AMA Journal of Ethics

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

Low-resource areas are heterogeneous and changing, so establishing an evidence base for decision making about technology use is an important priority.

Closed formularies can be justified when they enable spending on other socially valuable aims, but they can single out poor patients.

Ethics questions arise about the usefulness of a system that pegs Medicaid drug spending to net prices negotiated by others in the market.

Safeguards are urgently needed for assessments of what constitutes appropriate care for unaccompanied minors in US detention facilities.

Patient bias towards clinicians and employees in health care is common, but policy to address bias and support staff is relatively limited.

When a patient’s preference expresses injustice, how should clinicians respond? We discuss individual and organizational responses.

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

Concrete protocols for supporting trainees include convening team meetings, tracking bias incidents, collecting data, and initiating protective changes in culture.

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