Trafficking-specific ICD-10-CM codes account for physical, social, and psychological dimensions of trafficked patients’ experiences. Data collected by clinicians can also motivate improvements in health policy, resource allocation, and prevention.
AMA J Ethics. 2018;20(12):E1143-1151. doi:
10.1001/amajethics.2018.1143.
Weyinshet Gossa, MD, MPH and Michael D. Fetters, MD, MPH, MA
Cervical cancer has become rare in high-income countries but is a leading cause of mortality among women in low- and middle-income countries. This inequity is an epidemiological tragedy.
AMA J Ethics. 2020;22(2):E126-134. doi:
10.1001/amajethics.2020.126.
A 3-step analgesic ladder was introduced in 1986 and needs change. Surgical interventions could reduce opioid use and motivate expansion of current pain management approaches.
AMA J Ethics. 2020;22(8):E695-701. doi:
10.1001/amajethics.2020.695.
Dumping domestic and international health care waste into the earth’s terra firma and oceans undermine global health equity and the health of vulnerable communities.
AMA J Ethics. 2022;24(10):E986-993. doi:
10.1001/amajethics.2022.986.
Forced sterilization of HIV-positive women, which is widespread in South Africa, Namibia, and Chile, violates women’s human right to autonomy and the principle of informed consent and is medically unnecessary.
AMA J Ethics. 2015;17(10):952-957. doi:
10.1001/journalofethics.2015.17.10.pfor2-1510.
Although not everything on the Choosing Wisely lists is likely to reduce low-value care, it is a good starting point for a conversation about curtailing low-value interventions.