Bioethicist Bruce Jennings examines the changing role of physicians in end-of-life care, from paternalistic decision maker to advisor-technician and half-way back.

Physicians do not have to give therapies or perform procedures that they judge to be futile and Catholic patients have the moral right to determine what is extraordinary or ordinary care.

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.

Refusal of pediatric euthanasia can be considered iatrogenic insofar as it inadvertently prolongs patient suffering, but attitudes differ cross-culturally.

The concept stewardship borrows from collective action problems that cannot be solved by individuals only, just like those discussed in environmental ethics.

Clinician-family communication in surgical intensive care units should focus on reducing value incongruence and nonbeneficial operations.

Seeming incongruity between surgery and palliation reiterates patients’ needs for clinicians to be able to identify when and how they should coexist.

Health sector actions exacerbate climate warming and iatrogenically harm the global public.

Mismanagement of hospital waste can release harmful, deleterious contaminants into soil, water, and air and can have far-reaching environmental and public relations consequences.

Health consequences of global warming are severe and will get worse, yet literacy about these problems is poor.