Chapter 41: Ethical Issues in Organ Transplantation

Introduction After receiving a kidney, liver, heart, or lung transplant, many patients with end-stage disease can return to active lives. Organ donors undergo interventions to benefit the recipient. The ethical concern is that the donor’s well-being might be compromised to benefit someone else. Thus, consent for donation and minimizing harm to donors are essential to […]

Chapter 42: Ethical Issues in Genomic Medicine

Introduction Since the sequencing of the entire human genome in 2002, DNA-based tests have become increasingly available for such conditions as cystic fibrosis (CF), familial colon and breast cancer, hemochromatosis, and polycystic kidney disease. Current high-throughput genotyping allows researchers to assay 500,000 single nucleotide polymorphisms (SNPs) and carry out genomewide association studies for common polygenic […]

Chapter 43: Ethical Issues in Public Health Emergencies

Introduction In recent years, public health emergencies have required physicians, the public, and public health officials to consider how the doctor–patient relationship may change during a public health emergency. In 2001, the bombing of the World Trade Center and outbreaks of inhalation anthrax raised concerns about bioterrorism. In 2003, severe acute respiratory distress syndrome (SARS) […]

Chapter 44: Ethical Issues in Cross-Cultural Care

Introduction The cultural backgrounds of US patients are becoming increasingly diverse. By 2050, non-Hispanic Caucasians will no longer be a majority of the population. Furthermore, immigrants are settling in new areas of the country. Thus, physicians across the country will care for patients from many cultural heritages, which will change over their careers. Previous chapters […]

Chapter 45: Ethical Issues in Digital Health Information

Introduction Digital communication through e-mail, the Internet, and social media are becoming increasingly common in medicine, as in other areas of life. In addition, the US government is urging the adopting of electronic health records (EHRs). These digital technologies present the promise of more efficient and higher quality health care. However, digital health information presents […]