AMA Journal of Ethics

Questioning Biomedicine’s Privileging of Disease and Measurability

Within biomedicine, the diagnosis of disease is often privileged over a patient’s experience of illness. Yet, up to 30% of primary care visits might be attributable to persistent illness without a diagnosed disease, including functional somatic syndromes like fibromyalgia and…

Invisibility of “Gender Dysphoria”

Tension between naming gender dysphoria to render an important kind of suffering among transgender people more visible and avoiding pathologizing experiences of transgender people in a gender-binary world can be keenly felt among patients seeking gender-affirming services. This article suggests…

What Primary Care Innovation Teaches Us About Oral Health Integration

Integrating primary and oral health care is critical to improving population health and addressing health inequity exacerbated by the COVID-19 pandemic. Leaders of the patient-centered medical home (PCMH) movement focused on building consensus for the PCMH model among diverse stakeholders…

Why Should Primary Care Clinicians Learn to Routinely Examine the Mouth?

Most medical schools and primary care residency programs do not teach proper oral examination skills. Despite the existence of proven national oral health curricula for medical professionals, many medical trainees and graduates are ill-equipped to identify oral cancers, make proper…

Using GIS to Analyze Inequality in Access to Dental Care in the District of Columbia

Background: Access to dental care in mixed-race and predominantly African American wards in the District of Columbia (DC) was investigated in relation to community development. Methods: This study used high-resolution geographic information system (GIS) tools to map all general dentistry…

Should Dentists Treat Despite Medical Contraindications?

Dental treatment is contraindicated by some health conditions. As patients live longer and dentists treat more patients with underlying disease, patients often need general medical care before dental care can proceed. For US patients without access to health care and…

Ethics Talk: Pandemic Poetry, Present and Profane

In this video edition of Ethics Talk, journal editor in chief, Dr Audiey Kao, talks with Dr Rafael Campo about the healing value of poetry during the current COVID-19 pandemic.

Is Oral Health Essential?

Since 1840, when the first dental school in the United States was founded, educational and policy outcomes have reinforced the separation of dentistry from medicine. Originating in serial historical divides, this separation has produced grave health inequity. The COVID-19 pandemic…

How Medical Dental EHR Integration Can Improve Diabetes Care

Since the mid-1990s, poor oral health has been neglected as a public health threat, despite its recognition as epidemic in scale by the US Department of Health and Human Services Office of the Surgeon General. Americans’ poor oral health influences…