AMA Journal of Ethics

How Should Access to Military Health Care Facilities Be Controlled in Conflict?

This commentary on a case analysis examines the principles that govern decisions about which patients might be admitted to an international military hospital during humanitarian or combat operations. It explores the balance between duties under the Geneva Conventions and other…

Why We Need Stricter Oversight of Research Involving Human Subjects Affected by Conflict

Background: Despite the potential for ethical violations when research is conducted with conflict-affected populations, there is limited information on how and the extent to which ethical considerations specific to doing research with these populations are integrated into national and international…

Ethics Talk: Social Isolation, Loneliness, and COVID-19

In this video edition of Ethics Talk, journal editor in chief, Dr Audiey Kao, talks with Dr Carla Perissinotto about the health consequences of social isolation and loneliness during the COVID-19 pandemic.

Should BMI Help Determine Gender-Affirming Surgery Candidacy?

Use of body mass index (BMI) as a health care metric is controversial, especially in candidacy assessments for gender-affirming surgery. When considering experiences of fat trans individuals, it is important to advocate for equitable divisions of responsibility for and recognition…

Five Ways Health Care Can Be Better for Fat People

Discussions about how to better accommodate fat persons’ needs in health care settings tend to focus on how to reduce stigma and improve equipment (eg, scanners). While important, such efforts must address underlying ideological foundations of stigma and equipment inadequacy,…

Health Inequity From the Founding of the Freedmen’s Bureau to COVID-19

Following the US Civil War, newly freed Black Americans had significantly poorer health than Whites. Founded in 1865, the Freedmen’s Bureau offered a range of support (eg, food, health care, shelter, legal aid) to try to improve health among the…

How Ancestral Trauma Informs Patients’ Health Decision Making

This article considers intergenerational trauma by drawing on the experience of a 37-year-old Black woman whose great-grandfather died as a result of involuntary involvement in the US Public Health Service Syphilis Study at Tuskegee. Although she never met her great-grandfather,…

How Should Clinicians Respond to Language Barriers That Exacerbate Health Inequity?

Patients and families with limited English proficiency (LEP) face barriers to health care service access, experience lower quality care, and suffer worse health outcomes. LEP is an independent driver of health disparities and exacerbates other social determinants of health. Disparities…