Abstract:
:Dr Caitríona L Cox's recent article expounds the far-reaching implications of the 'Healthcare Hero' metaphor. She presents a detailed overview of heroism in the context of clinical care, revealing that healthcare workers, when portrayed as heroes, face challenges in reconciling unreasonable expectations of personal sacrifice without reciprocity or ample structural support from institutions and the general public. We use narrative medicine, a field primarily concerned with honouring the intersubjective narratives shared between patients and providers, in our attempt to deepen the discussion about the ways Healthcare Heroes engenders military metaphor, antiscience discourse, and xenophobia in the USA. We argue that the militarised metaphor of Healthcare Heroes not only robs doctors and nurses of the ability to voice concerns for themselves and their patients, but effectively sacrifices them in a utilitarian bargain whereby human life is considered the expendable sacrifice necessary to 'open the U.S. economy'. Militaristic metaphors in medicine can be dangerous to both doctors and patients, thus, teaching and advocating for the critical skills to analyse and alter this language prevents undue harm to providers and patients, as well as our national and global communities.
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
Khan Z,Iwai Y,DasGupta Sdoi
10.1136/medethics-2020-106753subject
Has Abstractpub_date
2020-12-16 00:00:00eissn
0306-6800issn
1473-4257pii
medethics-2020-106753pub_type
杂志文章abstract::Artificial intelligence (AI) is expected to revolutionise the practice of medicine. Recent advancements in the field of deep learning have demonstrated success in variety of clinical tasks: detecting diabetic retinopathy from images, predicting hospital readmissions, aiding in the discovery of new drugs, etc. AI's pro...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2019-105935
更新日期:2020-07-01 00:00:00
abstract::Medical ethical analysis remains dominated by the principlist account first proposed by Beauchamp and Childress. This paper argues that the principlist model is unreflective of how ethical decisions are taken in clinical practice. Two kinds of medical ethical decisions are distinguished: biosocial ethics and clinical ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2011-100136
更新日期:2012-04-01 00:00:00
abstract::The United Kingdom Central Council for Nursing, Midwifery and Health Visitors (UKCC) document, Exercising Accountability, states that the role of patient's advocate is an essential aspect of good professional nursing practice (1). The author examines the case for and against the nurse being the best person to act as a...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.20.3.152
更新日期:1994-09-01 00:00:00
abstract::The Handicap Division of the Society for the Protection of the Unborn Child (SPUC) organized picketing of Britain's Medical Research Council to protest against trials of multivitamin supplementation for high-risk pregnant women to prevent development of spina bifida in the fetus. The trials have been condemned by man...
journal_title:Journal of medical ethics
pub_type: 新闻
doi:10.1136/jme.10.3.165
更新日期:1984-09-01 00:00:00
abstract:BACKGROUND:Studies describing physicians' experiences with sedation at the end of life are indispensible for informed palliative care practice, but they are scarce. We describe the accounts of physicians from the USA and the Netherlands, two countries with different regulations on end-of-life decisions regarding their ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-100561
更新日期:2014-04-01 00:00:00
abstract::Too many people now have access to confidential medical information. Patients are becoming justifiably wary and the doctor-patient relationship is deteriorating. We can avert the developing crisis by allowing patients to keep their own medical records at home. This will ensure that confidentiality is respected and tha...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.10.1.27
更新日期:1984-03-01 00:00:00
abstract::This article, prompted by an extended essay published in the Journal of Medical Ethics by Charles Foster, and the current controversy surrounding the case of Vincent Lambert, analyses the legal and ethical arguments in relation to the withdrawal of life-sustaining treatment from patients with prolonged disorders of co...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2019-105599
更新日期:2019-12-01 00:00:00
abstract::This personal narrative tugs at the heart strings. However, personal narratives are not sufficient to justify public funding for any screening policy. We have to take seriously the 'just caring' problem. We have only limited resources to meet virtually unlimited health care needs. No doubt, screening tests often save ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2019-105884
更新日期:2020-04-01 00:00:00
abstract::Moral evaluation of risk/benefit in early phase studies requires assessing the clinical promise of a candidate intervention using preclinical evidence. Yet, there is little to guide ethics committees, investigators, sponsors or other stakeholders morally charged with making these assessments ('evaluators'). In what fo...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2015-102882
更新日期:2016-01-01 00:00:00
abstract::One of the central arguments given to resist testing currently healthy, asymptomatic children for adult-onset diseases is that they may be psychologically harmed by the knowledge gained from such tests. In this discussion I examine two of the most serious arguments: children who are tested may face limited futures, an...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.019802
更新日期:2008-04-01 00:00:00
abstract::Recent literature has highlighted issues of racial discrimination in medicine. In order to explore the sometimes subtle influence of racial determinants in decisions about resource allocation, we present the case of a 53-year-old Australian Aboriginal woman with end-stage renal failure. The epidemiology of renal failu...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.21.6.356
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND:More and more quantitative information is becoming available about the risks of complications arising from medical treatment. In everyday practice, this raises the question whether each and every risk, however low, should be disclosed to patients. What could be good reasons for doing or not doing so? This wi...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2005.014936
更新日期:2007-02-01 00:00:00
abstract::Nigel Biggar (2015) argues that religion deserves a place in secular medicine. Biggar suggests we abandon the standard rationalistic conception of the secular realm and see it rather as "a forum for the negotiation of rival reasonings". Religious reasoning is one among a number of ways of thinking that must vie for ac...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/medethics-2015-102805
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:This article describes a method for investigating attitudes towards prioritisation in medicine. SETTING:University of Kuopio, Finland. DESIGN:The method consisted of a set of 24 paired scenarios, which were imaginary patient cases, each containing three different ethical indicators randomly selected from a ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.22.4.238
更新日期:1996-08-01 00:00:00
abstract::Why do we persist in the relentless pursuit of artificial nourishment and other treatments to maintain a permanently unconscious existence? In facing the future, if not the present world-wide reality of a huge number of persistent vegetative state (PVS) patients, will they be treated because of our ethical commitment ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.19.2.71
更新日期:1993-06-01 00:00:00
abstract::This article discusses what level of consent is needed from a child or parent before a primary-school medical can take place (i.e. where children are aged under 12). It also considers whether there are occasions when a doctor can see a child if the parents have failed to give consent or have explicitly refused consent...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.26.6.469
更新日期:2000-12-01 00:00:00
abstract::Traditionally, surgical practice has been experiential and based on the contemporary understanding of basic mechanisms of disease. It was both a science and an art and depended to far too great an extent on the individualism and self belief of its main exponents. "Evidence based medicine" (EBM) emerged in the 1980s an...
journal_title:Journal of medical ethics
pub_type: 杂志文章,评审
doi:10.1136/jme.2003.007054
更新日期:2004-04-01 00:00:00
abstract::Recent studies using functional magnetic resonance imaging of patients in a vegetative state have raised the possibility that such patients retain some degree of consciousness. In this paper, the ethical implications of such findings are outlined, in particular in relation to decisions about withdrawing life-sustainin...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2008.029165
更新日期:2009-08-01 00:00:00
abstract::A National Committee for the Ethics of Research could consider new questions arising from innovations in research or practice, deal with multi-centre trials, adjudicate when separate local committees give conflicting advice about similar projects, or oversee the work of district committees. The value of each of these ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.16.3.146
更新日期:1990-09-01 00:00:00
abstract::This paper is not about the medical condition of AIDS. Nor is it about the history of the condition since it was first reported in Atlanta, Georgia in 1981. It looks rather, at the catalogue of legislative and other legal responses to the spread of AIDS. The paper analyses the AIDS condition in its historical context....
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.12.4.187
更新日期:1986-12-01 00:00:00
abstract::According to estimates more than 400 biobanks currently operate across Europe. The term 'biobank' indicates a specific field of genetic study that has quietly developed without any significant critical reflection across European societies. Although scientists now routinely use this phrase, the wider public is still co...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2010.041632
更新日期:2012-06-01 00:00:00
abstract::The right not to know is underappreciated in policy-making. Despite its articulation in medical law and ethics, policy-makers too easily let other concerns override the right not to know. This observation is triggered by a recent decision of the Dutch government on embryo selection for Huntington's disease. This is a ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2009.031047
更新日期:2010-01-01 00:00:00
abstract::Robert Veatch and others have questioned whether there are internal moral rules of medicine. This paper examines the legal regulatory model for governing professions as the autonomous exercise of professional skills and asks whether there is a theoretical basis for this model. Taking John Rawls's distinction between t...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2018-105069
更新日期:2019-03-01 00:00:00
abstract::In 'Abortion and deprivation: a reply to Marquis', Anna Christensen contends that Don Marquis' influential 'future like ours' argument for the immorality of abortion faces a significant challenge from the Epicurean claim that human beings cannot be harmed by their death. If deprivation requires a subject, then abortio...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/medethics-2018-105267
更新日期:2019-07-01 00:00:00
abstract:PURPOSE:Explore public attitudes towards the trade-offs between justice and medical outcome inherent in organ allocation decisions. BACKGROUND:The US Task Force on Organ Transplantation recommended that considerations of justice, autonomy and medical outcome be part of all organ allocation decisions. Justice in this c...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.018291
更新日期:2008-02-01 00:00:00
abstract::Genetic parenthood is usually portrayed as a value-neutral concept that can be confirmed or rejected based on objective, scientific tests. However, on inspection, it is exposed as a very complex idea that we might need to consider as something that comes in different shapes and forms and that is open to interpretation...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2013-101830
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:This study aimed to determine attitudinal and self reported behavioural variations between medical students in different years to scenarios involving academic misconduct. DESIGN:A cross-sectional study where students were given an anonymous questionnaire that asked about their attitudes to 14 scenarios desc...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.29.2.97
更新日期:2003-04-01 00:00:00
abstract::In contemporary medical ethics health is rarely acknowledged to be an ethical obligation. This oversight is due to the preoccupation of most bioethicists with a rationalist, contract model for ethics in which moral obligation is limited to truth-telling and promise-keeping. Such an ethics is poorly suited to medicine ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.10.3.138
更新日期:1984-09-01 00:00:00
abstract:UNLABELLED:The difficulties of undertaking good quality effectiveness research in palliative medicine are well documented. Much of the ethical literature in this area focuses on the vulnerability of the palliative care population. It is clear that a wider ethical approach will need to be used to justify research in the...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2007.022632
更新日期:2008-10-01 00:00:00
abstract::The COVID-19 pandemic will likely recede only through development and distribution of an effective vaccine. Although there are many unknowns surrounding COVID-19 vaccine development, vaccine demand will likely outstrip early supply, making prospective planning for vaccine allocation critical for ensuring the ethical d...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2020-106850
更新日期:2020-12-17 00:00:00