Editorial: Cardiopulmonary Resuscitation after Hospital Admission with Covid-19 – The BMJ

“This pandemic has changed the risk-benefit balance for CPR: from “there is no harm in trying” to “there is little benefit to the patient, and potentially significant harm to staff.””


Doctors Need Room to Make the Wrenching Decisions They Face – The New York Times

“New York is granting health care providers civil and criminal immunity during the coronavirus emergency. So should other states.”


COVID-19: Updates in Bioethics

6 Apr, 2020 | 00:36h | UTC

Resource Centers:



Selected Articles:

News & Perspectives:

“New York is granting health care providers civil and criminal immunity during the coronavirus emergency. So should other states.”

COVID-19 Radiology: This page will be updated as often as necessary and will be fixed the right column in our homepage.


Ten Simple Rules to becoming a principal investigator – PLOS Computational Biology (free)


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On the ethics of algorithmic decision-making in healthcare – Journal of Medical Ethics (free)

Commentary: Experts Raise Ethical Concerns About Machine Learning in Medicine – Mad in America (free)


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Should the first rule of medicine be not “Do no harm” but rather “Be kind”? – The BMJ Opinion (free)


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Perspective: CPR, by Default

2 Feb, 2020 | 19:45h | UTC

CPR, by Default – The New York Times (10 articles per month are free)


Association between gifts from pharmaceutical companies to French general practitioners and their drug prescribing patterns in 2016: retrospective study using the French Transparency in Healthcare and National Health Data System databases – The BMJ (free)


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Reporting research findings to participants is an ethical imperative – The BMJ (free for a limited period)


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I’ve noticed a change in my colleague’s behaviour. What should I do? – The BMJ (free) (via @brhospitalist)


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There’s a reason we don’t know much about AI – Politico (free)


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Too Much Medicine: Not Enough trust?

11 Aug, 2019 | 22:18h | UTC

Too Much Medicine: Not Enough trust? – Journal of Medical Ethics (free)


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Opinion: Mandate Vaccination with Care

29 Jul, 2019 | 20:01h | UTC

For the sake of doctors and patients, we must fix hospital culture – The BMJ Opinion (free)

Related: Speaking up to prevent harm: A systematic review of the safety voice literature – Safety Science (free)

“When hospitals fail to create a culture where doctors and nurses can speak up patients pay the price.”


Miracle medical machine ECMO makes heroic rescues, but leaves patients in limbo – Kaiser Health News / USA Today (free)

“ECMO is not designed to be a destination, but a bridge to somewhere – recovery, transplantation or an implanted heart device. But when patients are too sick to reach those goals, ECMO can become a “bridge to nowhere,” leaving the patient in limbo…”


Opinion: The Business of Health Care Depends on Exploiting Doctors and Nurses – The New York Times (10 articles per month are free)

“One resource seems infinite and free: the professionalism of caregivers.”


At $2.1 Million, New Gene Therapy Is The Most Expensive Drug Ever – NPR (free)

See also: No Miracle Drug Should Cost $2.1 Million – Bloomberg Opinion (free) AND This New Treatment Could Save the Lives of Babies. But It Costs $2.1 Million. – The New York Times (10 articles per month are free)

“The price set by the Swiss drugmaker Novartis may be the world’s highest for a single treatment — prompting renewed debate about how society will pay for gene-therapy breakthroughs.” (from the New York Times)


A Contrarian View of Digital Health – Quillette (free)


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Opting Out of Vaccines Should Opt You Out of American Society – Scientific American (free)

Although you have a right to your own body, your choice to willfully be sick ends where another’s right to be healthy begins.”


Medical-ethical guidelines: Management of dying and death – Swiss Medical Weekly (free)

Among other topics, this comprehensive guideline discusses assisted suicide in patients not facing imminent death. Under the Swiss Criminal Code, assisting suicide is not an offense.


Let’s help people live successfully to the end of their lives – The BMJ (free)

“we do need to challenge the prevailing dogma of “prevention at all costs”—and create a broader vision of how to help people live successfully to the very end of their lives”


Artificial Intelligence in Health Care – AMA Journal of Ethics (free articles)


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When Is the Surgeon Too Old to Operate? – The New York Times (free)

Related: Perspective: Assessing the Performance of Aging Surgeons (free for a limited period) AND Observational Study: Age and Sex of Surgeons and Mortality of Older Surgical Patients (free study and commentary) AND The Elderly and Driving: When Is It Time to Hit the Brakes? – The New York Times (10 articles per month are free)


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A.I. Could Worsen Health Disparities – The New York Times (free)

“In a health system riddled with inequity, we risk making dangerous biases automated and invisible.”


American College of Physicians Ethics Manual: Seventh Edition – Annals of Internal Medicine (free)

News Release: American College of Physicians releases new edition of Ethics Manual (free)

“Genetic testing, telemedicine, end-of-life care, and human subjects research are among issues examined in new edition of ACP Ethics Manual” (from News Release)


Too Much Medicine: Not Enough Trust?

7 Jan, 2019 | 11:55h | UTC

Congratulations on the Promotion. But Did Science Get a Demotion? – The New York Times (10 articles per month are free)

“The incentives of grant funding and career advancement, even the potential for fame, can influence researchers”


Clinically-assisted nutrition and hydration – British Medical Association (free guideline and other resources)

Commentary: Decisions about clinically-assisted nutrition and hydration: guiding doctors, helping patients – The BMJ Opinion (free)

“just because we can keep someone alive indefinitely, should we?”


Investigation: The Implant Files

30 Nov, 2018 | 02:01h | UTC

Position Statement: Ethics of Outbreaks

16 Oct, 2018 | 21:26h | UTC

The Case For Expensive Antibiotics – WIRED (a few articles per month are free) (via @CarlosdelRio7)


The Moral Dilemma of Learning Medicine from the Poor – The Doctors Weight In (free) (via @kennylinafp)

“I learned good skills because I was allowed to practice on people who had no other option.”


Abraar Karan: Changing the way we communicate about patients – The BMJ Opinion (free) (via @NUNESDOC)

“Father of 2, retired car salesman and keen on football NOT the colon cancer in Bed 4 – social history brings humanity back to the bedside” (via @hospicedoctor see Tweet)


Opinion: Lessons for physicians from ‘The Bleeding Edge’: If you see something, say something – STAT (free)

“…physicians must act decisively when they identify the rare outlier in their midst. To do anything less would risk our credibility. Worse still, it could risk the lives of the people we took an oath not to harm.”


Special Issue: Roles of Physicians in Healthy Dying- AMA Journal of Ethics (free articles)

“What the roles of clinicians and patients should be in defining what constitutes a quality dying experience and good care of dying people has received less attention than issues like euthanasia and assisted death. Which parts of dying, if any, should be medicalized and why? What do patients and clinicians need to know about dying and why? The August 2018 issue of the AMA Journal of Ethics explores these and other questions.”


Religion and Spirituality in Health Care Practice – AMA Journal of Ethics (free)

“Patient spirituality continues to be an area that clinicians do not discuss as often as they should. Our new issue provides guidance for clinicians on a wide range of issues related to religion, spirituality, and health care”. (via @JournalofEthics see Tweet)


Perspective: Hidden Conflicts?

6 Jul, 2018 | 09:51h | UTC

Hidden conflicts? – Science Magazine (free for a limited period)

““Pay-later conflicts of interest” have gone largely unnoticed & entirely unpoliced”. (via @cpiller see Tweet)


Breathing Tubes Fail to Save Many Older Patients – The New York Times (10 articles per month are free)

“One-third of patients over age 65 die in the hospital after they are put on ventilators. Doctors are beginning to wonder if the procedure should be used so often”.


Perspective: p53 and Me

24 May, 2018 | 22:58h | UTC

Trying to Put a Value on the Doctor-Patient Relationship – The New York Times (10 articles per month are free)

“In its push for profits, the U.S. health care system has made it difficult for patients to get personal attention from doctors. But what if hands-on medicine actually saves money — and lives?”


How Tech Can Turn Doctors into Clerical Workers – The New York Times Magazine (10 articles per month are free)

“The threat that electronic health records and machine learning pose to physicians’ clinical judgment — and their well-being”.


Financial Conflicts of Interest Among Authors of Urology Clinical Practice Guidelines – European Urology (free)

“59% Urology Guideline writers received payments from companies AND 37% provided inaccurate COIs forms” (via @daviesbj see Tweet)


Plastic Surgery’s Contributions to Surgical Ethics – AMA Journal of Ethics (free)

“Important for plastic surgeons in particular to remember: just because you *can* perform an operation, which might or might not be medically indicated, does not mean you *should* perform the operation” (via @JournalofEthics see Tweet)


Authors of premier medical textbook didn’t disclose $11 million in industry payments – STAT (free)

“’The most recognized book in all of medicine’ is also rife with hidden financial conflicts. Should Harrison’s authors be disclosing $11 million in payments from drug and device makers?” (via @caseymross see Tweet)


Why Right-to-Try Laws Are Dangerous

8 Mar, 2018 | 20:27h | UTC

Editor’s Choice: There but for the grace of God . . . – The BMJ (free)

About liability and error in medical practice.


Graphic Medicine and Health Care Ethics

15 Feb, 2018 | 11:11h | UTC

New Issue: Graphic Medicine and Health Care Ethics – AMA Journal of Ethics (free articles and commentaries)


ISPOR Code of Ethics 2017

4 Feb, 2018 | 17:41h | UTC

Research: Cloning of Macaque Monkeys

26 Jan, 2018 | 00:38h | UTC

Moral Choices for Today’s Physician

7 Dec, 2017 | 22:04h | UTC

Payments by US pharmaceutical and medical device manufacturers to US medical journal editors: retrospective observational study – The BMJ (free)

“Industry payments to journal editors are common and often large, particularly for certain subspecialties. Journals should consider the potential impact of such payments on public trust in published research”.


Is gene editing ethical?

23 Oct, 2017 | 20:45h | UTC

Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Programs – Health Affairs (link to abstract – $ for full-text)

Commentaries: After medical error, apology goes a long way – Stanford University Medical Center, via ScienceDaily (free) AND Conflict Resolution Program: ‘Cause for Optimism’ – MedPage Today (free registration required)


Antipsychotic Use With and Without Comorbid Psychiatric Diagnosis Among Adults with Intellectual and Developmental Disabilities – The Canadian Journal of Psychiatry (link to abstract – $ for full-text)

Commentaries: Antipsychotics common for adults with intellectual and developmental disabilities – Centre for Addiction and Mental Health (free) AND Antipsychotics Overused in Intellectually Disabled Adults – Medscape (free registration required)

“Antipsychotics are used inappropriately particularly in vulnerable groups: Poor children; Intellectually challenged; Autistic; Nursing homes. (RT @AllenFrancesMD see Tweet)


FDA News Release: FDA approval brings first gene therapy to the United States (free)

Commentaries: A $475,000 cancer drug: Wall Street sees ‘bargain’; patients see ‘completely broken’ system – HealthNewsReview (free) FDA Approves First CAR-T Cell Therapy for Pediatric Acute Lymphoblastic Leukemia – National Institutes of Health (free) AND FDA Approves First Gene-Altering Leukemia Treatment, Costing $475.000 – New York Times (10 articles per month are free) AND The FDA Approves a Landmark Cancer Drug – The Atlantic (free)

“…is a cancer therapy that represents several things at once: a game-changing way to treat cancer through genetic engineering, a novel paradigm for the biotech business, and the latest turn in the debate over just how astronomically expensive a life-saving therapy can be”. (from The Atlantic)


China’s embrace of embryo selection raises thorny questions – Nature News (free)

“Fertility centres are making a massive push to increase preimplantation genetic diagnosis in a bid to eradicate certain diseases”.