US law promises refugees they will not be deported until they receive fair, impartial review and determination of their asylum eligibility. Some refugees’ illness experiences, however, preclude them from testifying and accurately representing their own interests during asylum adjudication proceedings….
This article examines the care of a Spanish-speaking woman with end-stage renal disease who returns repeatedly to the emergency department with complications related to missing hemodialysis. Her life circumstances suggest that she has been making difficult but rational decisions in…
The Deferred Action for Childhood Arrivals (DACA) program has dramatically improved the lives of undocumented youth in the United States. In particular, DACA has improved these young adults’ health by improving the social determinants of health. Furthermore, as health professionals,…
The legacy of health professionals’ roles in the Holocaust is fundamental to understanding modern health care ethics, but teaching it is difficult. The University of Colorado Center for Bioethics and Humanities has developed a program that addresses 4 main pedagogical…
Foundational documents of modern biomedical ethics, such as the Nuremberg Code, the World Medical Association’s declarations of Geneva and Helsinki, and the Belmont Report, trace their origins to health care professionals’ complicity in the Holocaust. Rituals of contemporary medical education,…
Forced sterilization has a long history in the United States. Because sterilization requires surgical skill, physicians have been the lone professionals engaging in this practice, although they were not the only experts or Americans to hold eugenic and neo-eugenic views….
Critical lessons can be gleaned by examining 2 of the most salient relationships between racism and medicine during the Holocaust: (1) connections between racism and dehumanization that have immediate, lethal, deleterious, longer-term consequences and (2) intersections of racism and other…
While adverse childhood experiences and trauma, including childhood abuse and neglect, have often been viewed from the lens of psychiatry, their influence on physical health, health behaviors, and factors that moderate health now garner more attention. This article reviews recent…
Clinicians have ethical and legal obligations to report suspected maltreatment of children. A decision to report suspected abuse is one of great ethical, clinical, and legal importance and can weigh heavily on clinicians who have established relationships with a family….
When health care professionals encounter child abuse and neglect, they can experience a range of emotions, such as anger, sadness, and frustration. Such feelings can cloud judgment, compromise care, or even undermine one’s capacity to complete evaluation of a child….
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