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.
AMA Journal of Ethics theme editor Karel-Bart Celie, a second-year medical student at Columbia University School of Medicine, interviewed Joseph J. Fins, MD, about the work of ethics committees and consultants as they pursue professionalization and respond to changes in health care organization and practice.
Public health and climate stabilization historically have competed for public funds, but investment in either good has the potential to advance both goods.
AMA J Ethics. 2017;19(12):1193-1201. doi:
10.1001/journalofethics.2017.19.12.pfor1-1712.
The AAP’s guidelines on lipid screening for children raise concerns about the fundamental purpose of prevention and its role in balancing individual autonomy with the benefits of society at large.
Given the well-established correlation across cultures between poverty and unhealthy lifestyles, can it be just to hold individuals responsible for choices typical of their socioeconomic sector? Aren’t patient-responsibility programs simply conspiracies to shrink benefits to the poor?
Undocumented patients in the United States with end-stage renal disease receive “compassionate” dialysis. Such patients oscillate between being marginally well and “ill enough” to receive dialysis while clinicians wrestle with complicity in a system that both offers and withholds life-saving therapy.
AMA J Ethics. 2018;20(8):E778-779. doi:
10.1001/amajethics.2018.778.