79 found
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  1.  46
    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.  26
    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.  57
    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.  67
    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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  5.  11
    Our suffering and the suffering of our time.John D. Lantos - 2020 - Theoretical Medicine and Bioethics 41 (4):197-201.
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  6.  41
    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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  7.  8
    Healthcare Organizations and High Profile Disagreements.Bryanna Moore & John D. Lantos - 2020 - Bioethics 34 (3):281-287.
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  8.  5
    Death and the Neonate.Bryanna Moore & John D. Lantos - 2021 - Journal of Medical Ethics 47 (4):227-228.
    Dominic Wilkinson suggests that one of Schubert’s songs has relevance for neonatologists today. In the song, Schubert suggests that death sometimes comes as a friend. Wilkinson ponders whether the song has a message for doctors and parents, who sometimes struggle to figure out whether death is an enemy or a friend to a dying baby. Wilkinson reflects on the case of baby ‘Hal’, who was born with serious cardiomyopathy. Hal’s parents and doctors disagree about whether to withdraw life-support. Through his (...)
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  9.  19
    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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  10.  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.
  11.  44
    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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  12.  7
    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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  13.  26
    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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  14.  6
    Muddled Measures of Risks and Misremembered Reasons.John D. Lantos & Chris Feudtner - 2015 - Hastings Center Report 45 (3):4-5.
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  15.  27
    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.
    A recent American Academy of Pediatrics (AAP) clinical report states that it is an acceptable option for pediatric care clinicians to dismiss families who refuse vaccines. This is a clear shift in guidance from the AAP, which previously advised clinicians to “endeavor not to discharge” patients solely because of parental vaccine refusal. While this new policy might be interpreted as encouraging or recommending dismissal of vaccine-refusing families, it instead expresses tolerance for diverse professional approaches. This is unlike the earlier guidance, (...)
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  16.  22
    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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  17.  35
    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).
  18.  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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  19.  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.
    There is a debate at the highest levels of government about how to classify the risks of research studies that evaluate therapies that are in widespread use. Should the risks of those therapies be considered as risks of research that is designed to evaluate those therapies? Or not? The Common Rule states, “In evaluating risks and benefits, the IRB should consider only those risks and benefits that may result from the research.” ). By contrast, the Office of Human Research Protections, (...)
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  20.  4
    What We Talk About When We Talk About Ethics.John D. Lantos - 2014 - Hastings Center Report 44 (s1):S40-S44.
  21.  8
    Treatment Decisions for Babies with Trisomy 13 and 18.Isabella Pallotto & John D. Lantos - 2017 - HEC Forum 29 (3):213-222.
    Many babies with trisomy 13 and 18 die in the first year of life. Survivors all have severe cognitive impairment. There has been a debate among both professionals and parents about whether it is appropriate to provide life-sustaining interventions to babies with these serious conditions. On one side of the debate are those who argue that there is no point in providing invasive, painful, and expensive procedures when the only outcomes are either early death or survival with severe cognitive impairment. (...)
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  22.  32
    The Karamazov Complex: Dostoevsky and DNR Orders.Martha M. Montello & John D. Lantos - 2002 - Perspectives in Biology and Medicine 45 (2):190-199.
  23.  14
    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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  24.  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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  25.  40
    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.
  26.  14
    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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  27.  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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  28. Confessions of a Medicine Man: An Essay in Popular Philosophy (Review).John D. Lantos - 2001 - Perspectives in Biology and Medicine 44 (1):132-134.
  29.  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.
    Providing care for a baby born at 24 weeks of gestation in a neonatal intensive care unit is one of the most expensive medical treatments in the United States today. The cost can easily run over $300,000 for one baby. Furthermore, many extremely premature babies who survive are left with chronic diseases or disabilities that require further medical expenses and other specialized services throughout childhood or throughout life. When all these expenditures are totaled up, it can seem that neonatal intensive (...)
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  30. Ethics Committees and Resource Allocation.John D. Lantos - 1994 - Bioethics Forum 10:27-29.
  31.  87
    Thirteen Ways of Looking at Henrietta Lacks.John D. Lantos - 2016 - Perspectives in Biology and Medicine 59 (2):228-233.
    What are we to make of Henrietta Lacks? After dying at a young age more than half a century ago, she has now become immortal twice—once biologically, and once culturally.She was first immortalized when cells from her cervical biopsy were cultured and became the first immortal cell line. The idea that this made Lacks herself immortal illustrates the dangerous temptations of genetic reductionism and literary license. Such literary license is illustrated by the title of Rebecca Skloot’s remarkable 2011 bestselling book (...)
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  32.  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.
  33.  26
    Does Pediatrics Need its Own Bioethics?John D. Lantos - 2010 - Perspectives in Biology and Medicine 53 (4):613-624.
  34.  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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  35.  29
    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 - 2017 - 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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  36.  21
    Veatch Hates Hippocrates.John D. Lantos - 2010 - Hastings Center Report 40 (1):46-47.
  37. Primum Non Nocere Today a Symposium on Pediatric Bioethics : Proceedings of the International Symposium on Pediatric Bioethics, Pavia, 26-28 May 1994. [REVIEW]G. R. Burgio & John D. Lantos - 1994 - Elsevier Science Limited.
    Aggressive therapies and the manipulation of life are now commonly applied to children, often including neonates and children who cannot express their consent. This text discusses a range of bioethical dilemmas concerning children and medicine.
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  38. Withholding Information to Protect a Loved One.Todd J. Kilbaugh, Daniel Groll, Nabina Liebow, Wynne Morrison & John D. Lantos - 2016 - Pediatrics 6 (136).
    Parents respond to the death of a child in very different ways. Some parents may be violent or angry, some sad and tearful, some quiet and withdrawn, and some frankly delusional. We present a case in which a father’s reaction to his daughter’s death is a desire to protect his wife from the stressful information. The wife is in the second trimester of a high-risk pregnancy and so is particularly fragile. We asked pediatricians and bioethicists to discuss the ways in (...)
     
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  39. Ethical Issues in Neonatology.John D. Lantos - 2012 - In D. Micah Hester & Toby Schonfeld (eds.), Guidance for Healthcare Ethics Committees. Cambridge University Press.
     
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  40. In Practice: At the Lok Nayak Hospital, Delhi.John D. Lantos - forthcoming - Hastings Center Report.
     
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  41.  10
    Medically Vulnerable Clinicians and Unnecessary Risk During the COVID-19 Pandemic.Annie Janvier & John D. Lantos - 2020 - American Journal of Bioethics 20 (7):13-14.
    Volume 20, Issue 7, July 2020, Page 13-14.
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  42. 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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  43.  9
    Our Next Pandemic Ethics Challenge? Allocating “Normal” Health Care Services.Jeremy R. Garrett, Leslie Ann McNolty, Ian D. Wolfe & John D. Lantos - 2020 - Hastings Center Report 50 (3):79-80.
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  44.  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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  45.  41
    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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  46.  6
    Bethann's Death.John D. Lantos - 1995 - Hastings Center Report 25 (2):22-23.
  47.  5
    Should We Always Tell Children the Truth?John D. Lantos - 1996 - Perspectives in Biology and Medicine 40 (1):78.
  48.  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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  49.  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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  50.  37
    A Better Life Through Science?John D. Lantos - 2010 - Hastings Center Report 40 (4):22-25.
    There is a moment in The Immortal Life of Henrietta Lacks that brought tears to my eyes. Henrietta Lacks is the woman whose cervical tumor gave rise to a cell line—brand named HeLa—that became quite useful in many important lines of biomedical research. When the book’s author, Rebecca Skloot, tracks down Lacks’s descendents in a Baltimore ghetto, they are not doing well. Zakariyya, the youngest of her children, has had the toughest life. He was born after his mother’s cancer was (...)
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