U.S. top court to hear fight over California pregnancy center law

Reuters, 14 November 2017
Author: Larence Hurley
“The U.S. Supreme Court on Monday agreed to decide whether a California law requiring private facilities that counsel pregnant women against abortion to post signs telling clients how to get state-funded abortions and contraceptives violates free speech rights.”
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The Impact of State Medical Malpractice Reform on Individual-Level Health Care Expenditures

Health Services Research, 2017, 52(6), 2018–2037
Authors: Hao Yu, Michael Greenberg, Amelia Haviland
“Past studies of the impact of state-level medical malpractice reforms on health spending produced mixed findings. Particularly salient is the evidence gap concerning the effect of different types of malpractice reform. This study aims to fill the gap. It extends the literature by examining the general population, not a subgroup or a specific health condition, and controlling for individual-level sociodemographic and health status.”
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Health Care Professionals and Law Enforcement

NEJM, 8 November 2017
Author: Arthur R. Derse
“Health care professionals generally have a respectful, sometimes even friendly, attitude toward law enforcement. We may feel we’re on the same team as the police when we’re treating victims of crime, and police may be called to protect us from people who seek to harm us in the hospital. Some health care professionals in emergency departments or intensive care units may have frequent interactions with police officers who are investigating alleged crimes. But the relationship may be profoundly tested when health care professionals refuse demands from law enforcement that conflict with what we understand to be our professional obligations.”
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The evolution of public health ethics frameworks: systematic review of moral values and norms in public health policy

Med Health Care and Philos, 2017, 1-16
Authors: Mahmoud Abbasi, Reza Majdzadeh, Alireza Zali, et al.
“Given the evolution of the public health (PH) and the changes from the phenomenon of globalization, this area has encountered new ethical challenges. In order to find a coherent approach to address ethical issues in PH policy, this study aimed to identify the evolution of public health ethics (PHE) frameworks and the main moral values and norms in PH practice and policy.”
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The strange case of Mr. H. Starting dialysis at 90 years of age: clinical choices impact on ethical decisions

BMC Medical Ethics 2017 18:61
Authors: Giorgina Barbara Piccoli, Andreea Corina Sofronie, Jean-Philippe Coindre
“Starting dialysis at an advanced age is a clinical challenge and an ethical dilemma. The advantages of starting dialysis at “extreme” ages are questionable as high dialysis-related morbidity induces a reflection on the cost- benefit ratio of this demanding and expensive treatment in a person that has a short life expectancy. Where clinical advantages are doubtful, ethical analysis can help us reach decisions and find adapted solutions.”
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Hidden conflicts of interest in continuing medical education

The Lancet, 11 November 2017
Authors: Ladan Golestaneh, Ethan Cowan
“Continuing medical education (CME) is an integral part of postgraduate training for medical professionals in the USA and globally. CME enables physicians to maintain and gain knowledge and skills that ensure optimal medical care and outcomes for patients. For these reasons CME is a required component of licensure in the USA. Since most physicians regularly complete CME hours, conflicts of interest that could introduce bias into CME must be avoided to prevent potentially detrimental downstream effects on patient care.”
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Ethical aspects of brain computer interfaces: a scoping review

BMC Medical Ethics 2017 18:60
Authors: Sasha Burwell, Matthew Sample, Eric Racine
“Brain-Computer Interface (BCI) is a set of technologies that are of increasing interest to researchers. BCI has been proposed as assistive technology for individuals who are non-communicative or paralyzed, such as those with amyotrophic lateral sclerosis or spinal cord injury. The technology has also been suggested for enhancement and entertainment uses, and there are companies currently marketing BCI devices for those purposes (e.g., gaming) as well as health-related purposes (e.g., communication). The unprecedented direct connection created by BCI between human brains and computer hardware raises various ethical, social, and legal challenges that merit further examination and discussion.”
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A meta-science for a global bioethics and biomedicine

Philosophy, Ethics, and Humanities in Medicine 2017 12:9
Author: David S. Basser
“I assert that pondering unified principles of biomedicine derived from the Western model of integrative systems biology may: (1) provide the scientific foundation for an internationally relevant (global) neuroethics to become synonymous with, rather than a sub-field of, an internationally relevant (global) bioethics; (2) lead to a meta-science as a means for facilitating an inclusive, pluralist discussion that transcends culture, language, discipline and philosophical boundaries and; (3) lead to a philosophical language framework to facilitate the integration of inter-, multi- and transdisciplinarity beyond any imperialist boundaries including hegemony and absolutism. The resulting unified principles may then address new and future ethical issues arising from emerging biomedical understandings and biotechnologies, including neurotechnologies.”
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The emergence of ethical issues in the provision of online sexual health outreach for gay, bisexual, two-spirit and other men who have sex with men: perspectives of online outreach workers

BMC Medical Ethics 2017 18:59
Authors: Sophia Fantus, Rusty Souleymanov, Nathan J. Lachowsky, David J. Brennan
“Mobile applications and socio-sexual networking websites are used by outreach workers to respond synchronously to questions and provide information, resources, and referrals on sexual health and STI/HIV prevention, testing, and care to gay, bisexual and other men who have sex with men (GB2M). This exploratory study examined ethical issues identified by online outreach workers who conduct online sexual health outreach for GB2M.”
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