Health Care Ethics

Asylums are supposed to be in the past. However, though the buildings were closed, many of the practices lived on. In fact, more law-abiding Americans today are being involuntarily committed and forcibly treated "for their own good" than at any time in history.

Shocking cases of abusive medical research and the whistleblowers who spoke out against them, sometimes at the expense of their careers. The Occasional Human Sacrifice is an intellectual inquiry into the moral struggle that whistleblowers face and why it is not the kind of struggle that most people imagine.

As much of the world's population grows older, the quest for a "good death" has become a significant issue. For many, the right to die often means the right to die with dignity. The Inevitable moves beyond margins of the law to the people who are meticulously planning their final hours - far from medical offices, legislative chambers, hospital ethics committees, and polite conversation - and the people who help them, loved ones or clandestine groups on the Internet known as the "euthanasia underground".

Army combat veteran and registered nurse Erin Olszewski's most deeply held values were put to the test when she arrived as a travel nurse at Elmhurst Hospital in the epicenter of the COVID-19 pandemic. After serving in Iraq, she was back on the front lines - and this time, she found, the situation was even worse. Rooms were filthy, nurses were lax with sanitation measures, and hospital-acquired cases of COVID-19 were spreading like wildfire.

Award-winning investigative journalist and contributing Wired editor Scott Carney leads listeners on a breathtaking journey through the macabre underworld of the global body bazaar, where organs, bones, and even live people are bought and sold on The Red Market. The Red Market sheds a blazing new light on the disturbing, billion-dollar business of trading in human body parts, bodies, and child trafficking, raising issues and exposing corruptions almost too bizarre and shocking to imagine.

The problem with pandemics is that people want to forget them. One year, a million Americans are killed by a deadly new virus. The next, everyone is back rooting for the Georgia Bulldogs. The impulse to move on from this particular kind of tragedy is more than a little odd.

In Feminist, Queer, Crip, Alison Kafer imagines a different future for disability and disabled bodies. Challenging the ways in which ideas about the future and time have been deployed in the service of compulsory able-bodiedness and able-mindedness, Kafer rejects the idea of disability as a predetermined limit.

While quackery—loosely defined as the spread of false "knowledge," often accompanied by various versions of "snake oil"—is not a novel phenomenon, it has never posed as great a threat to public health as today. In Quack Quack, Dr. Joe Schwarcz focuses on the deluge of anecdotes, cherry-picked data, pseudoscientific nonsense, and seductive baseless health claims that undermine efforts to educate the public about evidence-based science. The wide scope of the topics drawn from past and present aims to cast a life preserver to people drowning in a sea of misinformation.

A remarkable story of the scientists behind a long-forgotten and life-saving cure: the healing viruses that can conquer antibiotic resistant bacterial infections.

For women, the possibility of experiencing medical gaslighting—having a healthcare provider dismiss or ignore their concerns without considering appropriate testing or creating a treatment plan—has always been a very real and present danger, with consequences ranging from self-doubt and emotional stress to delayed diagnosis and death. And being a woman of color, transgender, or disabled only compounds the risk. In Medical Gaslighting, you’ll equip yourself with the tools you need to be fully heard at every step of the process.

States of Health identifies the practical relevance of federalism to people facing ethical decisions about health and health care, and it considers the theoretical justifications for permissible differences among states. It asks whether authority over important aspects of health is misaligned in the United States today, with some matters problematically left to the states while others are taken over by the federal government.

Jessica Zitter became a doctor because she wanted to be a hero. She elected to specialize in critical care - to become an ICU physician - and imagined herself swooping in to rescue patients from the brink of death. But then during her first code she found herself cracking the ribs of a patient so old and frail it was unimaginable he would ever come back to life. She began to question her choice. Extreme Measures charts Zitter's journey from wanting to be one kind of hero to becoming another - a doctor who prioritizes the patient's values and preferences.

An updated edition of the classic history of schizophrenia in America, which gives voice to generations of patients who suffered through "cures" that only deepened their suffering and impaired their hope of recovery.

In this groundbreaking book, Anita Hannig brings us into the lives of ordinary Americans who go to extraordinary lengths to set the terms of their own death. Faced with a terminal diagnosis and unbearable suffering, they decide to seek medical assistance in dying—a legal option now available to one in five Americans. The Day I Die tackles one of the most urgent social issues of our time: how to restore dignity and meaning to the dying process in the age of high-tech medicine.

In this explosive expose of the drug companies and how they are ripping us off, Marcia Angell, M.D., a doctor, medical journalist, and a former editor of the respected New England Journal of Medicine, reveals the many ways in which the pharmaceutical industry has moved away from its original purpose of finding and producing useful new drugs.

Since its first edition in 1948, the US Conference of Catholic Bishops' Ethical and Religious Directives for Catholic Health Care Services (ERD) has guided Catholic institutions in the provision of health care. However, while the papacy of Pope Francis and the clerical sex-abuse scandal both profoundly impacted the Catholic Church, the latest edition of the ERD does not address or reflect these transformations. Now for the first time, Todd A. Salzman and Michael G. Lawler present an extended critical commentary on the 2018 ERD.

Four decades after And the Band Played On created an image of the AIDS epidemic that has survived in the public consciousness to this very day, mathematician Rebecca Culshaw is sounding the alarm that everything that iconic book told us about AIDS is demonstrably wrong. And that mistaken understanding of AIDS and its cause has the potential to affect all of us, not just certain so-called risk groups. Rebecca Culshaw describes her slow uncovering of these reasons over her years researching HIV for her work constructing mathematical models of its interaction with the immune system.

Drawing upon the author's two decades teaching medical ethics, as well as his work as a practicing psychiatrist, this profound and addictive little book offers up challenging ethical dilemmas and asks listeners, What would you do? In short, engaging scenarios, Dr. Appel takes on hot-button issues that many of us will confront: genetic screening, sexuality, privacy, doctor-patient confidentiality. He unpacks each hypothetical with a brief reflection drawing from science, philosophy, and history, explaining how others have approached these controversies in real-world cases.

Despite modern medicine's infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion's share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to "make their case" to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements.

Americans are in the midst of a world-historic drug binge. Opiates, amphetamines, benzodiazepines, marijuana, antidepressants, antipsychotics—across the board, consumption has shot up in the twenty-first century. At the same time, the United States is home to the largest prison system in the world, justified in part by a now zombified "war" on drugs. How did we get here?