Clarissa G. Barnes, Frederick L. Brancati, MD, MHS, and Tiffany L. Gary, PhD, MHS
To combat the rising incidence of type 2 diabetes, New York City requires laboratories with electronic reporting capacity to upload data on hemoglobin A1c measurements to a city department of health registry.
How can clinicians respond to the health challenges associated with global climate change? This month on Ethics Talk, we learn about how art can communicate the health effects of climate change, the challenges that hot and humid days pose for patients with chronic obstructive pulmonary disease, and what the global health risk of climate change means for individual clinicians.
Physician advocacy for climate change mitigation is justified by seven criteria including physicians’ efficacy, expertise, public trust, and proximity.
AMA J Ethics. 2017;19(12):1202-1210. doi:
10.1001/journalofethics.2017.19.12.msoc1-1712.
Climate change mitigation reforms of government policy, medical curricula, and health professions organizations should be the focus of physician advocacy.
AMA J Ethics. 2017;19(12):1222-1237. doi:
10.1001/journalofethics.2017.19.12.sect1-1712.
The adverse health effects of climate change should be the focus of physician advocacy efforts and of conversations between physicians and their patients.
AMA J Ethics. 2017;19(12):1174-1182. doi:
10.1001/journalofethics.2017.19.12.ecas3-1712.
Gene editing to enhance humans’ adaptability to climate change should consider safety, harm to be averted, succeeding generations, and social consequences.
AMA J Ethics. 2017;19(12):1186-1192. doi:
10.1001/journalofethics.2017.19.12.stas1-1712.
When a patient challenges the use of a reusable, stainless steel speculum rather than a plastic, throw-away one, the physician should educate her on the safety and environmental benefits of reusable medical devices.
Moral distress arises not only from organizational constraints on moral action but also from the environmental impacts of health care and climate change.
AMA J Ethics. 2017;19(6):617-628. doi:
10.1001/journalofethics.2017.19.6.mhst1-1706.
When the health care industry came under the environmental microscope, the daily work of treating patients was discovered to be highly wasteful of natural and financial resources.