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55Commercialism in the Clinic: Finding Balance in Medical ProfessionalismCambridge Quarterly of Healthcare Ethics 16 (4): 425. 2007.There is a palpable malaise in American medicine as clinical practice veers off its moorings, swept along by a new commercialism that is displacing medical professionalism and its attendant moral obligations. Although the sociology of this phenomenon is complex and multifactorial, I argue that this move toward medical commercialism was accelerated by the abortive efforts of the Clinton Administration's Health Security Act. Through an analysis of performative speech I show that, although the Clin…Read more
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85In Memoriam: Dr. Edmund Pellegrino's Legacy: Secure in the Annals of MedicineKennedy Institute of Ethics Journal 24 (2): 97-104. 2014.I am honored to pay tribute to Dr. Pellegrino and a bit humbled as there are so many others who would want to have this opportunity and who knew Dr. Pellegrino better than I. Tom Beauchamp suggested that I might place Dr. Pellegrino into the broader context of the history of medicine. He wrote Thaddeus Pope:Without being disrespectful of the many celebrated figures from Hippocrates to Percival, my view is that no physician has been more productive in the field or made a greater contribution than…Read more
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22Web of care: How will the electronic medical record change medicine?Hastings Center Report 38 (5). 2008.
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15Care under the InfluenceHastings Center Report 47 (1): 8-9. 2017.A forty-year-old man is brought to the emergency room by his wife at five in the morning, two hours after he fell down the stairs at home, hitting his head and injuring his arm. He tells the ER physician that he got up to get a drink of water and tripped in the dark. His speech is slurred, and he smells strongly of alcohol. Lab results reveal elevated liver enzymes, and his blood alcohol level is 0.1. His medical history is unremarkable. When asked about his alcohol consumption, he says he usual…Read more
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17Review of Let Me Heal: The Opportunity to Preserve Excellence in American Medicine, by Kenneth M. Ludmerer (review)American Journal of Bioethics 16 (4): 14-15. 2016.
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25Toward an Agile Defense of Patient Health Care DecisionsAmerican Journal of Bioethics 14 (3): 44-46. 2014.No abstract
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51Patently controversial: Markets, morals, and the president's proposal for embryonic stem cell researchKennedy Institute of Ethics Journal 12 (3): 265-278. 2002.: This essay considers the implications of President George W. Bush's proposal for human embryonic stem cell research. Through the perspective of patent law, privacy, and informed consent, we elucidate the ongoing controversy about the moral standing of human embryonic stem cells and their derivatives and consider how the inconsistencies in the president's proposal will affect clinical practice and research
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4Islam and Informed Consent: Notes from DohaCambridge Quarterly of Healthcare Ethics 17 (3): 273-279. 2008.Informed consent is a perennial topic in bioethics. It has given the field a place in clinical practice and the law and is often the starting point for introductory instruction in medical ethics. One would think that nearly everything has been said and done on this well-worn topic.
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15Death, dying and informatics: misrepresenting religion on MedLineBMC Medical Ethics 6 (1): 1-5. 2005.BackgroundThe globalization of medical science carries for doctors worldwide a correlative duty to deepen their understanding of patients' cultural contexts and religious backgrounds, in order to satisfy each as a unique individual. To become better informed, practitioners may turn to MedLine, but it is unclear whether the information found there is an accurate representation of culture and religion. To test MedLine's representation of this field, we chose the topic of death and dying in the thr…Read more
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52Transgender Patients, Hospitalists, and Ethical CarePerspectives in Biology and Medicine 59 (2): 234-245. 2016.A 28-year-old female-to-male transgender patient presents to the emergency room with one day of pleuritic chest pain and shortness of breath. The patient is found to have an acute pulmonary embolus and is admitted is to the academic hospitalist teaching service for further management.The transgender population is diverse in gender identity, expression, and sexual orientation. Although estimates vary, one study suggests that 0.3% of adults identify as transgender. The U.S. National Transgender Di…Read more
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6Logicality and Regulatory Ethics: Lessons from the Bucharest Early Intervention ProjectHastings Center Report 44 (4): 13-17. 2014.
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26“Humanities are the Hormones:” Osler, Penfield and “Neuroethics” RevisitedAmerican Journal of Bioethics 8 (1): 5-8. 2008.If ever I summon before me my highest ideals of men and medicine, I find them sprung from the spirit of Osler. —Wilder Penfield, M.D. Neuroethics is a recently coined term that is shaping our cultu...
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Cornell UniversityRegular Faculty
Ithaca, New York, United States of America