The clinical encounter between providers and patients is insufficient: most factors influencing health outcomes occur outside the clinic. Community Health Needs Assessments address this insufficiency via collaboration between hospitals and the communities they serve to address systemic sociological-economic variables impacting health outcomes. Considering this, why are Health Care Ethics Consultation services limited to the clinical setting? We can cultivate better ethics outcomes by addressing systemic sociological-economic factors that cause recurring ethics issues in the hospital. In this article, I argue for (...) the need for a Community Ethics Needs Assessment. CENA is a novel concept; thus, this article is exploratory. I argue for the necessity of a CENA and, more importantly, outline what methodology a CENA would use to both identify and address an ethics need. (shrink)

Clinical ethics consultants occasionally encounter unethical and/or unprofessional behavior as part of their normal job functions. In this article, we explore whether resigning (i.e., threatening resignation or resigning) and whistleblowing are acceptable methods ethics consultants can use to address these situations. Per our analysis, whether one considers ethics consultants private or public employees, loyal to their employer or to patients, families, and the public, resigning and whistleblowing are all acceptable, if not obligatory, actions of ethics consultants in certain circumstances. In (...) this article, we analyze salient characteristics of ethics consultation as a profession as they pertain to resignation and whistleblowing in the context of ethics consultation. We also present tentative criteria for when ethics consultants are justified, if not obligated, to resign or blow the whistle. (shrink)

Clinical ethics consultants occasionally encounter unethical and/or unprofessional behavior as part of their normal job functions. In this article, we explore whether resigning (i.e., threatening resignation or resigning) and whistleblowing are acceptable methods ethics consultants can use to address these situations. Per our analysis, whether one considers ethics consultants private or public employees, loyal to their employer or to patients, families, and the public, resigning and whistleblowing are all acceptable, if not obligatory, actions of ethics consultants in certain circumstances. In (...) this article, we analyze salient characteristics of ethics consultation as a profession as they pertain to resignation and whistleblowing in the context of ethics consultation. We also present tentative criteria for when ethics consultants are justified, if not obligated, to resign or blow the whistle. (shrink)

Arthur Ruppin was the central figure in the Zionist colonization project in Palestine-Land of Israel in the decades preceded the establishment of the state of Israel. Ruppin's immense contribution gave him in Zionist historiography the title of ‘The Father of Jewish settlement in Palestine.’ Nevertheless, in spite of the title ‘Father’, Zionist historiography actually treats him as a ‘Zionist clerk,’ diminishing his role to an apolitical expert on bureaucracy and the economy. Exploring the reasons for his ambiguous position in Zionist (...) historiography and memory, the historical account in the following article reveals how formative were his activities not only in the establishment of the bureaucratic field of the Yishuv (pre-state of Israel), but also in producing and disseminating the modern Hebrew identity models, consequently the article analyzes the relation of these models to the German-social Darwinist perceptions and practices, which shaped Ruppin's cultural identity, weltanschauung and actions. (shrink)

As part of a volunteering program, a medical student learns the story of a sick infant whose survival was wholly dependent on modern medicine. The family was pacified by believing, during pregnancy, that the fetus would be healthy. Poor counseling and unethical physician behavior led to the trauma of the family’s struggle to keep its baby alive, happy, and as healthy as possible. The need for adequate, thorough, and individualized counseling is a critical and still unfulfilled need in patient care.

Revelation and Falsification: The Kitāb al-qirāʾāt of Aḥmad b. Muḥammad al-Sayyārī. Edited by Etan Kohlberg and Mohammad Ali Amir-Moezzi. Texts and Studies on the Qurʾān, vol. 4. Leiden: Brill, 2009. Pp. viii + 363 + 201. $259.