AMA Journal of Ethics

Five Things Clinicians Need to Know About Zoonotic Viral Spillover and Spillback

Since the 1990s, multiple infectious diseases have “spilled over” from nonhuman animals to infect humans and cause significant global morbidity and mortality. Despite efforts to detect and respond to such threats, surveillance and mitigation efforts have been criticized as ineffective….

How One Health Instrumentalizes Nonhuman Animals

This article interrogates anthropocentrism and nonhuman animal instrumentalization in One Health (OH). It argues that OH’s approach to human health and zoonosis focuses too narrowly on furthering certain human interests at the expense of nonhuman animals, which is not sustainable,…

Cheating the Rules of Admission With “Observation”

When physicians admit patients to a hospital, their decisions about where—and to whose professional stewardship and services—those patients belong are influenced by federal policies, of which many clinicians are not aware. The distinction between observation and admission has clinical and…

Ethics Talk: Who’s “Health” Does One Health Protect?

This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about how comparing different conceptions of health can help us interrogate just exactly what a One Health approach to health offers…

How Inpatient Psychiatric Units Can Be Both Safe and Therapeutic

Inpatient psychiatric units should be therapeutic environments that support dignity and recovery. When adverse outcomes (eg, self-harm, violence) happen in these settings, clinicians and administrators can face litigation and other pressures to prioritize risk management over supporting patients’ access to…