When the patient delivers a low-birth-weight infant that requires extensive time in the neonatal intensive, should she be held responsible? Where do we draw the line? More importantly, on what basis do we draw the line?
The stigma associated with HIV has diminished with its spread among the heterosexual population and the development of effective treatments. This normalization may justify assuming a more traditional public health perspective about mandatory prenatal screening.
The advent of force-feeding in the new century in the context of conflict and protest made it necessary to clarify and revise the whole concept of artificial feeding and force-feeding.
As a matter of medical ethics, physicians must advocate for their vulnerable patients and medical schools should offer training in advocacy and activism.
AMA J Ethics. 2017;19(1):8-15. doi:
10.1001/journalofethics.2017.19.1.ecas1-1701.
Gerald M. Oppenheimer, PhD, MPH and Ronald Bayer, PhD
The alarm generated by the AIDS epidemic left civil liberties proponents fearful that traditional public health responses might be imposed on newly susceptible or infected populations.
After the infant’s birth, the neonatologist’s first duty is to his or her patient—the newly born infant. If clinical circumstances are different than anticipated, the physician must first consider the best interests of the baby.