Past Issues: Medical Ethics Journal

Fall 2013
In this issue:
 

  • Feature:
    Health analytics and big data
  • Ask the ethicist: Can a surgeon refuse to perform a second cardiac valve replacement on a patient with IV drug abuse?
  • The legal column: Patients’ online reviews of physicians
  • Ethics and the humanities: Eben Alexander’s Proof of Heaven: A Neurosurgeon’s Journey into the Afterlife
  • Dialogue: Whole genome sequencing: Clinical and ethical challenges 

Winter 2013 
In this Issue:  

  • Feature:
    Whole genome sequencing
  • Ask the Ethicist: Should a physician honor a medically inappropriate request for CPR based on religious beliefs?
  • The Legal Column: The transformation of defining disability: An overview of the Americans with Disabilities Act
  • Ethics and the Humanities: On assisted suicide
    A review of the film Mar Adentro
    (The Sea Inside)
    By Rhonda L. Soricelli, MD
  • Dialogue: Does googling, friending and tweeting really make it "medicine 2.0"?

Fall 2012
In this Issue:  

  • Feature:
    The "medical encounter 2.0": Practicing medicine in the age of googling, friending and tweeting
  • Ask the Ethicist:
    A physician's responsibility in policing the profession: Off-label usage or quackery? 
  • The Legal Column:
    Surrogate motherhood
  • Ethics and the Humanities:
    Letting go
    A review of the film
    The Descendants
    directed by Alexander Payne, 2011 
  • Dialogue:
    Understanding our ethical response to Chimpanzee morality

Spring 2012 
In this Issue: 

  • Feature: 
    Ending chimpanzee research 
  • Ask the Ethicist:
    Can an illegally obtained HIV test be expunged from the medical record?
  • The Legal Column:
    Organ transplantation and disability discrimination
  • Ethics and the Humanities: 
    "Cancer Winter" 
    In Winter Numbers: Poems
    by Marilyn Hacker
  • Dialogue: 
    Understanding our ethical response to neuromarketing

Winter 2012 
In this Issue: 

  • Feature:
    Neuromarketing: At the intersection of technology, privacy and choice 
  • Ask the Ethicist:
    Can a patient give valid consent to a phase 1 oncology trial? 
  • The Legal Column:
    Legal issues in health care quality reporting 
  • Ethics and the Humanities:
    Stitches by David Small 
  • Dialogue: 
    Dilemma reduction

Fall 2011 

In this Issue:  

  •  Feature: Multifetal pregnancy reduction 
  •  Ask the Ethicist:
     
    Should a kidney donor and the intended recipient be asked to participate in an exchange they don't need? 
  •  The Legal Column:
       Corporate speech rights trump the public's health 
  •  Ethics and the Humanities:
     
    A review of Raymond Carver's short story "A Small, Good Thing" 
  •  Dialogue: When is stopping killing?

Spring 2011 

   In this Issue:  

  •  Feature:
         LVADs as destination therapy: difficult ethical decisions 
  • Ask the Ethicist:
      When is postponing removal of the ventilator after the diagnosis of brain death justifiable?
  • The Legal Column:
       Food package marketing: policy issues and legal considerations 
  •  Ethics and the Humanities:
     
    A film review of The Savages directed by Tamara Jenkins, 2007
  • Dialogue:
     
    The "donated generation": knowing where you come from

 Winter, 2011 

In this Issue: 

  • Feature:
    The "donated generation": knowing where you come from 
  • Ask the Ethicist:
    When is conscientious parental objection to treatment justified in pediatric practice?
  • The Legal Column:
    Conscientious objection by health care providers 
  • Ethics and the Humanities:
    Borrowed Time: An AIDS Memoir by Paul Monette, review by Dena Rifkin, MD 
  • Dialogue:
    Virtue ethics and medicine

Fall, 2010  
In this Issue:  

  • Feature:
    Virtue ethics and medicine  
  • Ask the Ethicist:
    Clinical decision making for the unbefriended patient
  • The Legal Column:
    The health insurance exchange and competing visions of justice
  • Ethics and the Humanities:
    Gender trouble - a film review of Ma Vie en Rose
  • Dialogue:
    The ethics of geoengineering: What is humanity's backup plan if climate change mitigation fails?

 Spring, 2010 

In this Issue: 

  • Feature:
    Climate change ethics
  • Ask the Ethicist:
    Is there an ethical duty to inform patients of incidental findings?
  • The Legal Column:
    Medical tourism, consumer-driven health care and patient protection
  • Ethics and the Humanities:
    The world I made for her
  • Dialogue:
    Kidney donation from brain-injured patients before a declaration of death 

Winter, 2010 
In this Issue:  

  • Feature:
    Kidney donation from brain-injured patients before a declaration of death
  • Ask the Ethicist:
    Conflicts in duty caused by expensive drugs
  • The Legal Column:
    The new NIH stem-cell guidelines
  • Ethics and the Humanities:
    A Whole New Life
  • Dialogue:
    The technology cost blues 

Fall, 2009 

In this Issue:  

  • Feature:
    The technology cost blues
  • Ask the Ethicist:
    Who should pay for the medical care of indigent patients from other countries?
  • The Legal Column:
    Emergency research without informed consent
  • Ethics and the Humanities:
    Whose sister's keeper?
  • Dialogue:
    Synthetic biology: engineering life 

Spring, 2009 

In this Issue:  

  • Feature:
    Synthetic biology: engineering life
  • Ask the Ethicist:
    Dead, or as good as dead?
  • The Legal Column:
    Fathers, foreskins and family law
  • Ethics and the Humanities:
    Cost
  • Dialogue:
    The ethics of food

Winter, 2009 

In this Issue:  

  • Feature:
    The ethics of food
  • Ask the Ethicist:
    Receiving an invaluable gift from a patient
  • The Legal Column:
    GINA: The Genetic Information Nondiscrimination Act of 2008
  • Ethics and the Humanities:
    Life in the balance
  • Dialogue:
    Umbilical cord blood banking

Fall, 2008 

In this Issue:  

  • Feature:
    Umbilical cord blood banking
  • Ask the Ethicist:
    Should this 31-year-old woman with mental retardation be sterilized?
  • The Legal Column:
    The refusal of mandatory immunizations
  • Ethics and the Humanities:
    One hundred days: my unexpected journey from doctor to patient
  • Dialogue:
    The ethical challenge posed by surgical innovation

Spring, 2008 

In this Issue:  

  • Feature:
    The ethical challenge posed by surgical innovation
  • Ask the Ethicist:
    Is it physician-assisted suicide?
  • The Legal Column:
    Gestational carriers
  • Ethics and the Humanities:
    Before I Die
  • Dialogue:
    Medical ethics during war

Winter, 2008 

In this Issue:  

  • Feature:
    Medical ethics during war
  • Ask the Ethicist:
    When consent to serve as a research subject is not informed
  • The Legal Column:
    The fed's role in public health emergencies
  • Ethics and the Humanities:
    In the land of pain
  • Dialogue:
    Patients with chronic states of impaired consciousness

Fall, 2007 

In this Issue:  

  • Feature:
    The minimally conscious state: ethics and diagnostic nosology
  • Ask the Ethicist:
    Conflicting duties: an ethical dilemma in transfusion medicine
  • The Legal Column:
    The Stark self-referral law
  • Ethics and the Humanities:
    Slow Man
  • Dialogue:
    Nonotechnology in context

Spring, 2007 

In this Issue:  

  • Feature:
    Nanotechnology and nonoethics
  • Ask the Ethicist:
    Is it justified to breach confidentiality to protect a patient from abuse?
  • The Legal Column:
    Medical marijuana--a clash of science, politics and the law
  • Ethics and the Humanities:
    Without
  • Dialogue:
    Legal challenges at the limits of viability

Winter, 2007 

In this Issue:  

  • Feature:
    Ethics at the limits of viability
  • Ask the Ethicist:
    Is HIPAA in the room?
  • The Legal Column:
    Do tissue banks have a First Amendment right not to tell potential donors about for-profit processors?
  • A Medical Ethics Forum from the University of Minnesota:
    Risks posed by new biomedical
  • Ethics and the Humanities:
    Middlesex: A novel
  • Dialogue:
    Another view on ethics and politics

Fall, 2006 

In this Issue:  

  •  Feature:
    The relationship between ethics and politics
  • Ask the Ethicist:
    Is this patient brain-dead?
  • The Legal Column:
    Patient safety meets fraud and abuse
  • A Medical Ethics Forum from the University of Minnesota: 
    Risks posed by new biomedical
  • Ethics and the Humanities:
    Nobody ever said AIDS
  • Dialogue:
    Holding mechanisms responsible

Spring, 2006 

In this Issue:  

  • Feature:
    Free will and moral responsibility in the age of neuroscience
  • Ask the Ethicist:
    Must physicians respect an incompetent patient’s refusal of treatment?
  • The Legal Column:
    Choosing paternalism?
  • A Medical Ethics Forum from Harvard Medical School:
    In the line of duty: SARS and physician responsibility in epidemics
  • Ethics and the Humanities:
    My Sister’s Keeper
  • Dialogue:
    How much suffering is enough?

 Winter, 2006 

In this Issue: 

  • Feature:
    Euthanasia for existential reasons
  • Ask the Ethicist:
    Should a PVS patient be a live organ donor?
  • The Legal Column:
    Donor rights and registries
  • A Medical Ethics Forum from Harvard Medical School:
    The politicization of science
  • Ethics and the Humanities:
    And a time to die
  • Dialogue:
    Beyond the medical model of gender dysphoria to morphological self-determination 


Fall, 2005 

In this issue: 

  • Feature:
    Transgenderism
  • Ask the Ethicist:
    Does anyone actually invoke their hospital futility policy?
  • The Legal Column:
    Who should capture the value of donated tissue?
  • A Medical Ethics Forum from Harvard Medical School:
    Soliciting organs on the Internet
  • Ethics and the Humanities:
    Million dollar booboo
  • Dialogue:
    The politics of embryo transfer

Spring, 2005 
In this issue:  

  • Feature:
    Embryo Adoption
  • Ask the Ethicist:
    When is resuscitation not medically indicated?
  • The Legal Column:
    Maternal infanticide and the insanity defense
  • A Medical Ethics Forum from Harvard Medical School:
    The Abu Ghraib and Guantanamo: medical professionalism, dual loyalty and human rights
  • Ethics and the Humanities:
    "Foolsbus" in American Spectacles and Other Cultivated Illusions
  • Dialogue: Are human gene banks worth it? 

Winter, 2005 

In this issue: 

  • Feature:
    Human Gene Banks
  • Ask the Ethicist:
    Should this 96-year-old woman be allowed to die?
  • The Legal Column:
    Legal Issues in the Use of Controlled Substances in Pain Management
  • A Medical Ethics Forum from Harvard Medical School:
    The Medical Ethics Forum From Harvard Medical School
  • Ethics and the Humanities:
    End of the Line: Depression and Burnout in Ward No. 6
  • Dialogue:
    Bioethics in space

Fall, 2004  

In this issue: 

  • Feature:
    Ethics for astronauts
  • Ask the Ethicist:
    Can an HIV-positive woman be forced to take medicine to protect her fetus?
  • The Legal Column:
    Sticker shock-hospital billing and class action litigation
  • A Medical Ethics Forum from Harvard Medical School:
    Politics, social priorities and biomedical research: Is the integrity of science being undermined to serve political goals?
  • Ethics and the Humanities:
    His Brother's Keeper: A Story from the Edge of Medicine
  • Dialogue:
    Bioethics in culturally diverse societies

 Spring, 2004  

In this issue: 

  • Feature:
    Bioethics in culturally diverse societies
  • Ask the Ethicist:
    Does preoperative consent include postoperative complications?
  • The Legal Column:
    The Texas "futility" procedure: no such thing as a fairy-tale ending
  • A Medical Ethics Forum from Harvard Medical School:
    Ending dialysis: New perspectives on end-of-life considerations
  • Ethics and the Humanities:
    Dirty Pretty Things: narrative frame for black market organ sale
  • Dialogue:
    The total artificial heart and the morality of killing

Winter, 2004 

In this issue: 

  • Feature:
    The total artificial heart: Is paying for it immoral and stopping it murder?
  • Ask the Ethicist:
    Should a clinical trial coordinator blow the whistle?
  • The Legal Column:
    Keeping genetic secrets
  • A Medical Ethics Forum from Harvard Medical School:
    The misuse of antibiotics
  • Ethics and the Humanities:
    Long for This World
  • Dialogue:
    Who does the ethics consultation serve?

Fall, 2003  

In this issue: 

  • Feature:
    The value of an ethics consultation
  • Ask the Ethicist:
    Live organ donation: determining the mental age of consent
  • The Legal Column:
    Traumatic brain injury and criminal responsibility
  • A Medical Ethics Forum from Harvard Medical School:
    Organs for sale? The economics of altruism
  • Ethics and the Humanities:
    Death of the Good Doctor: Lessons from the Heart of the AIDS Epidemic
  • Dialogue:
    The amoral roots of morality

Spring, 2003 

In this issue: 

  • Feature:
    The biological basis of morality
  • Ask the Ethicist:
    Conflicting roles for the physician
  • A Medical Ethics Forum from Harvard Medical School:
    Why Oregon matters: death, assisted suicide and the principle of double effect
  • The Legal Column:
    The Wendland case: on families and fantasies
  • Ethics and the Humanities:
    So Far From God
  • Dialogue:
    Ethics and fetal research 

Winter, 2003  

In this issue:  

  • Feature:
    An ethical framework for fetal research
  • Ask the Ethicist:
    Is terminal sedation really euthanasia?
  • The Legal Column:
    Thwarting assisted suicide threatens palliative care
  • Ethics and the humanities:
    The Lovely Bones
  • Dialogue:
    The characteristics of information and avoiding surprises

Fall, 2002  

In this issue: 

  • Feature:
    What information should be disclosed to patients?
  • Ask the Ethicist:
    A teenager's refusal of assent for treatment
  • The Legal Column:
    Governmental bioethics commissions: The nature of the beast
  • Ethics and the humanities:
    Complications: A Surgeon's Notes on an Imperfect Science
  • Dialogue:
    Heating up the conversation?

Spring, 2002  

In this issue: 

  • Feature:
    Preimplantation genetic diagnosis: Beginning a long conversation
  • Ask the Ethicist:
    Is this incest?
  • The Legal Column:
    Behavioral genetics: Can we prevent crimes before they are committed?
  • Ethics and the humanities:
    The Diagnosis
  • Dialogue:
    Why pharmacogenomics is good for ethics

Winter, 2002  

In this issuse:  

  • Feature:
    Pharmacogenomics: promise, prospects, and potential problems
  • Ask the Ethicist:
    Conflicting advance directives
  • The Legal Column:
    The human chimera patent initiative
  • Ethics and the humanities:
    Wardlife: The Apprenticeship of a Young Writer as a Hospital Clerk
  • Dialogue:
    The nature of morality: The category of bad acts

Fall, 2001 

In this issue: 

  • Feature:
    The nature of morality
  • Ask the Ethicist:
    Should a medical practice accept a gift with strings attached?
  • The Legal Column:
    Financial interests and research protections: Can they coexist?
  • Ethics and the humanities:
    Travels with the Wolf: A Story of Chronic Illness
  • Dialogue:
    Reason and repugnance

Spring, 2001  

In this issue:  

  • Feature:
    Genetically modified organisms
  • Ask the Ethicist:
    Family Demand for Futile Treatment
  • The Legal Column:
    Informed consent for stem cell research using frozen embryos
  • Ethics and the humanities:
    Wit
  • Dialogue:
    Implantable brain chips - will they change who we are?

Winter, 2001 

In this issue:  

  • Feature:
    Implantable brain chips: ethical and policy issues
  • Ask the Ethicist:
    The patient in the middle — when perspectives differ
  • The Legal Column:
    End of life decision-making for patients with dementia
  • Ethics and the humanities:
    Just Here Trying to Save a Few Lives: Tales of Life and Death from the ER
  • Dialogue:
    Equity in liver allocation

Fall, 2000 

In this issue: 

  • Feature:
    The fight over how to allocate livers
  • Ask the Ethicist:
    When the school bus driver is a drinker
  • The Legal Column:
    Pregnant women and their fetuses: legal and ethical issues
  • Ethics and the humanities:
    Wrongful Death: A Memoir
  • Dialogue:
    Bioethics: then and now

Spring, 2000 

In this issue:  

  • Feature:
    Bioethics: then and now
  • Ask the Ethicist:
    Would you tell the patients?
  • The Legal Column:
    Contracting for healthcare quality
  • Ethics and the humanities:
    Antonia's Line: a portrayal of care-centered ethics
  • Dialogue:
    Prenatal diagnosis

Winter, 2000  

In this issue: 

  • Feature:
    Social and ethical challenges of prenatal diagnosis
  • Ask the Ethicist:
    A dispute in withdrawing life-sustaining therapy
  • The Legal Column:
    Legal pitfalls of cybermedicine
  • Ethics and the humanities:
    The Sweet Hereafter by Russell Banks
  • Dialogue:
    Religion and bioethics

Fall, 1999 

In this issue:  

  • Feature:
    Religion and the public discourse of bioethics
  • Ask the Ethicist:
    Must multiorgan donors be brain dead?
  • The Legal Column:
    Outpatient commitment laws: forcing mentally ill patients to take their medication
  • Ethics and Literature:
    The Doctor Stories
  • Dialogue:
    Genetic enhancement

Spring, 1999 

In this issue: 

  • Feature:
    Genetic enhancement: a conceptual and ethical challenge for gene therapy regulation
  • Ask the Ethicist:
    Posthumous sperm retrieval
  • The Legal Column:
    The controversy over recovered memories
  • Ethics and Literature:
    Conquering SchizophreniaA Father, His Son and a Medical Breakthrough
  • Dialogue:
    Feminist approaches to bioethics

Winter, 1999 

In this issue:  

  • Feature:
    Feminist approaches to bioethics
  • Ask the Ethicist:
    Organizational ethics: Physician compensation in managed care
  • The Legal Column:
    Rights and responsibilities of gamete donors
  • Ethics and Literature:
    Blood and Bone: Poems by Physicians
  • Dialogue:
    The concept of brain death

Fall, 1998 

In this issue:  

  • Feature:
    Defending challenges to the concept of "brain death"
  • Ask the Ethicist:
    A lesbian couple who both want a biologic link to their offspring
  • The Legal Column:
    Confidentiality in the age of the electronic medical record
  • Ethics and Literature:
    The Mortal Presidency
  • Dialogue:
    Cloning Human Beings

Spring, 1998 

In this issue:  

  • Feature:
    Human embryo research: What are the issues?
  • Ask the Ethicist:
    Complications at birth
  • The Legal Column:
    Patient rights and consumer rights in managed care
  • Ethics and Literature:
    The Spirit Catches You and You Fall Down
  • Dialogue:
    Clinical practice guidelines: The problem of imposing industrial models on health care