When patients are unable to express their wishes and do not have surrogates or advance directives, which and whose values should inform decision making for them? We discuss ethical complexities of caring for unrepresented patients.

Dr Jim Withers and Dave Lettrich join Ethics talk to discuss how street outreach programs help mitigate harms of drug use among people experiencing homelessness.

Dr Helen Chapple talks about eliciting and honoring patients’ health care preferences during the COVID-19 pandemic.

Lack of ethical, legal, and clinical consensus about best practice sometimes combines with a poor clinical evidence base.

Fully assessing children’s sleep environments and effectively promoting children’s overall sleep health is nearly impossible during brief clinical encounters.

Behaviorally induced insufficient sleep syndrome can exacerbate morning side effects of prescription sleep aids, and there are potentially serious long-term risks.

Individuals and communities have rights to not have their space impinged upon by hostile urban plans, designs, or development.

The European Dementia Village is a pioneering health care site, and a US-based model is the Dementia Friendly City Center, which integrates service delivery into adaptive reuse and urban revitalization.

Equity requires full access to evidence-based OUD care, housing stability, and education and employment opportunities.

Structural determinants of health frameworks must be person centered and express antiracism to be effective.