt to become a parent. Do physicians have a duty to assist their patients’ procreative efforts, and, if so, in what ways?
Although physicians do not have legitimate authority over patients, professional associations may have such authority over physicians, even nonmembers.
AMA J Ethics. 2017;19(2):207-213. doi:
10.1001/journalofethics.2017.19.2.sect1-1702.
The greatest pressure to resuscitate the extremely low-birth-weight infant often results from successful marketing efforts that lead families to expect that their premature infants will be cute and healthy.
Pharmacologic interventions might help physicians overcome cognitive deficits resulting from loss of sleep while on call or help them retain more details about the patients under their care.
Physicians new to a case might object to an established care plan. Practice variation, clinical momentum, and how value is assigned by different parties to acute care and comfort measures can each contribute to conflict in these cases.
AMA J Ethics. 2018;20(8):E699-707. doi:
10.1001/amajethics.2018.699.
Undocumented patients in the United States with end-stage renal disease receive “compassionate” dialysis. Such patients oscillate between being marginally well and “ill enough” to receive dialysis while clinicians wrestle with complicity in a system that both offers and withholds life-saving therapy.
AMA J Ethics. 2018;20(8):E778-779. doi:
10.1001/amajethics.2018.778.