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![A graphic stating the Ethics Dispatch is like an ethics committee meeting in a box. With four topic sections: monthly hot topic, new clinical ethics case study, current bioethics news stories and ethical musing essay.]()
When the ECMO Bridge Leads Nowhere
No Tidy Answers: When the ECMO Bridge Leads Nowhere Perhaps it’s not about destination but the journey. That when we cannot alter the destination, we can profoundly shape the experience of getting there. The case study picks up the topic with a patient whose husband requests ECMO to save her life without her consent. Ryan follows up with the one question to ask about ECMO and other medical miracles. The Center for Practical Bioethics.
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![Child playing on a swing.]()
Case Study: When Vaccination Status Leads to Conflict
Bioethics case study on parents reacting defensively when doctors ask about the child’s vaccination status. Physicians question their response to anti-vax parents. Published by the Center for Practical Bioethics.
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![A child's hand laying open.]()
Bioethics Case Study – When a Parent Overrules Their Child’s Best Interests
When parents overrule their child’s best interest is the topic of this Bioethics case study in VIDEO and PRINT. Patient self-determination and personal autonomy are central components of ethically appropriate care. Published by the Center for Practical Bioethics.
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![A graphic stating the Ethics Dispatch is like an ethics committee meeting in a box. With four topic sections: monthly hot topic, new clinical ethics case study, current bioethics news stories and ethical musing essay.]()
Doing Harm: Vaccine Policy in the Age of Distortion
Doing Harm: Vaccine Policy in the Age of Distortion The January 2026 Ethics Dispatch discusses how the current head of the Department of Health and Human Services, Robert F. Kennedy Jr., who is calling for the reduction or even the elimination of childhood vaccine and by doing so, is doing harm. The Center for Practical Bioethics.
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![Bushes cut to the shape of a question mark in a field.]()
Case Study: Starting ECMO Without Consent
Bioethics case study on starting ECMO without consent. Starting ECMO: Husband Requests Intervention for Wife Without Her Consent The patient’s husband requests ECMO without her consent. Center for Practical Bioethics
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![A hand intervening in dominoes falling. Stopping the process.]()
Bioethics Case Study – ECMO and Healthcare Technology
Bioethics case study on ECMO and Healthcare Technology in VIDEO and PRINT. Technology Means Hard Choices: To Start or Not to Start ECMO. His wife became critically ill and had to be transferred to the ICU after delivering her baby via emergency C-section. She continued to decline in the ICU to the point that her only chance of survival was to be transferred to another hospital to start ECMO. Published by the Center for Practical Bioethics.
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![Ink stamps spelling out "no!"]()
Case Study: Undocumented Patient Relies on Hospital ED
Bioethics case study on undocumented patients denied care. Mr. Ramirez is a 44-year-old male with multiple medical conditions, including cirrhosis of the liver and acute kidney failure. He has expressed that outpatient dialysis would indeed be his preference, but due to his undocumented status, accessing it is not an option.
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![One bird figurine is rejecting the other bird figurine.]()
Case Study: COPD Patient Rejects Science on Smoking
Bioethics case study on patients rejecting science. Bonnie, the patient, stated that she does not believe smoking causes health problems, noting that her father was a lifelong smoker who smoked until the day he died at the age of 94, without any apparent smoking-related illnesses. The medical team is uncertain how to proceed with treatment, and an ethics consult has been requested. Center for Practical Bioethics
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![Arrows on pavement to represent having to make a choice.]()
Bioethics Case Study – When Facilities Refuse Admission
Bioethics case study on when facilities refuse admission, hospitals are the last resort in VIDEO and PRINT. Hospitals must jump through hoops to find facilities that can meet patient mental health needs. Without a deliberate effort to provide for such patients, they will continue to remain abandoned by society and left to places of last resort, typically the hospital. Published by the Center for Practical Bioethics.
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![A graphic stating the Ethics Dispatch is like an ethics committee meeting in a box. With four topic sections: monthly hot topic, new clinical ethics case study, current bioethics news stories and ethical musing essay.]()
Ethics Dispatch November 2025 Beneficence
The November 2025 Ethics Dispatch discusses beneficence in the season of caring . What does it mean to actively do good? 150,000 people with serious mental illness live in nursing homes, often longer than their medical needs require because the broader system has no place for them to go. In the case study we learn about a patient ready for discharge, but no facilities will take him. Then we discuss the shortcomings of EMTALA and how they demonstrate the need to rediscover the theory of medicine so that its practice meets patients’ needs. The Center for Practical Bioethics.
