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Ethical Conundrums: Myra Christopher & Medical Science Dilemmas - The Local Show
Medical breakthroughs can be exciting news, but sometimes they can also bring up a host of nagging ethical questions. These types of quandaries weigh on the minds of the staff at the Center for Practical Bioethics in Kansas City, formerly known as the Midwest Bioethics Center.
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In His Last Act, Iraq Veteran's Mission Turns Deeply Personal
"I think it is unfair, in his case, to characterize it as he is killing himself. He has made the decision to stop treating himself. It's a quality of life decision that is within his right," says John Carney of the Center for Practical Bioethics.
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After Years Of Struggle, Veteran Chooses To End His Life
"A health care provider can follow the instructions of a patient and not provide or withdraw medically administered nutrition and hydration," says Sandra Silva of the Center for Practical Bioethics..
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The Right Way to Craft a Living Will
Bloomberg News interviews John Carney president of the Center for Practical Bioethics on "the right way to craft a living will".
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Center for Practical Bioethics names Richard Payne, MD, John B. Francis Chair in Bioethics
Dr. Payne will hold the endowed Chair at the Center for Practical Bioethics which was established by the Francis Family Foundation in 2005 in honor of John B. Francis, philanthropist and long-time friend and board member of the Center.
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Ethical Implications of the US Supreme Court Ruling on the Affordable Care Act
John G. Carney, president and CEO
Center for Practical Bioethics
June 28, 2012
Court’s decision only protects initial phase of healthcare reform – much work remains to create a healthcare system that is just, ethical, fair and humane.
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3 Pain Specialists on Shaping Pain Management Healthcare Policy Featured
Taryn Tawoda
Becker’s Spine Review
April 26, 2012
Effective pain management is a moral imperative, a professional responsibility, and the duty of people in the healing professions. The 2011 Institute of Medicine report "Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education and Research" was developed from this underlying principle. Pain specialists can and should become involved in shaping policy as part of fulfilling that obligation.
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Journalist Lee Woodruff on Bob Woodruff & Help for Injured Veterans
KCUR Radio – Up to Date
April 19, 2012
Lee Woodruff's life was profoundly changed starting in 2006 when her husband, reporter Bob Woodruff, took over for Peter Jennings as co-anchor of ABC's World News Tonight. But the events of a month later changed her - and Bob's life - forever. Tonight she receives the Vision to Action Award, the highest honor of the Center for Practical Bioethics.
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Debate about physician-assisted suicide gains ground in Lawrence, Kansas
Cynthia Newsome
KSHB-TV 41
April 16, 2012
John Carney, President of the Center for Practical Bioethics in Kansas City, Mo., said that people are scared about experiencing pain at the end of their lives and afraid that their wishes will not be carried out.
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End-of-life care: Pain control carries risk of being called a killer
Kevin B. O'Reilly
American Medical News
April 16, 2012
“I’m deeply concerned that if we don’t pay attention to the message in this article, we are going to be dealing with this issue of physicians who are reluctant to do what they know to be right,” said John G. Carney, a former hospice executive director and now president and CEO of the Center for Practical Bioethics in Kansas City, Missouri.
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People with legitimate pain deserve lives worth living
Myra J. Christopher
Guest columnist
Orlando Sentinel
April 12, 2012
Florida's government officials need to be brave enough to take a hard look at the facts before jumping to conclusions about people with legitimate pain issues as contributing to prescription-drug abuse; this causal relationship has never been demonstrated.
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Painkiller Access Debated as Patients Suffer
Radley Balko
Huffington Post
March 9, 2012
Myra Christopher, who works on pain and palliative care at the Center for Practical Bioethics and served on the committee that published the Institute of Medicine report, says that while there are references to patients concerns, they're drowned out by warnings.
"You might see a line, really a throwaway line, in some of the press releases about how these recommended new policies won't preclude or limit access to patients, but the reality is, they do exactly that."
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Relieving Pain in America
Myra Christopher
Opinion Editorial
Huffington Post
March 8, 2012
In forming policy, we must always acknowledge what we don't know. Despite numerous and easily-misinterpreted reports, we still lack meaningful data about abuse and addiction of prescription pain medications.
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Changing how we care for the incurable
Judy Citko & Myra Christopher
San Diego Union Tribune
February 24, 2012
Logistically, there are issues with how we shift the locus of concern of our current system – one designed to fight and cure disease, one body part at a time, to one that recognizes that cure is not always possible, but compassionate care is. Perhaps because of its complexities, changing the way that we view and care for chronic pain, that which cannot be cured, can transform the way that we care for each other no matter the diagnosis, prognosis or where care is provided.
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Rise above the 'opioid wars' to manage chronic pain
Myra J. Christopher
Seattle Times
December 23, 2011
One of the foundational principles of the Institute of Medicine report, Relieving Pain in America, is that there is a moral imperative to treat pain and that health-care professionals are ethically obligated to treat pain to the extent of their professional capacity.
To read that health-care professionals in Washington state are refusing to treat pain, citing fears of the new legislation, or simply giving up in frustration, is unconscionable.
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Relieving Pain in America: How you can help to improve care
Fibromyalgia & Chronic Pain Alert
BlogTalkRadio
December 9, 2011
Host Jan Chambers, president and founder of the NFMCPA, will be chatting with special guest, Myra Christopher, Director of Pain Action Alliance Initiative: A National Strategy
(PAAINS) and the Kathleen M. Foley Chair for the Center for Practical Bioethics.
The IOM Report was published in June of 2011, like so many before it. What makes this Report distinct? Why are organizations and stake holders working collaboratively to advance this report? How is it interrelated to the Affordable Healthcare Act? Why does this particular IOM Report matter to every person in America?
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The Ethics Professors: Intervening When We See Wrongdoing
Up to Date
KCUR Radio
November 29, 2011
Penn State assistant football coach Mike McQueary made the news for reporting an incident of sexual assault he witnessed in the locker room showers. People immediately began asking why he didn’t stop it to which McQueary responded in a later e-mail that he did. The question remains though: How obligated are we to stop a wrong being committed?
Wayne Vaught of the University of Missouri – Kansas City and Glenn McGee of the Center for Practical Bioethics join Steve Kraske to explore these issues, discuss the ethical factors involved and show us why there may be no definitive right or wrong answers.
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John G. Carney appointed President/CEO of the Center for Practical Bioethics
News Release
November 8, 2011
The Center for Practical Bioethics has announced John G. Carney will assume leadership of the Center by January 1, 2012. He replaces the Center’s founding executive, Myra Christopher, as president and chief executive officer.
Carney is a well-known advocate for patients, families and caregivers dealing with chronic and progressive disease.
Christopher will continue with the Center as the Kathleen M. Foley Chair for Pain and Palliative Care.
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Bioethics expert calls for a national strategy to address chronic pain
Alissa Poh
KUMC News
October 25, 2011
The biggest misconception about chronic pain, according to Summer Johnson McGee, PhD, is that it's a symptom of another condition and not a disease in its own right. "There's this notion that pain is to be endured, perhaps even valorized," she says. "I find that unacceptable, given today's medical advances. From a moral perspective, we have a responsibility to ameliorate chronic pain, even if we can't completely eradicate it."
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The Ethics and Business of Gene Patenting
Up to Date – KCUR Radio
October 12, 2011
The American Civil Liberties Union and Public Patent Foundation filed a lawsuit against the U.S. Patent Office and a genetic testing company claiming that gene patents are illegal and a violation of the Constitution. On the other side, universities and biotechnology companies argue that gene patents actually save lives by providing incentives for medical innovation.
Glenn McGee, the John B. Francis Endowed Chair in Bioethics at the Center for Practical Bioethics, joins a panel of experts to discuss the ethics, legalities -- and the big business -- of DNA patenting.
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Pain as a Global Public Health Priority
Daniel S. Goldberg and Summer J. McGee
BMC Public Health
October 6, 2011
The prevalence, incidence, and vast social and health consequences of global pain requires that the public health community give due attention to this issue. Doing so will mean that health care providers and public health professionals will have a more comprehensive understanding of pain and the appropriate public health and social policy responses to this problem.
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Living Wills & Advance Directives Helpful at End of Life
Meryl Lin McKean
WDAF-TV 4
October 4, 2011
A living will or advance directive makes your wishes known about the health care you do or do not want at the end of life. Myra Christopher of the Center for Practical Bioethics points to new research that finds having one makes a difference in several ways including the cost of care.
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Faith & Work
Vicki Brown
The Baptist Standard
August 26, 2011
Frederick Buechner wrote that our vocation lies at the intersection of what the world needs and what makes us glad—or ‘makes your heart sing,’” said Tarris Rosell, the Rosemary Flanigan Chair for the Center for Practical Bioethics in Kansas City.
Often, job loss forces individuals to consider other alternatives, and many seek higher education, including seminary, to follow their “true or new vocation.”
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Christians called to address both immediate needs, social inequities
Vicki Brown
The Baptist Standard
August 26, 2011
Christian entrepreneurs might develop businesses or not-for-profits to create jobs, said Tarris Rosell, the Rosemary Flanigan Chair at the Center for Practical Bioethics in Kansas City. Currently, Rosell is helping create a nongovernmental organization for the prevention of intertribal violence in Kenya.
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Christopher named to nursing certification board
Center News Release
August 24, 2011
Myra Christopher, president and CEO of the Center for Practical Bioethics, has been named to the board of directors of the American Association of Critical-Care Nurses Certification Corporation.
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Impact and Immediacy
The American Journal of Bioethics top ranked for both in Journal Citation Reports for 2010
Center News Release
August 22, 2011
The American Journal of Bioethics has been ranked as the highest impact journal in medical ethics and health policy in 2010 for the fifth consecutive year, with an impact factor more than double that of any other bioethics publication across the last year.
That’s according to Thomson Reuters Institute for Scientific Information’s Journal Citation Reports, the preeminent statistically-based annual ranking of the impact of journals on the world of science and medicine.
“The American Journal of Bioethics has changed all our notions about what kind of impact bioethics can have on public discourse about health,” says Glenn McGee, PhD, the publications’ founder and editor in chief and the John B. Francis Chair at the Center for Practical Bioethics, where AJOB offices are housed.
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HHS cutting red tape to speed clinical trials
Kevin B. O’Reilly
American Medical News
August 15, 2011
“If we can’t build a less expensive, more intelligent IRB system in the United States, then we should expect — along with the other economic rationales for [locating] clinical study in China or India or any number of other possibilities — that it’s just going to get worse and worse and worse,” said Glenn McGee, PhD, Francis Chair at the Center for Practical Bioethics and editor in chief of The American Journal of Bioethics.
“Anything we can do to keep clinical research in the context of the United States’ more broadly protective rules about human research subjects is good.”
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Surrogacy scandal raises question about regulation
Julie Watson
Associated Press
August 11, 2011
Versions of this article were also published online on ABC News and in the Atlanta Journal Constitution, Boston Globe, Detroit News, Forbes, Kansas City Star, Los Angeles Times, Oakland Tribune, San Francisco Examiner, and Seattle Times
“Surrogacy is hard to regulate and hard to do responsibly if there are market pressures, and if there are exploitative and predatory legal practices,” said Glenn McGee, PhD, John B. Francis Chair at the Center for Practical Bioethics. “There is so much potential for abuse here.”
At the same time, he said surrogacy has enriched the lives of countless people yearning to raise a child of their own, and he worries cases like this could stymie efforts to properly regulate it.
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Gender Tests Create Controversy
Eric Burke
FOX 4 News Kansas City
August 10, 2011
New research says a blood test that determines a fetus’ sex is incredibly accurate. In some cases, it can be close to perfect. Glenn McGee, PhD, the John B. Francis Chair at the Center for Practical Bioethics, worries it may raise issues that some parents are not ready to handle.
Links:
• Fetal genetic testing: A troubling technology, Arthur Caplan, Ph.D., MSNBC, August 9
• Test Can Tell Fetal Sex at 7 Weeks, Study Says, New York Times, August 9
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Dr. Richard Payne on Bioethics
Up to Date
KCUR Radio
July 26, 2011
Steve Kraske talks with Dr. Richard Payne of Duke University about how cultural narratives and diverse perspectives might need to be a more significant part of ethical decision-making.
We’ll explore the key bioethical issues facing minority communities, low-income patients and others who have not always had full access to the health care system.
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The Center and the Institute of Medicine Report on Pain
Center News Release
June 29, 2011
As the Institute of Medicine (IOM) releases a landmark report on pain, Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research, a member of the study committee announced she is convening a group to define concrete steps to tackle the national problem.
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Encore Broadcast: The Ethics of Living Forever
Glenn McGee, PhD
KCUR Radio
December 29, 2010
Today, bioethics is focused on helping people make difficult choices in an informed way, choices that often involve how we will die.
But what happens when science offers an opportunity for individuals to evade the grave entirely, or at least for another 25, 50 or 100 years? Is it okay to want to live forever?
Today, an encore broadcast Steve Kraske’s conversation with Dr. Glenn McGee, about the ethical choices created by the incredible new technologies that are changing how long we can live.
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Pain contracts can undermine patient trust, critics say
Kevin B. O’Reilly
American Medical News
December 27, 2010
12.5 million Americans 12 and older used prescription pain relievers in 2009. That kind of adversarial approach is “corrosive to the relationship” and threatens patients in need with abandonment, said Myra Christopher, CEO of the Center for Practical Bioethics, that convened an April meeting on pain contracts.
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South Korean company cleared in deaths following stem cell therapy
CNN
December 14, 2010
“It is very important that we distinguish the words cause and correlation,” said bioethicist Glenn McGee, who participated in the ICMS investigation. He explained that the dangers of the medical procedures undertaken in the treatments does not mean the stem cells used in the therapy are dangerous.
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Nancy Cruzan’s Legacy
Bob Priddy
Missourinet
December 9, 2010
Twenty years ago this month a family tragedy was entering its final stages. The family’s name was Cruzan. People of faith, people of medicine, and families of people are still dealing with the legacy of those events.
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Center addresses advanced illness
Caleb Sommerville
Kansas City Nursing News
October 4, 2010
The Center for Practical Bioethics in Kansas City launched a program to educate patients, their families and physicians about advanced illness and end-of-life care.
The Center started “The Transformation Project: A New Initiative to Improve Advanced Illness Care” to improve care quality for those with terminal illnesses near the end of their lives.
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Obesity looms as weighty employment issue
Aly Van Dyke
Kansas City Business Journal
September 3, 2010
“You had to figure at some point people were going to put on a different pair of glasses when they looked at their employees,” said Glenn McGee, John B. Francis chair in bioethics at the Center for Practical Bioethics in Kansas City. “But does your boss have the right to expect that you won’t get fat?”
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The Ethics of Genetic Selection
Glenn McGee, PhD
Up to Date with Steve Kraske
KCUR Radio
September 2, 2010
In the most important revolution since Darwin, cutting-edge genetic science will soon allow us to speed up and transform our own revolution. What will happen when the forces of natural selection are replaced by the forces of human selection?
Steven Potter PhD and Glenn McGee, Ph.D., holder of the John B. Francis Chair in Bioethics at the Center for Practical Bioethics and founding editor of The American Journal of Bioethics discuss the science behind and ethical issues surrounding genetic selection, and the consequences of this new technology in terms of human evolution.
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Human Egg Sales Raise Bioethical Issues
Scott Carney
Fast Company
September 1, 2010
Glenn McGee predicts that “we will soon begin to recognize the danger of an ant-trail model of reproduction whereby strangers without any responsibility to each other and clinicians able to vanish in a puff of smoke meet in a transaction that culminates in humanity’s ultimate act: creation.”
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Most ED patients willing to wait longer to avoid nondoctor care
Kevin B. O’Reilly
American Medical News
August 30, 2010
“It’s common courtesy that the health care professional introduces him or herself, so I see that as a basic primer of communication with patients and that is taught in nursing schools and medical schools,” said Connie Ulrich, RN, who contributed a commentary to the American Journal of Bioethics in response to the study. “Any time we can be transparent, we should be.”
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Nun has long been a voice for health care ethics
Mary Sanchez
The Kansas City Star
August 5, 2010
If you’ve ever been admitted to a hospital, spent time in a doctor’s office or with a nurse, you’ve likely been touched by Flanigan and her work through the Center for Practical Bioethics. She helped create ethics panels and led discussions for hospitals, researchers and health care agencies.
A celebration of Sister Rosemary’s life and work is scheduled for October 19. Details coming soon.
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Can an Apology Ease the Pain? When Hospitals Make Mistakes
AMN Healthcare
July 16, 2010
“Apologizing is a very different way of thinking and it’s not easy to convince doctors, nurses and hospital administrators of this because it is counter-cultural,” said Myra Christopher, president and CEO of the Center for Practical Bioethics.
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Doctors, prosecutors clash over painkillers
Roxana Hegeman
Associated Press
June 15, 2010
Myra Christopher, president of the Center for Practical Bioethics in Kansas City, Mo., a research center on medical ethics issues, said most government prosecutions appear to be well-founded but that the enforcement is having a “chilling effect” in the legitimate prescribing of painkillers.
“Physicians are very sensitive about these cases and when these cases get a lot of media attention … it compels them to believe their fears are right,” said Christopher.
Note: This article also published in Seattle Times, Kansas City Star, Lexington Herald Leader, National Public Radio online, and various other media outlets.
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In synthetic life, the can is as important as the Coke
Glenn McGee
Science News
June 19th, 2010
I think it’s really dangerous for us to have to say over and over and over again that “synthetic life is coming”when in fact that’s not what happened. The landmark achievement is yet to occur.
Links:
• Podcast, The Ethics of Synthetic Cells, Glenn McGee, PhD, The Bioethics Channel, May 28
• Special report: Where next for synthetic life?, New Scientist, May 26
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Elena Kagan ‘as liberal as they come’ on ‘life’ issues: Bioethicist
USA Today
June 27, 2010
At bioethics.net, Summer Johnson blogs, “All things considered, Kagan is about as liberal as they come” when it comes to bioethics.
Link: Kagan on Bioethics, Bioethics.net, Summer Johnson, PhD
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Guilty Verdict Bad News For Chronic Pain Patients?
Kansas Public Radio
June 25, 2010
A federal court jury found Stephen Schneider and his wife, Linda, guilty of prescription practices that led to the deaths of ten patients. In this report Myra Christopher of the Center for Practical Bioethics explains how even legitimate prosecutions may diminish the level of pain relief for patients who need it.
Link: Couple found guilty in Kansas ‘pill mill’ case, The Wichita Eagle, June 25
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Doctors, prosecutors clash over painkillers
Roxana Hegeman
Associated Press
June 15, 2010
Myra Christopher, president of the Center for Practical Bioethics in Kansas City, Mo., a research center on medical ethics issues, said most government prosecutions appear to be well-founded but that the enforcement is having a “chilling effect” in the legitimate prescribing of painkillers.
“Physicians are very sensitive about these cases and when these cases get a lot of media attention … it compels them to believe their fears are right,” said Christopher.
Note: This article also published in Seattle Times, Kansas City Star, Lexington Herald Leader, National Public Radio online, and various other media outlets.
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Ethics concern over synthetic cell
BBC
May 20, 2010
“There are obviously very important ethical issues,” said Glenn McGee, PhD, editor in chief of the American Journal of Bioethics and Francis Chair at the Center for Practical Bioethics.
“This work has proceeded without any real regulation at all. The science is flying 30,000 feet over the public’s understanding of the ethics.”
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Genome from a bottle
Laura Sanders
Science News
May 20th, 2010
To claim the creation of synthetic life, asserts Glenn McGee of the Center for Practical Bioethics in Kansas City, Mo., the entire organism must be successfully produced from raw materials.
“The landmark achievement has yet to occur,” McGee says. “What they’ve done is they’ve successfully transplanted DNA from one thing to another without noticeably harming the operation of the old DNA, as best they understand it, from their definition of its function. When I put it that way, it’s a hell of a lot less significant.”
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Informed consent: Hospitals explore personalizing risks
Kevin B. O’Reilly
American Medical News
May 17, 2010
Glenn McGee, the Francis Chair at the Center for Practical Bioethics, says that better forms can improve medical decision-making but cannot replace a substantive give-and-take between physician and patient. Securing informed consent from a patient is a skill, he said. “Training people to get a good informed consent is every bit as difficult as training them to get a good history.”
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California, New York mull changes to organ donor laws
CNN
May 11, 2010
Tarris Rosell of the Center for Practical Bioethics said presumed consent infringes on individual’s rights. Some religious and cultural beliefs value the integrity of the body and oppose organ donations, he added.
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Biomedical ethics in a brave, new world
Ken Camp
Associated Baptist Press
May 06, 2010
“We’re still dealing with the age-old question: ‘Given what can be done, ought we?’ But the list of ‘can-do’ options in health care get longer each day; hence, also the ‘ought’ questions and the complexities of knowing right from wrong, good from bad,” said Tarris Rosell, professor at Central Baptist Theological Seminary in Shawnee, Kan., and the Rosemary Flanigan Chair at the Center for Practical Bioethics in nearby Kansas City, Mo.
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Personalized Medicine
The Walt Bodine Show
KCUR Radio
May 3, 2010
Where are we with personalized medicine? And what will it mean for individuals and society as a whole?
Elana Gordon seeks answers with Steven Leeder, division chief, clinical pharmacology and medical toxicology, and professor of pediatrics and pharmacology, Children’s Mercy Hospital and Glenn Edwards McGee, John B. Francis Chair in Bioethics, Center for Practical Bioethics.
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Living wills: Have they failed?
Judith Graham – Chicago Tribune
LexingtonHerald Tribune
April 27, 2010
“We need to move away from a legal model of filling out forms to a social model of having conversations about values, preferences and goals of care at the end of life,” says John Carney, a vice president at the Center for Practical Bioethics in Kansas City.
Other experts agree, but say it doesn’t have to be an either-or proposition.
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Eleanor Clift in Healthcare Reform Battle/Future of Medicare
Up to Date
KCUR Radio
April 14, 2010
In a live broadcast from the Kansas City Library central branch at a symposium sponsored by the Center for Practical Bioethics Steve Kraske talks with Newsweek contributing editor Eleanor Clift and University of Utah School of Medicine professor Perry Fine, MD, about the next steps for health care reform.
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Making informed decisions about end of life
Mary Sanchez
Kansas City Star
April 12, 2010
Friday is an important day – National Healthcare Decisions Day, when people are urged to consider circumstances such as, “Who would you want to make your health care decisions, if you could not?” and “Would you want to be sedated if it was necessary to control your pain?”
The theme promoting the day is “Have You Had the Talk?”
The Center for Practical Bioethics has a guide for such discussions.
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National Healthcare Decisions Day
Health Talk
KMBZ Radio
April 10, 2010
April 16 is National Healthcare Decisions Day, a day to designate someone to speak for you when you can no longer speak for yourself during a serious illness or at the end of life. John Carney of the Center for Practical Bioethics and Ed Kraemer, MD, a family physician talk about it in this edition of Health Talk.
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Court ruling puts human gene patenting in doubt
Scott Canon
Kansas City Star
April 3, 2010
“If a gene in my body is part of nature, then nobody should be able to patent it,” said Glenn McGee, a bioethicist at the Center for Practical Bioethics in Kansas City.
He once wrote an article titled “Gene Patents Could be Ethical.” “I’ve since recanted that,” he said.
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The future of bioethics
Bill Tammeus
Faith Matters Blog
March 29, 2010
So, have you thought about the bioethical questions involved in what we human beings will face in a few years when we begin to integrate such external devices as phones, GPS systems and computer technology into our very bodies?
Glenn McGee has.
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The Ethics of Living Forever
Up to Date
KCUR Radio
February 24, 2010
Glenn McGee, the John B. Francis Chair at the Center for Practical Bioethics, talks about the ethics of living forever in this interview with Steve Kraske.
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Catholic Church sanctions some infertility treatment
Tim Townsend
St. Louis Post-Dispatch
February 16, 2010
“American Catholics are no more going to listen to this than they listen to the church about birth control,” said Glenn McGee, a scholar at the Center for Practical Bioethics in Kansas City.
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