Clinical & Medical Ethics

End-of-Life Care in the Long-Term Cancer Survivor

How should the family and the medical team proceed with medical care when there is conflict over treatment options in a long-term cancer survivor in the absence of clear surrogacy?

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Taking Another Stab: Rethinking the Killing vs. Letting Die Distinction for the Euthanasia Debate

Some bioethicists think that if the distinction is not maintained in and of itself and by itself that it opens the door for the moral permissibility of physician-assisted suicide and euthanasia. The presenter argues that this is not necessarily the case. Furthermore, he maintains that there is and ought to remain a strong prima facie prohibition against killing, and that these claims are consistent with an evangelical approach to Christian theology. 

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Enhanced Dying: Exploring the Dangers of Palliative Care Moving Beyond Therapy

his presentation will address how changing definitions of death, institutionalization of death, dualistic anthropology, and this new responsibility of medicine can encourage care beyond therapy to intentional sedation and assisted death. Corrected definitions and processes will be offered that will encourage responsible care of patients without violating accepted ethical standards.

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The Changing Conscience of Healthcare: Vows vs. Laws in the Anatomy of a Profession

This paper considers the concept of conscience from an individual as well as a corporate perspective, examining both what it is and what it is not. It will consider the impact that changes in our healthcare system, particularly the regulation of moral determinations and the ways in which such regulations alter the object of professional obligations, will have on the concept of medicine as a profession.

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The Need to Know: Disclosure of Information to Pediatric Patients

Should a nine-year old patient be told about her terminal medical condition?

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Forced Sterilization of Native Americans: Late Twentieth Century Physician Cooperation with National Eugenic Policies

The protracted policy directed against the United States of America’s indigenous peoples represented misguided governments, widespread greed, and enforcement by an at times ruthless, undisciplined military. A recent, albeit weakly publicized, continuation of this policy has been played out in a bioethical arena. Indeed, after the Nuremberg Trials and an explicit international consensus, this would be considered anathema. On view is the evil of forced abortions and sterilizations. This two-pronged approach to knowingly limit births in selected populations was emblematic of eugenic policy in the early to mid-twentieth century. Unfortunately, eugenic birth control had been resuscitated as late as the 1970s through voluntary physician complicity with an immoral national eugenic policy.

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To Dialyze or Not to Dialyze

Is it mandatory to dialyze a combative patient who is a threat to himself and to others?
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Continuing "Futile" ICU Support at Relative's Insistence

Must we continue "futile" ICU support for this dying man at the insistence of his son?

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Discerning Palliative Sedation from Euthanasia: What’s at Stake for Human Dignity

The last presidential election saw Washington become the second state to legalize physician-assisted suicide (PAS).  Pressure will increase for other states to follow suit so that those who are terminally ill can exercise the full scope of their “autonomy” and “die with dignity” through PAS if they so choose. Many concerned persons see trends toward legalizing PAS and the broad acceptance of euthanasia as not upholding the inherent dignity of human persons as is often claimed, but actually undermining it. 

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