Early hemodialysis allocation deliberations can inform deliberative democratic methods for setting criteria for and guiding policy making about ECMO.

Prevention efforts can marginalize patients by stigmatizing certain behaviors, so distinguishing individual professionals’ preferences about those behaviors is critical.

An orthopedic surgery physician’s experiences suggest strategies for addressing patients’ discriminatory behaviors or speech.

Correctional facilities’ physician employees are at risk for burnout, posttraumatic stress, and suicide. Prison reform should address needs of inmates and staff.

How information is provided can change a choice. Decision science helps reveal affective forecasting errors and can generate choices congruent with patients’ and families’ values.

Prognostic uncertainty about risk creates demand for ongoing communication and facilitated reflection about goals and values.

The authors further consider the merits of preventing ECMO from becoming a default treatment.

Decision making in health care demands that we balance multiple considerations, like quality of life, statistics, and how different options could affect others. Dr Brian Zikmund-Fisher shares his own experience as a patient and explains how decision science can help us navigate ethically complex health decisions.  

Transnational monitoring efforts should focus on safety, defining standard of care, and promoting just access to innovation.

The Asilomar Conference of 1975 and the German Ethics Council offer guidance for a path towards prudent regulation in the face of unknown and significant risks.