Bioethics

• International Medical Graduates and Global Migration of Physicians: Fairness, Equity, and Justice An examination of who international medical graduates are, why they migrate, and the ethical and justice implications of global migration of physicians from developing to developed countries.
  The Medscape Journal of Medicine, December 2008
• Preparing Medical Students for the World: Service Learning and Global Health Justice The growth of international service learning in undergraduate medical education is discussed in terms of risks and benefits for students, educators, professionalism, and global health justice.
  The Medscape Journal of Medicine, November 2008
• The Myth of Equipoise in Phase 1 Clinical Trials The continued use of the ethically and scientifically invalid concept of "equipoise" in phase 1 clinical research trials undermines the ethics of research with human subjects.
  The Medscape Journal of Medicine, November 2008
• Incompetent Patients, Substitute Decision Making, and Quality of Life: Some Ethical Considerations An analysis of substitute decision making in patients who have never been competent using a modified objective reasonable person standard.
  The Medscape Journal of Medicine, October 2008
• A Reply to Thomas Stossel on the AMA-CEJA Draft Report Rebuttal to Stossel's 12 June commentary responding to CEJA's Draft Report: "Ethical Guidance for Physicians and the Profession With Respect to Industry Support for Professional Education in Medicine"
  The Medscape Journal of Medicine, July 2008
• Comparing Healthcare Systems: Outcomes, Ethical Principles, and Social Values The value of using outcome measures is critically scrutinized in an examination of the debate between rights-oriented and commodity-oriented approaches to healthcare delivery.
  Medscape General Medicine, November 2007
• Ethics and Evidence-Based Medicine: Is There a Conflict? Evidence-based medicine (EBM): an effective set of algorithms or a "one size fits all" shortcut that can prejudice investigation and treatment?
  Medscape General Medicine, August 2007
• Terminal Sedation, Euthanasia, and Causal Roles What are the ethical pros and cons of terminal sedation in combination with termination of treatment in comparison with alternatives such as assisted suicide?
  Medscape General Medicine, May 2007
• Resource Allocation in Healthcare: Implications of Models of Medicine as a Profession Because physicians determine access to healthcare, solving the allocation problem will require developing a new model of the physician-patient relationship.
  Medscape General Medicine, March 2007
• Healthcare and the Hospital Chaplain Authors question wisdom of treating chaplains as full-fledged healthcare professionals and allowing them automatic access to patients and their medical records without patients' explicit permission.
  Medscape General Medicine, March 2007
• Pay, Pride, and Public Purpose: Why America's Doctors Should Support Universal Healthcare The authors defend 3 reasons why it is in a physician's own self-interest to support universal healthcare.
  Medscape General Medicine, February 2007
• Healthcare Systems and Motivation The author discusses the historic roots of the US healthcare "system" and the self- and other-directed motivations of physicians.
  Medscape General Medicine, February 2007
• Oaths for Physicians -- Necessary Protection or Elaborate Hoax? Medical oaths have a powerful psychological influence on both patients and physicians, requiring physicians to re-affirm their responsibility as advocates for the poor.
  Medscape General Medicine, January 2007
• Public Reason and Bioethics Rawls's conception of political liberalism provides valuable information about how a democratic society should deal with bioethical questions.
  Medscape General Medicine, October 2006
• Hope in the Neonatal Intensive Care Nursery: Values, Ethics, and the Injury of Continued Existence A discussion of the ethics of hope in neonatal intensive care nursery decision-making, with particular emphasis on the role of the neonatologist
  Medscape General Medicine, September 2006
• The Unexpected Death of a Patient in the Clinical Setting: Some Ethical Reflections The unexpected death of a patient can strike a physician with devastating force, stressing her/his ability to cope. There are many reasons for this. Which factor is often overlooked?
  Medscape General Medicine, May 2006
• Introduction to a New eSection -- Bioethics Dr. Erich Loewy introduces the launch of MedGenMed's newest eSection -- Bioethics.
  Medscape General Medicine, May 2006