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.
Many pregnant undocumented immigrants are ineligible for public insurance covering prenatal care. National and state policies can either help or hinder patients’ access to health care that is universally recommended by professional guidelines.
AMA J Ethics. 2019;21(1):E93-99. doi:
10.1001/amajethics.2019.93.
Peter Ellis, MD, MPH and Lydia S. Dugdale, MD, MAR
Presenting all, including expensive, options to all patients means advocating not only for individual patients, but also for a just health care system.
AMA J Ethics. 2019;21(1):E26-31. doi:
10.1001/amajethics.2019.26.
Mandating processes that are not evidence based generates distress among patients and clinicians, so physician advocacy in national, state, and local policymaking is key.
AMA J Ethics. 2020;22(8):E668-674. doi:
10.1001/amajethics.2020.668.
John Meyer joins Ethics Talk to discuss how “human-centered” design can help remove barriers to care and forge solidarity between patients and clinicians, and multidisciplinary artist Eve Payor talks about her projects with the Atlantic Center for the Arts and how soundscape ecology can help us understand effective sound design in health care settings.
Successful implementation of initiatives to improve screening and access to health-promotion activities at minority-serving religious institutions requires partnering with faith-based organizations, adapting interventions, and leveraging organizational infrastructure and social networks.
AMA J Ethics. 2018;20(7):E643-654. doi:
10.1001/amajethics.2018.643.
Physicians’ ethical obligation to ensure communities’ access to safe drinking water has roots in their expertise, social authority, and role as mediators.
AMA J Ethics. 2017;19(10):1027-1035. doi:
10.1001/journalofethics.2017.19.10.pfor1-1710.
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.