Ethics. Research. Community.

Blogging Ethics

Note: blog content is not currently included in EthicShare's Search Results.

12/10/2018 - 2:58pm

And Journals Are Doing Little to Enforce Their Rules. The dean of Yale’s medical school, the incoming president of a prominent cancer group and the head of a Texas cancer center are among leading medical figures who have not accurately disclosed their relationships with drug companies

12/10/2018 - 2:51pm

He Jiankui tried to publish a paper describing additional experiments that made heritable changes in the DNA of human embryos. But the paper was rejected by an international journal after outside scientists raised concerns about both its ethics and its scientific validity, STAT has learned

12/10/2018 - 2:46pm

New report outlines recommendations for ensuring that pregnant women receive potentially life-saving vaccines

12/10/2018 - 2:35pm

By Alicia Ely Yamin

As Susan Sontag eloquently noted decades ago, illness conjures metaphors that reveal a great deal about how we think about, and, in turn, address them. None more so than the lethal Ebola, which monstrously disfigures bodies before killing the infected person and spreading rapidly through the routines of everyday life.

In the West, Ebola evokes images of illness as a deadly foreign invasion, while in the West African pandemic we know that first those who were afflicted—and later those who survived—were stigmatized as possessing demons.

The growing outbreak in the DRC has produced calls for greater physical and financial involvement from the US government by a number of health law scholars, citing the potential for exponential spread if it reaches highly populated areas, and underscoring it as a global health security issue.  Thus far, WHO’s Director General has not declared it a “Public Health Emergency of International Concern” (PHEIC), which triggers consideration of both trade and travel restrictions, as well as international assistance and under the International Health Regulations.

The DRC outbreak brings into focus other issues besides global health security, such as global health financing and how we understand health systems. Since SARS and the West African Ebola epidemic, the World Bank created a Pandemic Emergency Preparedness Fund (PEF), which provides a financing facility that expedites funding. It is early days, but it is not clear whether the PEF will just supplement crisis funding or measurably enhance preparedness that would prevent outbreaks from becoming epidemics—or the governance structures necessary to do so in practice.

Via the World Bank

The Ebola outbreak in the DRC is benefiting from clinical research, as a vaccine in late-stage trials has shown to be effective and is being employed through compassionate use protocols to attempt to stem transmission and vaccinate at-risk populations, such as health workers.

At the same time, however, attempts to conduct randomized clinical trials reveal the enormous logistical and ethical challenges of performing clinical research in the midst of not only an active outbreak, but a highly unstable conflict situation.

Perhaps above all, the Ebola outbreak in the DRC shows how health systems—far from being technical delivery apparatuses—must be seen as social institutions at the interface of the state and society. Just as in West Africa in 2014-16, years of conflict (ongoing in this case), coupled with entrenched  discrimination and neglect have sown deep distrust of both the health system, and health/aid workers.

Our attention in the global health community is too often captured by an emergency, only to return to business-as-usual approaches to expanding private financing for universal health coverage, and conquering one disease at a time, which largely ignore the importance of political and social determinants and understanding health systems as part of democratic societies.

 

This post is part of the Seventh Annual Health Law Year in P/Review Symposium, a digital conversation reflecting on 2018’s biggest topics in health law policy and discussing the upcoming issues of 2019.

The post Ebola… again: What have we learned? appeared first on Bill of Health.

12/10/2018 - 2:31pm

In response to news of the world’s first babies born in China from gene-edited embryos, Sam Sternberg, a CRISPR/Cas9 researcher at Columbia University, spoke for many when he said “I’ve long suspected that scientists, somewhere, would rush to claim the ‘prize’ of being first to apply CRISPR clinically to edit the DNA of human embryos,… Read more

The post Jiankui He: A Sorry Tale of High-Stakes Science appeared first on The Hastings Center.

12/10/2018 - 10:22am

I am joined by Abbe Gluck, Professor of Law and the Faculty Director of the Solomon Center for Health Law and Policy at Yale Law School.

In November 2018 her team pulled together an excellent roundtable on “The Law and Policy of AI, Robotics, and Telemedicine in Health Care.”

This episode of TWIH is the first of two taking a deeper dive into just a few of the  issues that were so well presented at the roundtable.

Here we were joined by Michael Froomkin, the Laurie Silvers and Mitchell Rubenstein Distinguished Professor of Law at the University of Miami School of Law and by Nicholson Price, Assistant Professor of Law at The University of Michigan Law School. Topics ranged from consent in the next generation of healthcare research to data protection, and appropriate regulatory models.

The Week in Health Law Podcast from Nicolas Terry is a commuting-length discussion about some of the thornier issues in Health Law and Policy. Subscribe at Apple Podcasts or Google Play, listen at Stitcher Radio, Spotify, Tunein or Podbean. Show notes and more are at TWIHL.com. If you have comments, an idea for a show or a topic to discuss you can find me on Twitter @nicolasterry @WeekInHealthLaw.

Subscribe to TWIHL here!

The post Abbe Gluck, Michael Froomkin, Nicholson Price on ‘The Week in Health Law’ Podcast appeared first on Bill of Health.

12/10/2018 - 8:09am

High blood pressure is the silent killer. It puts people at risk for heart attacks, strokes, vascular disease, kidney failure…it is basically really bad to have longstanding, undertreated high blood pressure. But it is also harmful to be told you … Continue reading →

The post Five Warning Signs Your Doctor Was Too Quick To Diagnose You With High Blood Pressure appeared first on PeterUbel.com.

12/10/2018 - 4:00am

I attended the November 30, 2018 hearing on Minnesota's motion to dismiss Final Exit Network's challenge to the Minnesota assisted suicide statute. Below, you see FEN general counsel Rob Rivas arguing before U.S. District Court Judge Nancy E. Brasel.

...

12/10/2018 - 4:00am

I attended the November 30, 2018 hearing on Minnesota's motion to dismiss Final Exit Network's challenge to the Minnesota assisted suicide statute. Below, you see FEN general counsel Rob Rivas arguing before U.S. District Court Judge Nancy E. Brasel.

Rivas explained that he is not challenging or seeking re-review of FEN's conviction in state court. Instead, he is bringing an overbreadth challenge (which is one type of facial challenge). Rivas explained that a librarian who takes the book FINAL EXIT off the shelf and hands it to a patron would be guilty of assisted suicide in Minnesota (or at least in Dakota County). ...

12/10/2018 - 3:00am

The Missouri Legislature will once again consider "Simon's Law" legislation (H.B. 138) in its next session. This bill is the same as H.B. 1361 (2018).

The bill prohibits a health care facility, nursing home, physician, nurse, or medical staff from ins...