70 found
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  1.  43
    Should the “Slow Code” Be Resuscitated?John D. Lantos & William L. Meadow - 2011 - American Journal of Bioethics 11 (11):8-12.
    Most bioethicists and professional medical societies condemn the practice of ?slow codes.? The American College of Physicians ethics manual states, ?Because it is deceptive, physicians or nurses should not perform half-hearted resuscitation efforts (?slow codes?).? A leading textbook calls slow codes ?dishonest, crass dissimulation, and unethical.? A medical sociologist describes them as ?deplorable, dishonest and inconsistent with established ethical principles.? Nevertheless, we believe that slow codes may be appropriate and ethically defensible in situations in which cardiopulmonary resuscitation (CPR) is likely (...)
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  2.  22
    Sequencing Newborns: A Call for Nuanced Use of Genomic Technologies.Josephine Johnston, John D. Lantos, Aaron Goldenberg, Flavia Chen, Erik Parens & Barbara A. Koenig - 2018 - Hastings Center Report 48 (S2):S2-S6.
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  3.  56
    The Doctor-Patient Relationship in the Post-Managed Care Era.G. Caleb Alexander & John D. Lantos - 2006 - American Journal of Bioethics 6 (1):29 – 32.
    The growth of managed care was accompanied by concern about the impact that changes in health care organization would have on the doctor-patient relationship. We now are in a “post-managed care era,” where some of these changes in health care delivery have come to pass while others have not. A re-examination of the DPR in this setting suggests some surprising results. Rather than posing a new and unprecedented threat, managed care was simply the most recent of numerous strains on the (...)
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  4.  5
    SUPPORT and the Ethics of Study Implementation: Lessons for Comparative Effectiveness Research From the Trial of Oxygen Therapy for Premature Babies.John D. Lantos & Chris Feudtner - 2015 - Hastings Center Report 45 (1):30-40.
  5.  16
    Sequencing Newborns: A Call for Nuanced Use of Genomic Technologies.Josephine Johnston, John D. Lantos, Aaron Goldenberg, Flavia Chen, Erik Parens, Barbara A. Koenig, Members of the Nsight Ethics & Policy Advisory Board - forthcoming - Zygon.
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  6.  5
    Muddled Measures of Risks and Misremembered Reasons.John D. Lantos & Chris Feudtner - 2015 - Hastings Center Report 45 (3):4-5.
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  7.  59
    Are Newborns Morally Different From Older Children?Annie Janvier, Karen Lynn Bauer & John D. Lantos - 2007 - Theoretical Medicine and Bioethics 28 (5):413-425.
    Policies and position statements regarding decision-making for extremely premature babies exist in many countries and are often directive, focusing on parental choice and expected outcomes. These recommendations often state survival and handicap as reasons for optional intervention. The fact that such outcome statistics would not justify such approaches in other populations suggests that some other powerful factors are at work. The value of neonatal intensive care has been scrutinized far more than intensive care for older patients and suggests that neonatal (...)
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  8.  4
    Medically Vulnerable Clinicians and Unnecessary Risk During the COVID-19 Pandemic.Annie Janvier & John D. Lantos - forthcoming - American Journal of Bioethics:1-2.
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  9.  15
    Considering Whether the Dismissal of Vaccine-Refusing Families Is Fair to Other Clinicians.Michael J. Deem, Mark Christopher Navin & John D. Lantos - 2018 - JAMA Pediatrics 172 (6):515-516.
  10.  37
    Rethinking Professional Ethics in the Cost-Sharing Era.G. Caleb Alexander, Mark A. Hall & John D. Lantos - 2006 - American Journal of Bioethics 6 (4):W17-W22.
    Changes in healthcare financing increasingly rely upon patient cost-sharing to control escalating healthcare expenditures. These changes raise new challenges for physicians that are different from those that arose either under managed care or traditional indemnity insurance. Historically, there have been two distinct bases for arguing that physicians should not consider costs in their clinical decisions?an ?aspirational ethic? that exhorts physicians to treat all patients the same regardless of their ability to pay, and an ?agency ethic? that calls on physicians to (...)
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  11. Confessions of a Medicine Man: An Essay in Popular Philosophy (Review).John D. Lantos - 2001 - Perspectives in Biology and Medicine 44 (1):132-134.
  12.  12
    Vaccine Mandates Are Justifiable Because We Are All in This Together.John D. Lantos & Mary Anne Jackson - 2013 - American Journal of Bioethics 13 (9):1 - 2.
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  13.  26
    Genomic Contraindications for Heart Transplantation.Danton S. Char, Gabriel Lázaro-Muñoz, Aliessa Barnes, David Magnus, Michael J. Deem & John D. Lantos - 2017 - Pediatrics 139 (4).
  14.  18
    What We Do When We Resuscitate Extremely Preterm Infants.Jeremy R. Garrett, Brian S. Carter & John D. Lantos - 2017 - American Journal of Bioethics 17 (8):1-3.
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  15.  13
    Informed Consent for Comparative Effectiveness Research Should Not Consider the Risks of the Standard Therapies That Are Being Studied as Risks of the Research.John D. Lantos - 2017 - Journal of Law, Medicine and Ethics 45 (3):365-374.
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  16. Ethics Committees and Resource Allocation.John D. Lantos - 1994 - Bioethics Forum 10:27-29.
  17.  10
    When Deeply Held Personal Beliefs Conflict with Collective Societal Norms.John D. Lantos - 2019 - Perspectives in Biology and Medicine 62 (3):503-518.
    In complex societies, there will always be situations in which an individual's deeply held beliefs conflict with the collective norms of the society. When only one individual challenges those norms, the norms generally hold. When challenges come from many individuals, the norms themselves may change. The tolerance for different beliefs will depend upon the political structure of the society and the specific beliefs that are being challenged.The Greek tragedy Antigone is an exploration of the choices that rulers can make regarding (...)
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  18.  13
    Do Patients Want to Participate in Decisions About Their Own Medical Care?John D. Lantos - 2015 - American Journal of Bioethics 15 (10):1-2.
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  19.  4
    Do We Still Need Doctors?John D. Lantos - 1997 - Routledge.
    Written with poignancy and compassion, Do We Still Need Doctors? is a personal account from the front lines of the moral and political battles that are reshaping America's health care system. Using compelling firsthand experiences, clinical vignettes, and moral arguments, John D. Lantos, a pediatrician, asks whether, as we proceed with the redesign of our health care system, doctors will -- or should -- continue to fulfill the roles and responsibilities that they have in the past. Interspersing moving personal stories (...)
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  20.  25
    The Karamazov Complex: Dostoevsky and DNR Orders.Martha M. Montello & John D. Lantos - 2002 - Perspectives in Biology and Medicine 45 (2):190-199.
  21.  34
    Innovation in Human Research Protection: The AbioCor Artificial Heart Trial.E. Haavi Morreim, George E. Webb, Harvey L. Gordon, Baruch Brody, David Casarett, Ken Rosenfeld, James Sabin, John D. Lantos, Barry Morenz, Robert Krouse & Stan Goodman - 2006 - American Journal of Bioethics 6 (5):W6-W16.
  22.  3
    What We Talk About When We Talk About Ethics.John D. Lantos - 2014 - Hastings Center Report 44 (s1):S40-S44.
  23.  3
    Randomized Trials Are Deeply Offensive.John D. Lantos - 2020 - American Journal of Bioethics 20 (1):3-5.
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  24.  11
    The Weird Divergence of Ethics and Regulation With Regard to Informed Consent.John D. Lantos - 2013 - American Journal of Bioethics 13 (12):31-33.
  25.  5
    Healthcare Organizations and High Profile Disagreements.Bryanna Moore & John D. Lantos - 2020 - Bioethics 34 (3):281-287.
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  26.  25
    Does Pediatrics Need its Own Bioethics?John D. Lantos - 2010 - Perspectives in Biology and Medicine 53 (4):613-624.
  27.  38
    Commentary: Physicians as Public Servants in the Setting of Bioterrorism.G. Caleb Alexander & John D. Lantos - 2006 - Cambridge Quarterly of Healthcare Ethics 15 (4):422-423.
    Physicians have special professional obligations to respond to medical emergencies. A bioterrorism attack would be a medical emergency. Thus, it seems that physicians would have an obligation to respond to a bioterrorist attack. However, the scope of those obligations, and their limits, are vexed topics. General rules may be comforting but the details and nuances of particular situations will always be relevant.
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  28.  5
    Commentary on "a Draft Model Aggregated Code for Bioethicists".John D. Lantos - 2005 - American Journal of Bioethics 5 (5):45 – 46.
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  29.  15
    Review of Ruth Levy Guyer. Baby at Risk: The Uncertain Legacies of Medical Miracles for Babies, Families, and Society 1. [REVIEW]John D. Lantos - 2007 - American Journal of Bioethics 7 (10):45-46.
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  30.  28
    Attitudes of Paediatric and Obstetric Specialists Towards Prenatal Surgery for Lethal and Non-Lethal Conditions.Ryan M. Antiel, Farr A. Curlin, John D. Lantos, Christopher A. Collura, Alan W. Flake, Mark P. Johnson, Natalie E. Rintoul, Stephen D. Brown & Chris Feudtner - forthcoming - Journal of Medical Ethics:medethics-2017-104377.
    Background While prenatal surgery historically was performed exclusively for lethal conditions, today intrauterine surgery is also performed to decrease postnatal disabilities for non-lethal conditions. We sought to describe physicians' attitudes about prenatal surgery for lethal and non-lethal conditions and to elucidate characteristics associated with these attitudes. Methods Survey of 1200 paediatric surgeons, neonatologists and maternal–fetal medicine specialists. Results Of 1176 eligible physicians, 670 responded. In the setting of a lethal condition for which prenatal surgery would likely result in the child (...)
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  31.  20
    Veatch Hates Hippocrates.John D. Lantos - 2010 - Hastings Center Report 40 (1):46-47.
  32.  12
    The Linares Affair.John D. Lantos, Steven H. Miles & Christine K. Cassel - 1989 - Journal of Law, Medicine and Ethics 17 (4):308-315.
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  33.  13
    Costs and End-of-Life Care in the NICU: Lessons for the MICU?John D. Lantos & William L. Meadow - 2011 - Journal of Law, Medicine and Ethics 39 (2):194-200.
    Neonatal intensive care units (NICUs) and medical intensive care units (MICUs) are both very expensive. The cost-effectiveness of NICUs has been extensively evaluated, as has the long-term outcomes of subpopulations of NICU patients. NICU treatment is among the most cost-effective of high-tech interventions. And most patients do well. There are fewer evaluations of cost-effectiveness in the MICU and almost no long-term outcome studies. Policymakers who scrutinize expensive high-tech interventions would do well to study the examples found in the NICU.
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  34.  3
    Costs and End-of-Life Care in the NICU: Lessons for the MICU?John D. Lantos & William L. Meadow - 2011 - Journal of Law, Medicine and Ethics 39 (2):194-200.
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  35.  14
    The Linares Affair.John D. Lantos, Steven H. Miles & Christine K. Cassel - 1989 - Journal of Law, Medicine and Ethics 17 (4):308-315.
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  36.  17
    Commentary: Physicians as Public Servants in the Setting of Bioterrorism.G. Caleb Alexander & John D. Lantos - 2006 - Cambridge Quarterly of Healthcare Ethics 15 (4):422-423.
    Physicians have special professional obligations to respond to medical emergencies. A bioterrorism attack would be a medical emergency. Thus, it seems that physicians would have an obligation to respond to a bioterrorist attack. However, the scope of those obligations, and their limits, are vexed topics. General rules may be comforting but the details and nuances of particular situations will always be relevant.
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  37.  22
    Research in Wonderland: Does "Minimal Risk" Mean Whatever an Institutional Review Board Says It Means?John D. Lantos - 2007 - American Journal of Bioethics 7 (3):11 – 12.
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  38.  18
    Fragile Lives with Fragile Rights: Justice for Babies Born at the Limit of Viability.Manya J. Hendriks & John D. Lantos - 2018 - Bioethics 32 (3):205-214.
    There is an inconsistency in the ways that doctors make clinical decisions regarding the treatment of babies born extremely prematurely. Many experts now recommend that clinical decisions about the treatment of such babies be individualized and consider many different factors. Nevertheless, many policies and practices throughout Europe and North America still appear to base decisions on gestational age alone or on gestational age as the primary factor that determines whether doctors recommend or even offer life-sustaining neonatal intensive care treatment. These (...)
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  39.  6
    Bethann's Death.John D. Lantos - 1995 - Hastings Center Report 25 (2):22-23.
  40.  15
    Stories of Biology and MedicineThe Gold Bug VariationsOperation Wandering SoulGalatea 2.2. [REVIEW]John D. Lantos & Richard Powers - 1996 - Hastings Center Report 26 (3):17.
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  41.  9
    The Sociobiology of Humanism.John D. Lantos - 2006 - Hastings Center Report 36 (6):20-22.
  42.  34
    Commentary: Liver-Donors Liver Transplants.James F. Blumstein, Arthur Caplan, Kazumasa Hoshino, Mark Siegler & John D. Lantos - 1992 - Cambridge Quarterly of Healthcare Ethics 1 (4):307.
  43.  30
    Reconsidering Action: Day-to-Day Ethics in the Work of Medicine. [REVIEW]John D. Lantos - 1999 - HEC Forum 11 (1):52-57.
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  44. The Last Physician Walker Percy and the Moral Life of Medicine.Carl Elliott & John D. Lantos - 1999
     
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  45. The Ethical Assessment of Innovative Therapies: Liver Transplantation Using Living Donors.Peter A. Singer, Mark Siegler, John D. Lantos, Jean C. Emond, Peter F. Whitington, J. Richard Thistlethwaite & Christoph E. Broelsch - 1990 - Theoretical Medicine and Bioethics 11 (2).
    Liver transplantation is the treatment of choice for many forms of liver disease. Unfortunately, the scarcity of cadaveric donor livers limits the availability of this technique. To improve the availability of liver transplantation, surgeons have developed the capability of removing a portion of liver from a live donor and transplanting it into a recipient. A few liver transplants using living donors have been performed worldwide.Our purpose was to analyze the ethics of liver transplants using living donors and to propose guidelines (...)
     
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  46.  9
    Best Interest, Harm, God’s Will, Parental Discretion, or Utility.John D. Lantos - 2018 - American Journal of Bioethics 18 (8):7-8.
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  47.  1
    In Practice: Just Visiting.John D. Lantos - 2004 - Hastings Center Report 34 (3):6.
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  48.  1
    Just Visiting.John D. Lantos - 2004 - Hastings Center Report 34 (3):6-7.
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  49. Correspondence.James B. Swire, Peter A. Singer, Mark Siegler, John D. Lantos, Jean C. Emond, Peter F. Whitington, J. Richard Thistlethwaite & Christoph E. Broelsch - 1990 - Theoretical Medicine and Bioethics 11 (4).
     
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  50.  5
    Should We Always Tell Children the Truth?John D. Lantos - 1996 - Perspectives in Biology and Medicine 40 (1):78.
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