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What Should Be the Nature and Scope of Pediatricians' Duties to Keep Their Patients Insured? 儿科医生为患者提供保险的职责的性质和范围是什么？
AMA journal of ethics Pub Date : 2025-09-01 DOI: 10.1001/amajethics.2025.649
Sarah D Ronis, Genevieve M Birkby
{"title":"What Should Be the Nature and Scope of Pediatricians' Duties to Keep Their Patients Insured?","authors":"Sarah D Ronis, Genevieve M Birkby","doi":"10.1001/amajethics.2025.649","DOIUrl":"https://doi.org/10.1001/amajethics.2025.649","url":null,"abstract":"<p><p>Access to health care is a key structural determinant of health, with lack of health insurance as a main barrier. In the United States, nearly half of children rely on Medicaid or the Children's Health Insurance Program for health insurance. Children's eligibility for coverage under these programs is income dependent and can vary over time, so changes in insurance status signal a need to screen for unmet structural needs. Clinicians, who are obligated to respond to what screening reveals, should be prepared to help deploy practice-based, health system, and community resources to help meet the needs of children and families.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 9","pages":"E649-656"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why Should Clinicians Care About Infectious Disease Existential Hazards? 为什么临床医生应该关心传染病存在的危害？
AMA journal of ethics Pub Date : 2025-08-01 DOI: 10.1001/amajethics.2025.593
Robert T Ball
{"title":"Why Should Clinicians Care About Infectious Disease Existential Hazards?","authors":"Robert T Ball","doi":"10.1001/amajethics.2025.593","DOIUrl":"https://doi.org/10.1001/amajethics.2025.593","url":null,"abstract":"<p><p>Of all infectious disease events, pandemics could result in significant human depopulation in this Anthropocene epoch or even in the next few centuries. Existential factors that exacerbate pandemic risk include global warming, overpopulation, habitat loss, permafrost thawing, geopolitical conflict, and bioterrorism from naturally occurring or engineered pathogens. This article argues that clinicians have ethical duties to strengthen global public health systems and research on pandemic risk factors, promote proven prevention strategies (especially vaccines), and incentivize domestic and international partnerships that build capacity to respond to existential pandemic harms. Scientific literacy is an intellectual vaccine against the ... charlatans who would exploit ignorance. Neil deGrasse Tyson1.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 8","pages":"E593-600"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Existential Health Care Ethics. 存在的医疗保健伦理。
AMA journal of ethics Pub Date : 2025-08-01 DOI: 10.1001/amajethics.2025.543
Devin M Kellis
{"title":"Existential Health Care Ethics.","authors":"Devin M Kellis","doi":"10.1001/amajethics.2025.543","DOIUrl":"https://doi.org/10.1001/amajethics.2025.543","url":null,"abstract":"","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 8","pages":"E543-548"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self Portraits of a Woman in Peril. 一个处于危险中的女人的自画像。
AMA journal of ethics Pub Date : 2025-08-01 DOI: 10.1001/amajethics.2025.619
Kayla Mackenzie McCormick
{"title":"Self Portraits of a Woman in Peril.","authors":"Kayla Mackenzie McCormick","doi":"10.1001/amajethics.2025.619","DOIUrl":"https://doi.org/10.1001/amajethics.2025.619","url":null,"abstract":"<p><p>This series of self-portraits explores relationships between one's self and possible genetic and epigenetic sources of illnesses.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 8","pages":"E619-623"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is There a Right to Protection Against Environmental Existential Threats? 保护环境免受生存威胁的权利存在吗？
AMA journal of ethics Pub Date : 2025-08-01 DOI: 10.1001/amajethics.2025.582
Amber R Comer
{"title":"Is There a Right to Protection Against Environmental Existential Threats?","authors":"Amber R Comer","doi":"10.1001/amajethics.2025.582","DOIUrl":"https://doi.org/10.1001/amajethics.2025.582","url":null,"abstract":"<p><p>Despite broad awareness of impending existential threats to humanity, protections from these threats are not yet widely recognized as human rights. This article distinguishes human rights from legal rights, considers possible domestic and international legal approaches to rights-based protection from environmental existential threats, and offers recommendations about how to motivate such protections.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 8","pages":"E582-587"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why and How Should Physicians Mitigate Threats of Nuclear War? 医生为什么以及如何减轻核战争的威胁？
AMA journal of ethics Pub Date : 2025-08-01 DOI: 10.1001/amajethics.2025.559
Ghee Rye Lee, Devin M Kellis, Arthur E Hale, Joseph G Hodgkin
{"title":"Why and How Should Physicians Mitigate Threats of Nuclear War?","authors":"Ghee Rye Lee, Devin M Kellis, Arthur E Hale, Joseph G Hodgkin","doi":"10.1001/amajethics.2025.559","DOIUrl":"https://doi.org/10.1001/amajethics.2025.559","url":null,"abstract":"<p><p>Most physicians do not see, or learn to see, nuclear war threat mitigation as within the scope of their professional duties. This commentary on a case argues there are 2 reasons why physicians, in particular, should draw on their unique training and expertise in medicine to help avert nuclear war: the risk of nuclear war and therefore the risk of catastrophic community, domestic, and global health consequences is presently high; and physicians today can draw on a strong history of past physicians' nuclear disarmament advocacy strategies. This commentary concludes by canvassing how those past strategies can best be applied today.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 8","pages":"E559-570"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Virtue Ethics and Postponing Human Extinction. 美德伦理与延缓人类灭绝。
AMA journal of ethics Pub Date : 2025-08-01 DOI: 10.1001/amajethics.2025.611
Charles S Bryan
{"title":"Virtue Ethics and Postponing Human Extinction.","authors":"Charles S Bryan","doi":"10.1001/amajethics.2025.611","DOIUrl":"https://doi.org/10.1001/amajethics.2025.611","url":null,"abstract":"<p><p>Existential ethics (extinction ethics) evokes Van Renssalaer Potter's definition of bioethics as a science of human survival that integrates biological principles, the planetary ecosystem, and wisdom. Explored here is a thesis that virtue ethics (character ethics) should supplement deontological, consequentialist, and other approaches to decision-making relevant to extinction. Advances in philosophy, social science, and neuroscience support the idea that virtues such as faith, hope, and love should complement how virtues such as wisdom, justice, temperance, and courage are expressed when deliberating about existential ethical questions in areas such as global warming, nuclear warfare, and rogue artificial intelligence applications. It has yet to be determined whether Science, as the embodiment of a mechanical force, can rule without invoking ruin…. [T]here must be a very different civilization or there will be no civilization at all. Sir William Osler1A new type of thinking is essential [in the atomic age] if mankind is to survive and move toward higher levels. Albert Einstein2.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 8","pages":"E611-618"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiate Youth? 散发出青春吗?
AMA journal of ethics Pub Date : 2025-08-01 DOI: 10.1001/amajethics.2025.624
Lio Barnhardt
{"title":"Radiate Youth?","authors":"Lio Barnhardt","doi":"10.1001/amajethics.2025.624","DOIUrl":"https://doi.org/10.1001/amajethics.2025.624","url":null,"abstract":"<p><p>This diptych is a satirical advertisement for a fictional face cream, inspired by and based upon a radium health craze during the early 20th century.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 8","pages":"E624-627"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Would Conceptualizing Past, Current, and Future Generations as Constituting a "League of Patients" Be Useful for Humanity? 将过去、现在和未来世代概念化为“患者联盟”对人类有用吗？
AMA journal of ethics Pub Date : 2025-08-01 DOI: 10.1001/amajethics.2025.607
Elizabeth Finneron-Burns, Susan McNair
{"title":"Would Conceptualizing Past, Current, and Future Generations as Constituting a \"League of Patients\" Be Useful for Humanity?","authors":"Elizabeth Finneron-Burns, Susan McNair","doi":"10.1001/amajethics.2025.607","DOIUrl":"10.1001/amajethics.2025.607","url":null,"abstract":"<p><p>Since health is a crucial, if not the most important, feature of persons' well-being, we have good reasons to consider all present and future persons as members of a \"league of patients.\" This article explores what this concept might mean, proposes how it could be applied in the emerging field of existential health care ethics, and draws upon it to better conceive of how to meet the health needs of current and future patients.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 8","pages":"E607-610"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Four Key Concepts in Existential Health Care Ethics. 存在保健伦理的四个关键概念。
AMA journal of ethics Pub Date : 2025-08-01 DOI: 10.1001/amajethics.2025.601
Émile P Torres
{"title":"Four Key Concepts in Existential Health Care Ethics.","authors":"Émile P Torres","doi":"10.1001/amajethics.2025.601","DOIUrl":"https://doi.org/10.1001/amajethics.2025.601","url":null,"abstract":"<p><p>Existential ethics is the study of the ethical and evaluative implications of human extinction. This article examines 4 key concepts in this emerging field: (1) Going Extinct is different from Being Extinct; (2) extinction-causing catastrophes are different in kind, not just degree, from non-extinction-causing catastrophes; (3) \"human extinction\" can have multiple meanings, which, when applied, can yield multiple, even conflicting, conclusions about what might constitute best future outcomes; and (4) there are historical reasons why existential ethics has tended to be ignored until recently. One goal of this article is to launch a discussion about what existential health care ethics could look like.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 8","pages":"E601-606"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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