Swilling Hemlock: the Legal Ethics of Defending a Client Who Wishes to Volunteer for Execution J
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Omnes Vulnerant, Postuma Necat; All the Hours Wound, the Last One Kills: the Lengthy Stay on Death Row in America
Missouri Law Review Volume 80 Issue 3 Summer 2015 Article 13 Summer 2015 Omnes Vulnerant, Postuma Necat; All the Hours Wound, the Last One Kills: The Lengthy Stay on Death Row in America Mary Elizabeth Tongue Follow this and additional works at: https://scholarship.law.missouri.edu/mlr Part of the Law Commons Recommended Citation Mary Elizabeth Tongue, Omnes Vulnerant, Postuma Necat; All the Hours Wound, the Last One Kills: The Lengthy Stay on Death Row in America, 80 MO. L. REV. (2015) Available at: https://scholarship.law.missouri.edu/mlr/vol80/iss3/13 This Note is brought to you for free and open access by the Law Journals at University of Missouri School of Law Scholarship Repository. It has been accepted for inclusion in Missouri Law Review by an authorized editor of University of Missouri School of Law Scholarship Repository. For more information, please contact [email protected]. Tongue: Omnes Vulnerant, Postuma Necat; LAW SUMMARY Omnes Vulnerant, Postuma Necat; All the Hours Wound, the Last One Kills: The Lengthy Stay on Death Row in America MEGAN ELIZABETH TONGUE* I. INTRODUCTION The Bureau of Justice Statistics has compiled statistical analyses show- ing that the average amount of time an inmate spends on death row has stead- ily increased over the past thirty years.1 In fact, the shortest average amount of time an inmate spent on death row during that time period was seventy-one months in 1985, or roughly six years, with the longest amount of time being 198 months, or sixteen and one half years, in 2012.2 This means that -
Did I Do That?
Did I Do That? ISSUES IN COMMUNICATION, DOCUMENTATION, AND RISK IN HEALTHCARE DECISIONS. Andy McLean, MD, MPH OBJECTIVES Describe risk and protective factors in doctor-patient communication Understand the importance of appropriate health record documentation in the era of patient-centered care Articulate an awareness of how to “expand the field” when involved in difficult healthcare decisions The Art of Medicine Medical Ethics • 4 Principles: • Autonomy* • Beneficence- (Dr. should act in Pt. best interest) • Non-Maleficence- “primum non nocere” prē-mu m-̇ ˌnōn-no -̇ ˈkā-rā (first, do no harm) Justice-fairness (as in, allocation of resources) Harm combinations Resulting from the underlying Resulting from the care/services medical condition provided to the patient Inherent risk of treatment Systems failure Provider performance Canadian Medical Protective Association What happened? Duty-A physician has a duty to provide competent care to a patient Breach-Did the physician’s conduct, whether by act or omission, fall below the applicable standards of care? Causation- “But for…” Proximate cause (foreseeability) Damages Breach- Omissions of Fact and Judgment Fact- Did you review all the facts you knew or should have known… Judgment- Once reviewed, did you make a reasonable clinical decision, and document such? It is recognized that physician’s aren’t perfect and that even with reasonable care, negative outcomes occur. You are much more likely to be “forgiven” if you documented how you weighed your decision (based on the facts…) “Foreseeability” -
Defining Remission in Rheumatoid Arthritis: What Is It? Does It Matter?
Editorial Defining Remission in Rheumatoid Arthritis: What Is It? Does It Matter? When the American College of Rheumatology (ACR) criteria for remission include 6 signs and symptoms: fatigue, preliminary criteria for remission1 were developed in 1981, joint pain, morning stiffness, joint tenderness, joint patients with established rheumatoid arthritis (RA) rarely swelling, and erythrocyte sedimentation rate (ESR); phys- experienced remission, although a number of patients with ical function and structural damage to joints are ignored. recent onset of polyarthritis had periods when their RA The DAS (Disease Activity Score) index uses a mathemat- temporarily regressed or remitted and a few had prolonged ical formula to arrive at a single composite quantitative remission or even permanent recovery from the disease. score representing tender joints (Ritchie index), swollen This was more frequent in children with oligoarthritis, and joints (44-joint count), Westergren ESR and patient’s global was generally considered to be a gift from God. The guiding assessment (0–100 visual analog scale) of disease activity6. principle for treatment of RA was “primum non nocere,” It is a useful continuous quantitative summary measure of exemplified by the therapeutic pyramid. Because RA was signs and symptoms of RA inflammation, similar to the expected to persist for the lifetime of the patient, available signs and symptoms included in the dichotomous ACR drugs were used cautiously so one would not run out of ther- remission criteria, but also ignores physical function and apeutic options too rapidly. For most patients therapy had structural damage. The DAS-28 uses the abbreviated 28- little effect on continued disease progression. -
Physician Responsibility on the Frontiers of Tort Law
DePaul Law Review Volume 57 Issue 2 Winter 2008: Symposium - Challenges to the Attorney-Client Relationship: Threats to Article 6 Sound Advice? Dissembling and Disclosing: Physician Responsibility on the Frontiers of Tort Law Robert L. Rabin Follow this and additional works at: https://via.library.depaul.edu/law-review Recommended Citation Robert L. Rabin, Dissembling and Disclosing: Physician Responsibility on the Frontiers of Tort Law, 57 DePaul L. Rev. 281 (2008) Available at: https://via.library.depaul.edu/law-review/vol57/iss2/6 This Article is brought to you for free and open access by the College of Law at Via Sapientiae. It has been accepted for inclusion in DePaul Law Review by an authorized editor of Via Sapientiae. For more information, please contact [email protected]. DISSEMBLING AND DISCLOSING: PHYSICIAN RESPONSIBILITY ON THE FRONTIERS OF TORT LAW Robert L. Rabin* INTRODUCTION This Commentary addresses an issue that emerges as a common theme in the three papers in this Symposium Issue dealing with legal considerations in advising physicians: are there circumstances in which telling "less than the whole truth" is warranted?1 In a bygone era, physicians would have had no difficulty providing an affirmative answer to this question. Well into the twentieth century, it was com- mon practice to withhold from patients the dire news that they suf- fered from a terminal illness. In a different context, the consensus view until the latter part of the century was the so-called "physician's standard" in informed consent cases; that is, the practice of informing a patient of only those risks associated with an anticipated medical procedure that the physician deemed advisable to disclose to the pa- tient. -
Code Gray.Pub
Written by Christine Mitchell, RN, FAAN and Ben Achtenberg with a historical commentary by Susan Reverby, PhD and assistance from Joan Sawyer and Karen Wolf, RN, MS Contents INTRODUCTION ....................................................................................... 3 Background ............................................................................................3 Synopsis of the Film ..............................................................................3 Suggested Uses .......................................................................................4 Scheduling ..............................................................................................4 FILM AS A TOOL FOR DISCUSSION .......................................................4 WHAT IS NURSING ETHICS? ...................................................................5 GLOSSARY ...................................................................................................5 SOME GENERAL DISCUSSION QUESTIONS ........................................6 CASE 1: BENEFICENCE ............................................................................7 Description of the Case .........................................................................7 The Principle: Beneficence ...................................................................7 Questions for Discussion ......................................................................8 CASE 2: AUTONOMY ................................................................................9 Description -
First, Do No Harm”: Old and New Paradigms in Prehospital Resuscitation in the Aquatic Domain
International Journal of Aquatic Research and Education Volume 10 Number 2 Article 5 10-16-2017 “First, Do No Harm”: Old and New Paradigms in Prehospital Resuscitation in the Aquatic Domain John H. Pearn Lady Cilento Children's Hospital, Brisbane, Queensland, Australia, [email protected] Richard Charles Franklin James Cook University, [email protected] Follow this and additional works at: https://scholarworks.bgsu.edu/ijare Part of the Applied Ethics Commons, Bioethics and Medical Ethics Commons, Health and Physical Education Commons, Legal Theory Commons, Leisure Studies Commons, Medicine and Health Commons, Social and Philosophical Foundations of Education Commons, and the Social Control, Law, Crime, and Deviance Commons Recommended Citation Pearn, John H. and Franklin, Richard Charles (2017) "“First, Do No Harm”: Old and New Paradigms in Prehospital Resuscitation in the Aquatic Domain," International Journal of Aquatic Research and Education: Vol. 10 : No. 2 , Article 5. DOI: https://doi.org/10.25035/ijare.10.02.05 Available at: https://scholarworks.bgsu.edu/ijare/vol10/iss2/5 This Education Article is brought to you for free and open access by the Journals at ScholarWorks@BGSU. It has been accepted for inclusion in International Journal of Aquatic Research and Education by an authorized editor of ScholarWorks@BGSU. Pearn and Franklin: First, Do No Harm Abstract The balance between benefit and risk is central to the work of all those involved in aquatic services. The Hippocratic exhortation of Primum non nocere, “First, do no harm,” has a history of over 2000 years. Superficially, all would support this dictum, but harm can result from inaction. -
African Human Rights Case Law Analyser
United Nations A/HRC/36/27 General Assembly Distr.: General 4 July 2017 Original: English Human Rights Council Thirty-sixth session 11-29 September 2017 Agenda items 2 and 3 Annual report of the United Nations High Commissioner for Human Rights and reports of the Office of the High Commissioner and the Secretary-General Promotion and protection of all human rights, civil, political, economic, social and cultural rights, including the right to development High-level panel discussion on the question of the death penalty Report of the United Nations High Commissioner for Human Rights Summary The present report is submitted pursuant to Human Rights Council resolution 30/5. It provides a summary of the high-level discussion on the question of the death penalty held on 1 March 2017 at the thirty-fourth session of the Council. The objective of the panel discussion was to continue the exchange of views on the question of the death penalty and to address violations related to the use of the death penalty, in particular with respect to the prohibition of torture and other cruel, inhuman or degrading treatment or punishment. GE.17-11122(E) A/HRC/36/27 I. Introduction 1. Pursuant to its resolution 30/5, the Human Rights Council held its biennial high- level panel discussion on the question of the death penalty on 1 March 2017, at its thirty- fourth session. The panel was chaired by the President of the Human Rights Council, opened by the United Nations High Commissioner for Human Rights and the Minister of State for European Affairs of France, and moderated by Professor of Social History at the University of the West Indies Verene A. -
The Hippocratic Oath and Principles of Medical Ethics
MEDICINE AND PUBLIC POLICY The Hippocratic Oath and Principles of Medical Ethics Gilbert Berdine MD The Hippocratic Oath is associated with the morally right. This tradition remains in the modern practice of medicine, but over time fewer medical era. “As God is my witness I hereby pledge to …” can graduates have taken any form of the Hippocratic be found in modern rituals to stress the seriousness Oath. As of 2006, the State University of New York of purpose. Courts in the U.S. require prospective Upstate Medical School in Syracuse was the only witnesses to pledge their truthfulness: “Do you sol- U.S. medical school that administered the classic emnly swear or affirm that you will tell the truth, the version of the Hippocratic Oath to its graduates. The whole truth, and nothing but the truth, so help you Hippocratic Oath has been revised to make it more God?” This pledge becomes a source of contention in acceptable to modern schools, but the medical pro- a multi-cultural society as some members believe in fession no longer has a common set of promises that other deities. guide it. This article will look at the classic version of the Hippocratic Oath to see why it has been aban- Anyone who takes his or her religion seriously doned. Modern medical students wish to graduate would not pledge to a pagan god as this would be a into an ancient order of physicians, so they long for form of idolatry. This pledge is probably the main rea- a solemn ceremony, but it is difficult to craft a solemn son that the Oath has been abandoned in the modern ceremony that remains agreeable to a diverse group era, but what can take its place as a symbol of seri- of students. -
Death Sentences and Executions 2019
AMNESTY INTERNATIONAL GLOBAL REPORT DEATH SENTENCES AND EXECUTIONS 2019 Amnesty International is a global movement of more than 7 million people who campaign for a world where human rights are enjoyed by all. Our vision is for every person to enjoy all the rights enshrined in the Universal Declaration of Human Rights and other international human rights standards. We are independent of any government, political ideology, economic interest or religion and are funded mainly by our membership and public donations. © Amnesty International 2020 Except where otherwise noted, content in this document is licensed under a Creative Commons (attribution, non-commercial, no derivatives, international 4.0) licence. https://creativecommons.org/licenses/by-nc-nd/4.0/legalcode For more information please visit the permissions page on our website: www.amnesty.org Where material is attributed to a copyright owner other than Amnesty International this material is not subject to the Creative Commons licence. First published in 2020 by Amnesty International Ltd Peter Benenson House, 1 Easton Street, London WC1X 0DW, UK Index: ACT 50/1847/2020 Original language: English amnesty.org CONTENTS EXECUTING COUNTRIES IN 2019 4 NOTE ON AMNESTY INTERNATIONAL’S FIGURES ON THE USE OF THE DEATH PENALTY 6 THE USE OF THE DEATH PENALTY IN 2019 7 GLOBAL TRENDS 7 EXECUTIONS 8 DEATH SENTENCES 10 COMMUTATIONS, PARDONS AND EXONERATIONS 12 THE DEATH PENALTY IN 2019: IN VIOLATION OF INTERNATIONAL LAW 13 REGIONAL OVERVIEWS 14 AMERICAS 14 ASIA-PACIFIC 21 EUROPE AND CENTRAL ASIA 32 -
Primum Non Nocere
65 à la mort. Cependant, la formation en Primum Non oncologie met l’accent sur le trait- ement du cancer et fait très peu de Nocere: place à la relation d’aide en prépa- Reflections of a ration à la mort. Des médecins tels Bahá’í Oncologist que l’écrivain Atul Gawande veulent ramener le sujet de la mort dans la about Treating the conversation entre le médecin et Dying Patient le patient. De plus, bon nombre de religions, dont la foi bahá’íe, peuvent aider à examiner comment les mé- AARON ALIZADEH decins perçoivent et abordent le sujet de la mort. Dans le présent article, je Dedicated to Carley Elle Allison traite de mon expérience personnelle en tant qu’oncologue et en tant que July 18 1995 - March 31 2015 bahá’í en ce qui concerne le sujet de la mort. Abstract Medical oncology is a subspecialty of Resumen internal medicine that focuses on the Oncología médica es una subespecialidad treatment of cancer. Cancer is the sec- de la medicina interna que se encarga en el ond leading cause of mortality in the U.S. tratamiento del cáncer. El cáncer es la se- Therefore death is a frequent subject for gunda causa de mortalidad en los Estados oncologists. However, oncology train- Unidos. Por lo tanto la muerte es un tema ing emphasizes cancer therapy with little frecuente para los oncólogos. Sin embargo, guidance on counseling in preparation for la formación oncológica enfatiza el trata- death. Physicians such as the writer Atul miento del cáncer con poca orientación en Gawande are working to bring back the la preparación para la muerte. -
Medical Ethics
Medical Ethics Janyne Althaus, M.D., M.A. Dept. Gyn-Ob Div. Maternal-Fetal Medicine Johns Hopkins University School of Medicine Hippocratic Oath 12th-century Byzantine manuscript of the Oath Late 5th Century B.C. Basic Principles of Medical Ethics 1. Non-maleficence 2. Beneficence 3. Autonomy 4. Justice Primum non nocere Bloodletting High Oxygen for respiratory distress in premature infants Healing should be the sole purpose of medicine, and that endeavors like cosmetic surgery, contraception & euthanasia fall beyond its purview. Jehovah’s Witnesses Primary Elective Cesareans Cosmetic Gynecology Counseling parents of 24 week fetus Neonatal Intensive Care Units Transplants Forced sterilization of mentally retarded in Virginia United States of America v. Karl Brandt, et al. A sentence of death by hanging is pronounced by a US War Crimes Tribunal upon Adolf Hitler's personal physician, 43-year old Karl Brandt. Brandt was also Reich Commissar for Health and Sanitation. Of the 23 defendants, 7 were acquitted and 7 received death sentences; 9 received prison sentences ranging from 10 years to life imprisonment. Tuskegee Syphilis Experiment Peter Buxtun, PHS veneral disease investigator, the “whistleblower". •Conducted by the U.S. Public Health Service from 1932-1972 •600 Rural African-American men thought they were receiving free health care from the government. •By the end of the study in 1972, only 74 of the test subjects were alive. Of the original 399 men with syphilis, 28 had died of syphilis, 100 were dead of related complications, 40 of their wives had been infected and 19 of their children were born with congenital syphilis. -
Daniel Patrick Moynihan and the Defense of Academic Medicine
10 The Pharos/Spring 2017 Primum non nocere: Daniel Patrick Moynihan and the defense of academic medicine Joseph J. Fins, MD, MACP; Joan M. Leiman, PhD; and Herbert Pardes, MD Dr. Fins (AΩA, Weill Cornell Medical College, 2011, ...[M]edical education was one of the issues that Pat was Faculty) is the E. William Davis, Jr., MD, Professor of most interested in. He was deeply concerned with poverty Medical Ethics; Chief of the Division of Medical Ethics; in America & always worked on issues connected to that. Professor of Medicine; Professor of Medicine in Psychiatry; He also felt that the most important duty of a Senator was Professor of Medical Ethics in Neurology; and Professor to choose the best men/women as Federal judges. These of Health Care Policy and Research at Weill Medical were the 3 issues he cared most about…1 College of Cornell University. He is also the Director of Medical Ethics at New York-Presbyterian Weill Cornell Although Moynihan was not alone in his advocacy for Medical Center; Solomon Center Distinguished Scholar in academic medicine, it became one of his key legislative pri- Medicine, Bioethics and the Law at Yale Law School; and orities. While other leaders, like Senator Ted Kennedy (D- a member of The Pharos Editorial Board. MA) focused more on universal access to care, Moynihan’s Dr. Leiman is a Fellow at the New York-Presbyterian focus increasingly became the fate of academic medicine. Health Policy Center. Adam Clymer of The New York Times observed that Dr. Pardes (AΩA, State University of New York, Downstate Moynihan, “… carped on television about their [Clintons’] Medical Center, 1960) is Executive Vice Chairman, and health plan, quickly fixing on the role of teaching hospitals former President and CEO of New York-Presbyterian as the biggest issue in health care.” 2 Hospital.