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.

Although identical twin-to-twin skin grafting has resulted in excellent survival rates in burn patients, the nature and scope of ethical decision making in monozygotic sibling skin grafting needs further examination.

Physicians, committees, and guardians all make decisions for unrepresented patients in the US. This article considers a “tiered” approach as an alternative.

The World Health Organization and American Academy of Pediatrics recommend disclosing serostatus to sexually active adolescents. What else can be done to improve clinical outcomes and promote public health?

Research is needed on surrogates’ susceptibility to believing that clinical trials provide individual therapeutic benefit.

Long-term care facilities should assess residents for capacity to consent to sexual activity and be prepared to accommodate sexual intimacy.

The US has the most individuals who are incarcerated worldwide.

Hospital lawyers’ practices shape risk management operations, influence clinicians’ morale, and affect patient care.

Current policy requires separate informed consent for some Public Health Service increased-risk donors, and this can make shared decision making harder.

Heightened privacy and confidentiality stakes generate unique anonymity and nondisclosure policies and practices for HIV.