•  3393
    Overcoming the Legacy of Mistrust: African Americans’ Mistrust of Medical Profession
    with Kruthika Reddy, Junad Chowdhury, Nishant Kumar, Peter A. Clark, Papa Ndao, Stacey J. Suh, and Sarah Song
    Journal of Healthcare Ethics and Administration 4 (1): 16-40. 2018.
    Recent studies show that racism still exists in the American medical profession, the fact of which legitimizes the historically long-legacy of mistrust towards medical profession and health authorities among African Americans. Thus, it was suspected that the participation of black patients in end-of-life care has always been significantly low stemmed primarily from their mistrust of the medical profession. On the other hand, much research finds that there are other reasons than the mistrust whic…Read more
  •  959
    Equipping Police with Naloxone Spray and Decriminalizing All Opioid Use in the U.S.: An Ethical Analysis
    Journal of Healthcare Ethics and Administration 4 (2): 17-25. 2018.
    The number of police departments carrying Narcan keeps increasing at a fast pace throughout the U.S., as it is considered an effective measure to fight the opioid epidemic. However, there have been strong oppositions to the idea of the police Narcan use. Still, in 2018, the nation is debating about it. Though not clearly visible to the public, there are important ethical arguments against the police Narcan use which necessarily involve understanding of the ethical roles and responsibilities of p…Read more
  •  719
    On Charlie Gard: Ethics, Culture, and Religion
    Journal of Healthcare Ethics and Administration 4 (2): 1-17. 2018.
    The 2017 story of Charlie Gard is revisited. Upon the British High Court’s ruling in favor of the physicians that the infant should be allowed to die without the experimental treatment, the view of the public as well as the opinions of bioethicists and Catholic bishops are divided, interestingly along with a cultural line. American bioethicists and Catholic bishops tend to believe that the parents should have the final say while British/European bioethicists and Catholic bishops in general side …Read more
  •  527
    Arguments for and against Germline Intervention: A Critical Review of Ronald Green’s Babies by Design
    with Sophia Lozowski
    Journal of Healthcare Ethics and Administration 3 (1). 2017.
    It seems certain that one day we will allow the genetic technology which will enhance our offspring. A highly effective new tool, called CRISPR, which allows for carving out genes, is already being used to edit the genomes of animals. In July 2017, the FDA legalized that germline drugs for therapeutic purposes could be sold in the market. It is a high time, now, that we need engage in discussions about the ethics of germline intervention. To contribute to the discussion by showing our thought an…Read more
  •  493
    Comprehensive User Engagement Sites (CUES) in Philadelphia: A Constructive Proposal
    with Peter Clark, S. Gulati, A. Minupuri, P. Patel, S. Zheng, Sam A. Schadt, J. Dubensky, M. DiMeglio, S. Umapathy, Olivia Nguyen, Kevin Cooney, and S. Lathrop
    Internet Journal of Public Health 18 (1): 1-22. 2018.
    This paper is a study about Philadelphia’s comprehensive user engagement sites (CUESs) as the authors address and examine issues related to the upcoming implementation of a CUES while seeking solutions for its disputed questions and plans. Beginning with the federal drug schedules, the authors visit some of the medical and public health issues vis-à-vis safe injection facilities (SIFs). Insite, a successful Canadian SIF, has been thoroughly researched as it represents a paradigm for which a Phil…Read more
  •  459
    Deafness and Prenatal Testing: A Study Analysis
    Internet Journal of Family Practice 14 (1). 2016.
    The Deaf culture in the United States is a unique culture that is not widely understood. To members of the Deaf community in the United States, deafness is not viewed as a disease or pathology to be treated or cured; instead it is seen as a difference in human experience. Members of this community do not hide their deafness; instead they take great pride in their Deaf identity. The Deaf culture in the United States is very communitarian not individualistic. Mary Beth and Dominic are a married co…Read more
  •  453
    Ethical Dilemma for a Medical Resident: A Case Study Analysis
    with Ana Maheshwari and Peter A. Clark
    Internet Journal of Infectious Diseases 15 (1). 2016.
    Ebola is a deadly disease with no cure; there is no vaccine developed yet. Many died during the 2014 outbreak in West Africa, and many healthcare professionals went to the virus infected area to treat the patients while placing their lives in danger. Not every medical professional placed in the field is a fully trained specialist, and sometimes one or two under-trained doctors are in charge of the entire clinic with some nurses and operating technicians. When unexpected outbreaks of the virus oc…Read more
  •  383
    Zika Virus: Can Artificial Contraception Be Condoned?
    with Ravi S. Edara, Peter A. Clark, and Andrew T. Myers
    Internet Journal of Infectious Diseases 15 (1). 2016.
    As the Zika virus pandemic continues to bring worry and fear to health officials and medical scientists, Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) have recommended that residents of the Zika-infected countries, e.g., Brazil, and those who have traveled to the area should delay having babies which may involve artificial contraceptive, particularly condom. This preventive policy, however, is seemingly at odds with the Roman Catholic Church’s position on t…Read more
  •  358
    Does Technology Warrant Absolute Power of Religious Autonomy?
    with Bridget McGarry
    Journal of Healthcare Ethics and Administration 3 (1). 2017.
    Investigating an actual case that occurred in a New York state hospital where an Orthodox Jewish patient’s legal proxy demands that the clinicians and hospital administrators should provide aggressive treatment with all available technological resources for the seemingly brain-dead patient with a medically futile condition. The authors argue that a health care policy or regulation should be developed to limit patient’s access to technology in critical care. Otherwise, we will be allowing society…Read more
  •  353
    Why Naming Disease Differs From Naming Illness
    AMA Journal of Ethics 20 (12). 2018.
    Addressing the question of how medicine should engage with people who consider their clinical disease condition to be importantly constitutive of their identity, this article focuses on one group—advocates for the fat acceptance (FA) or body positivity movement in American society. Drawing on philosophical analysis, I try to show that FA and physician communities represent different traditions within the larger culture and that whether obesity should be considered a disease is a culture battle. …Read more
  •  204
    The paper attempts to set a guideline to contemporary common morality debate. The author points out what he sees as two common problems that occur in the field of comparative cultural studies related to a common morality debate. The first problem is that the advocates and opponents of common morality, consciously or unconsciously, define the moral terms in question in a way that their respective meanings would naturally lead to the outcomes that each party desires. The second problem is that the…Read more
  •  63
    For many, Thomas Beauchamp and James Childress have elaborated moral reasoning by using the four principles whereby all substantive problems of medical ethics (and of ethics more generally) can be properly analysed and cogent philosophical solutions for the problems can be found. It seems that their ‘principlism’ gets updated, with better features being added during the course of the six editions of Principles of Biomedical Ethics. Nonetheless, Beauchamp and Childress seem to have been losing th…Read more
  •  28
    On the Oregon Health Authority's Recent Ban on Elective Surgery for Smokers with Medicaid: An Ethical Analysis
    with Peter Grossnickle
    Journal of Healthcare Ethics and Administration 3 (2): 40-50. 2017.
    Starting January 1, 2017, the Oregon Health Authority (OHA, henceforth) made a sweeping decision that no elective surgery is to be performed for Medicaid recipients who smoke tobacco. The authors of this paper investigate the administrative procedures behind the OHA’s decision, explore some possible ethical arguments for and against the decision, and render our ethical verdict about the ban and our suggestion for the OHA. Meanwhile, since this issue involves the problems of smoking-related addic…Read more
  •  23
    Health Care Disparities
    with Sally Kuykendall
    In Sally Kuykendall (ed.), Encyclopedia of Public Health: Principles, People, and Programs, Greenwood. 2018.
    Health Care Disparities
  •  12
    Ethics in Public Health and Population Health
  •  10
    Population Health
  •  6
    It is reported that medical students both in the U.S. and Poland have experience of interacting with pharmaceutical company representatives (pharma reps) during their school years. Studies have warned that the interaction typically initiated by the pharma reps’ general gift-giving eventually leads to the quid pro quo relationship between the pharma company and the future doctors, the result of which is that the doctors will prescribe their patients drugs in favor of the pharma company. Built upo…Read more
  •  2