36 found
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  1. Sex Rights for the Disabled?Jacob M. Appel - 2010 - Journal of Medical Ethics 36 (3):152-154.
    The public discourse surrounding sex and severe disability over the past 40 years has largely focused on protecting vulnerable populations from abuse. However, health professionals and activists are increasingly recognising the inherent sexuality of disabled persons and attempting to find ways to accommodate their intimacy needs. This essay explores several ethical issues arising from such efforts.
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  2. Neonatal Euthanasia: Why Require Parental Consent? [REVIEW]Jacob M. Appel - 2009 - Journal of Bioethical Inquiry 6 (4):477-482.
    The Dutch rules governing neonatal euthanasia, known as the Groningen Protocol, require parental consent for severely disabled infants with poor prognoses to have their lives terminated. This paper questions whether parental consent should be dispositive in such cases, and argues that the potential suffering of the neonate or pediatric patient should be the decisive factor under such unfortunate circumstances.
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  3.  94
    A Suicide Right for the Mentally Ill? A Swiss Case Opens a New Debate.Jacob M. Appel - 2007 - Hastings Center Report 37 (3):21-23.
  4.  35
    Safeguarding Confidentiality in Electronic Health Records.Akhil Shenoy & Jacob M. Appel - 2017 - Cambridge Quarterly of Healthcare Ethics 26 (2):337-341.
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  5.  4
    Tainted Largess: A Moral Framework For Medical School Donations.Charles Sanky & Jacob M. Appel - 2020 - Cambridge Quarterly of Healthcare Ethics 29 (3):437-445.
    Rather than being a neutral phenomenon, the authors propose that medical school donations should be viewed as a social good for advancing education and improving healthcare. Seen in this light, they aim to offer a framework for analysis that will be useful to medical institutions and their stakeholders in addressing proposed donations from contentious or divisive sources, and in managing those donations that subsequently appear controversial.
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  6.  57
    The Importance of Patient–Provider Communication in End-of-Life Care.Timothy R. Rice, Yuriy Dobry, Vladan Novakovic & Jacob M. Appel - 2012 - Journal of Bioethical Inquiry 9 (4):439-441.
    Successful formulation and implementation of end-of-life care requires ongoing communication with the patient. When patients, for reasons of general medical or psychiatric illness, fail to verbally communicate, providers must be receptive to messages conveyed through alternate avenues of communication. We present the narrative of a man with schizophrenia who wished to forgo hemodialysis as a study in the ethical importance of attention to nonverbal communication. A multilayered understanding of the patient, as may be provided by both behavioral and motivational models, (...)
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  7.  23
    Medical Repatriation Does Not Justify Hospital Entanglement in Nonmedical Matters.Jacob M. Appel - 2012 - American Journal of Bioethics 12 (9):9-11.
    The American Journal of Bioethics, Volume 12, Issue 9, Page 9-11, September 2012.
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  8.  41
    Toward an Ethical Eugenics.Jacob M. Appel - 2012 - Jona’s Healthcare Law, Ethics, and Regulation 14 (1):7-13.
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  9.  1
    Trial by Triad: Substituted Judgment, Mental Illness and the Right to Die.Jacob M. Appel - 2022 - Journal of Medical Ethics 48 (6):358-361.
    Substituted judgment has increasingly become the accepted standard for rendering decisions for incapacitated adults in the USA. A broad exception exists with regard to patients with diminished capacity secondary to depressive disorders, as such patients’ previous wishes are generally not honoured when seeking to turn down life-preserving care or pursue aid-in-dying. The result is that physicians often force involuntary treatment on patients with poor medical prognoses and/or low quality of life as a result of their depressive symptoms when similarly situated (...)
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  10.  5
    Personal Responsibility and Transplant Revisited: A Case for Assigning Lower Priority to American Vaccine Refusers.Jacob M. Appel - 2022 - Bioethics 36 (4):461-468.
    Bioethics, Volume 36, Issue 4, Page 461-468, May 2022.
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  11.  75
    May Doctors Refuse Infertility Treatments to Gay Patients?Jacob M. Appel - 2006 - Hastings Center Report 36 (4):20-21.
  12.  25
    Smoke and Mirrors: One Case for Ethical Obligations of the Physician as Public Role Model.Jacob M. Appel - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (1):95.
    As a result of workplace clean air regulations and strict guidelines imposed by the Joint Commission on Accreditation of Healthcare Organizations in 1993, most hospitals in the United States are now virtually smoke free. Although evidence suggests that these restrictions both cause smoking employees to consume fewer cigarettes per day and induce some employees to quit smoking entirely, the policies have also driven many healthcare providers—including physicians—onto the public sidewalks for their cigarette breaks. Patients entering many hospitals pass white-coated medical (...)
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  13.  49
    “How Hard It Is That We Have to Die”.Jacob M. Appel - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (4):527-536.
  14.  12
    If It Ducks Like a Quack: Balancing Physician Freedom of Expression and the Public Interest.Jacob M. Appel - 2022 - Journal of Medical Ethics 48 (7):430-433.
    Physicians expressing opinions on medical matters that run contrary to the consensus of experts pose a challenge to licensing bodies and regulatory authorities. While the right to express contrarian views feeds a robust marketplace of ideas that is essential for scientific progress, physicians advocating ineffective or dangerous cures, or actively opposing public health measures, pose a grave threat to societal welfare. Increasingly, a distinction has been made between professional speech that occurs during the physician-patient encounter and public speech that transpires (...)
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  15.  2
    Taking Care of the Beloved Patient.Jacob M. Appel - forthcoming - Clinical Ethics:147775092210944.
    While the management of treating “hateful” patients has been the subject of considerable commentary, far less attention has been paid to the ethical challenges involved in the treatment of “beloved” patients. This essay offers a non-exhaustive taxonomy of “beloved” patients that includes relatable patients, inspiring patients, empathy-inducing patients, and joyful patients, and then discusses the potential pitfalls involved in the optimal care of each group. By drawing attention to these often overlooked and unwitting risks, the hope is to mitigate both (...)
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  16.  39
    Castration Anxiety: Physicians, “Do No Harm,” and Chemical Sterilization Laws.Jacob M. Appel - 2012 - Journal of Bioethical Inquiry 9 (1):85-91.
    Chemical castration laws, such as one recently adopted in the U.S. State of Louisiana, raise challenging ethical concerns for physicians. Even if such interventions were to prove efficacious, which is far from certain, they would still raise troubling concerns regarding the degree of medical risk that may be imposed upon prisoners in the name of public safety as well as the appropriate role for physicians and other health care professionals in the administration of pharmaceuticals to competent prisoners over the inmates’ (...)
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  17.  2
    Personal Responsibility and Transplant Revisited: A Case for Assigning Lower Priority to American Vaccine Refusers.Jacob M. Appel - 2022 - Wiley: Bioethics 36 (4):461-468.
    Bioethics, Volume 36, Issue 4, Page 461-468, May 2022.
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  18. Organ Solicitation on the Internet: Every Man for Himself: Commentary.Jacob M. Appel - 2005 - Hastings Center Report 35 (3):14-15.
  19.  2
    Substituted Judgment for the Never‐Capacitated: Crossing Storar's Bridge Too Far.Jacob M. Appel - 2022 - Wiley: Bioethics 36 (2):225-231.
    Bioethics, Volume 36, Issue 2, Page 225-231, February 2022.
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  20.  3
    Divided Loyalties: Fire and ICE.Jacob M. Appel - 2021 - Hastings Center Report 51 (6):4-5.
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  21.  7
    Review of Bioethics in Action Baylis, Francoise and Dreger, Alice, Eds. Bioethics in Action. Cambridge: Cambridge University Press, 2018. Vii + 177 Pp. $29.00. [REVIEW]Jacob M. Appel - 2021 - American Journal of Bioethics 21 (3):W1-W2.
    Practitioners of bioethics engage in a wide range of endeavors from hospital-based clinical consultation to commentary in both academic and broader public forums. “Impact ethics” is either an orien...
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  22. Goldwater After Trump.Jacob M. Appel & Akaela Michels-Gualtieri - 2021 - Cambridge Quarterly of Healthcare Ethics 30 (4):651-661.
    The “Goldwater rule,” a policy adopted by the American Psychiatry Association in 1973, prohibits organization members from diagnosing or offering professional opinions regarding the mental health of public figures without both first-hand evaluation and authorization. Initially developed in response to a controversial survey of APA members during the 1964 Presidential election campaign, the ethics rule faced few large scale challenges until the election of Donald Trump in 2016. Since that time, a significant number of psychiatrists have either violated or criticized (...)
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  23. Research Guidelines: Changes Urged.Jacob M. Appel - 2001 - Journal of Law, Medicine and Ethics 29 (1):103-104.
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  24. Is There a Right to a Fully Vaccinated Care Team?Jordan L. Schwartzberg, Jeremy Levenson & Jacob M. Appel - forthcoming - Clinical Ethics:147775092210773.
    Although COVID-19 vaccines are free and readily available in the United States, many healthcare workers remain unvaccinated, potentially exposing their patients to a life-threatening pathogen. This paper reviews the ethical and legal factors surrounding patient requests to limit their care teams exclusively to vaccinated providers. Key factors that shape policy in this area include patient autonomy, the rights of healthcare workers, and the duties of healthcare institutions. Hospitals must also balance the rights of interested parties in the context of logistical (...)
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  25.  43
    Privacy Versus History.Jacob M. Appel - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (1):51-63.
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  26.  13
    Medical School: The Wrong Applicant Pool?Jacob M. Appel - 2019 - Hastings Center Report 49 (2):6-8.
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  27.  24
    Research Guidelines: Changes Urged.Jacob M. Appel - 2001 - Journal of Law, Medicine and Ethics 28 (s4):103-104.
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  28.  4
    When All the PICU’s a Platform.Jacob M. Appel - 2021 - American Journal of Bioethics 21 (7):75-77.
    The Internet has vastly expanded the opportunity for patients and families to share their medical narratives with the general public. Yet blogs and social media posts can also prove a source of con...
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  29.  1
    Patient Portal Access for Caregivers of Adult and Geriatric Patients: Reframing the Ethics of Digital Patient Communication.Teja Ganta, Jacob M. Appel & Nicholas Genes - forthcoming - Journal of Medical Ethics:medethics-2021-107759.
    Patient portals are poised to transform health communication by empowering patients with rapid access to their own health data. The 21st Century Cures Act is a US federal law that, among other provisions, prevents health entities from engaging in practices that disrupt the exchange of electronic health information—a measure that may increase the usage of patient health portals. Caregiver access to patient portals, however, may lead to breaches in patient privacy and confidentiality if not managed properly through proxy accounts. We (...)
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  30.  4
    Death, Taxes and Uncertainty: Economic Motivations in End-of-Life Decision Making.George Slade Mellgard & Jacob M. Appel - 2022 - Clinical Ethics 17 (1):90-94.
    Economic motivations are key drivers of human behavior. Unfortunately, they are largely overlooked in literature related to medical decisionmaking, particularly with regard to end-of-life care. It is widely understood that the directions of a proxy acting in bad faith can be overridden. But what of cases in which the proxy or surrogate appears to be acting in good faith to effectuate the patient’s values, yet doing so directly serves the decision-maker’s financial interests? Such situations are not uncommon. Many patients care (...)
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  31.  14
    Research Guidelines: Changes Urged.Jacob M. Appel - 2001 - Journal of Law, Medicine and Ethics 28 (4_suppl):103-104.
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  32.  2
    Substituted Judgment for the Never‐Capacitated: Crossing Storar's Bridge Too Far.Jacob M. Appel - 2022 - Bioethics 36 (2):225-231.
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  33.  5
    Case Study: Organ Solicitation on the Internet: Every Man for Himself?Jacob M. Appel & Mark D. Fox - 2005 - Hastings Center Report 35 (3):14.
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  34.  19
    Ethics: English High Court Orders Separation of Conjoined Twins.Jacob M. Appel - 2000 - Journal of Law, Medicine and Ethics 28 (3):312-313.
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  35.  27
    Ethics: English High Court Orders Separation of Conjoined Twins.Jacob M. Appel - 2000 - Journal of Law, Medicine and Ethics 28 (3):312-318.
  36.  2
    A Realpolitik for Presidential Health: A Psychiatrist's Perspective.Jacob M. Appel - 2021 - Hastings Center Report 51 (4):12-17.
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