New in the Hastings Center Report

March 20, 2017

Bioethics and Populism: How Should Our Field Respond?

Mildred Z. Solomon and Bruce Jennings

Authoritarian populism is on the rise, posing a real threat to constitutional democracies worldwide. Fueled by ethnic and nationalistic extremism, these emerging movements are highly polarized, antidemocratic and exclusionary. The field of bioethics is uniquely positioned to contribute to the rebuilding of the communal and civic foundations upon which constitutional democracy rests. This essay makes a vital case for a renewed commitment to justice and civic deliberation in the field of bioethics. Mildred Z. Solomon is president of The Hastings Center; Bruce Jennings is a senior advisor.

Enrolling in Clinical Research While Incarcerated: What Influences Participants' Decisions?

Paul P. Christopher, Lorena G. Garcia-Sampson, Michael Stein, Jennifer Johnson, Josiah Rich, and Charles Lidz

We know surprisingly little about how (and why) prisoners choose to participate in medical research. This study sought to better understand their motives. Through semistructured interviews, the study found that prisoner-participants face many of the same issues as nonincarcerated participants when determining whether or not to enroll in clinical research, but they are also subject to unique influences that may leave them vulnerable to exploitation. While none of the participants reported coercion, many described enrolling in clinical research to obtain access to better health care, which raised some concerns.

Another Voice: Coercion and Access to Health Care Keramet Reiter

When prisoners' basic needs are unmet, how can we be certain that their decision-making is uncoerced? In this response to "Enrolling in Clinical Research While Incarcerated," Keramet Reiter, of the School of Law at the University of California, Irvine, reconsiders the question of coercion for prisoner-participants in clinical research.

Toward an Ethically Sensitive Implementation of Noninvasive Prenatal Screening in the Global Context

Jessica Mozersky, Vardit Ravitsky, Rayna Rapp, Marsha Michie, Subhashini Chandrasekharan, and Megan Allyse

By analyzing placental DNA circulating in maternal blood, noninvasive prenatal screening using cell-free DNA can provide information about fetal chromosomal disorders without posing a risk to the fetus. The majority of the literature on this screening tool has considered it from a primarily European or North American perspective. Emerging from a four-day international workshop on the implications of expanded access to cell-free DNA screening, this article highlights eight key insights from a global context, considering ethical, legal, social, economic, clinical, and practical issues.

Also in this issue:

"Best Evidence Aside: Why Trump's Executive Order Makes America Less Healthy,""Justifying Clinical Nudges," Case Study ("Managing Opioid Withdrawal for Hospital Patients in Custody"), and In Practice ("The Clue").
-end-
Contact Susan Gilbert, Director of Communications
The Hastings Center
845-424-4040 x244
gilberts@thehastingscenter.org

The Hastings Center

Related Health Care Articles from Brightsurf:

Study evaluates new World Health Organization Labor Care Guide for maternity care providers
The World Health Organization developed the new Labor Care Guide to support clinicians in providing good quality, women-centered care during labor and childbirth.

Six ways primary care "medical homes" are lowering health care spending
New analysis of 394 U.S. primary care practices identifies the aspects of care delivery that are associated with lower health care spending and lower utilization of emergency care and hospital admissions.

Modifiable health risks linked to more than $730 billion in US health care costs
Modifiable health risks, such as obesity, high blood pressure, and smoking, were linked to over $730 billion in health care spending in the US in 2016, according to a study published in The Lancet Public Health.

Spending on primary care vs. other US health care expenditures
National health care survey data were used to assess the amount of money spent on primary care relative to other areas of health care spending in the US from 2002 to 2016.

MU Health Care neurologist publishes guidance related to COVID-19 and stroke care
A University of Missouri Health Care neurologist has published more than 40 new recommendations for evaluating and treating stroke patients based on international research examining the link between stroke and novel coronavirus (COVID-19).

Large federal program aimed at providing better health care underfunds primary care
Despite a mandate to help patients make better-informed health care decisions, a ten-year research program established under the Affordable Care Act has funded a relatively small number of studies that examine primary care, the setting where the majority of patients in the US receive treatment.

International medical graduates care for Medicare patients with greater health care needs
A study by a Massachusetts General Hospital research team indicates that internal medicine physicians who are graduates of medical schools outside the US care for Medicare patients with more complex medical needs than those cared for by graduates of American medical schools.

The Lancet Global Health: Improved access to care not sufficient to improve health, as epidemic of poor quality care revealed
Of the 8.6 million deaths from conditions treatable by health care, poor-quality care is responsible for an estimated 5 million deaths per year -- more than deaths due to insufficient access to care (3.6 million) .

Under Affordable Care Act, Americans have had more preventive care for heart health
By reducing out-of-pocket costs for preventive treatment, the Affordable Care Act appears to have encouraged more people to have health screenings related to their cardiovascular health.

High-deductible health care plans curb both cost and usage, including preventive care
A team of researchers based at IUPUI has conducted the first systematic review of studies examining the relationship between high-deductible health care plans and the use of health care services.

Read More: Health Care News and Health Care Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.