• Ethical Issues: Spirituality and Health Care 

    Fleming, David A. (Center for Health Ethics, 2004-02)
    Faith and spirituality, and their place in professional relationships, are getting a great deal of press these days. From an airline pilot proselytizing to his captive passengers at the beginning of a four hour coast to ...
  • Ethical Issues: The Difficult Family 

    Fleming, David A. (Center for Health Ethics, 2004-01)
    Some of the most difficult situations faced by physicians have been when loving and caring families, often out of guilt or misunderstanding, disagree or become demanding. This challenge intensifies when those demands do ...
  • Ethical Issues: The Pope and Terri's Tube 

    Fleming, David A. (Center for Health Ethics, 2004-07)
    On March 20, 2004, in a papal allocution delivered at the Vatican, Pope John Paul II made statements regarding the feeding of patients diagnosed as being in a persistent vegetative state. These statements have rekindled ...
  • Ethical Issues: The Uninsured 

    Fleming, David A. (Center for Health Ethics, 2004-06)
    There is ongoing debate as to the importance of the “problem of the uninsured” in this country and in Missouri. This institution, as an academic state hospital, seems to get more than its share of uninsured patients who ...
  • Ethical Issues: Treating Patients Without Permission 

    Fleming, David A. (Center for Health Ethics, 2005-09)
    Medical ethics is grounded by the notion that we must always respect the patient's right of self determination, which means that we should inform patients about what needs to be done and seek permission before doing it to ...
  • Ethical Issues: Tribute to Edmund D. Pellegrino, M.D. 

    Fleming, David A. (Center for Health Ethics, 2005-10)
    Edmund Pellegrino's influence has spanned over 60 years of service. His insight and ability to articulate the importance of beneficence and trust through the healing relationship have continued to provide a grounding force ...
  • Ethical Issues: “The Patient Just Wants to Go Home” 

    Fleming, David A. (Center for Health Ethics, 2004-08)
    Not infrequently in the busy practice of medicine we come across patients who, regardless of the severity of illness or need for acute care, demand to go home from the hospital against our advice. At these times the physician ...
  • Ethical Issues: “…but I have no insurance.” 

    Fleming, David A. (Center for Health Ethics, 2006-04)
    Presently there are 44 million uninsured in the United States, a disproportionate number of which are of low income. This problem has placed a huge burden on the health care system of this country and continues to foster ...
  • The Ethical Use of New Drugs 

    Fleming, David A. (Center for Health Ethics, 2004-10)
    The practice of medicine requires clinical judgments within the context of an inexact and very complicated science, the end result of which has profound implication for the welfare of patients. The ethical question for the ...
  • Partial DNR Orders 

    Fleming, David A. (Center for Health Ethics, 2003-12)
    Writing formal “Do Not Resuscitate” (DNR) orders is a relatively new practice that has come about over the last 30 years as a result of medical innovation coupled with a growing understanding that sometimes it's just not ...
  • The Terri Schiavo Crisis 

    Fleming, David A. (Center for Health Ethics, 2003-11)
    Terri Schindler-Schiavo has lived in a persistent vegetative state in Florida for thirteen years, since her collapse and resuscitation at age 26 due to apparent severe hypokalemia. She has been kept alive with a jejunal ...