Death Panels and Out-of-Pocket Health Care Costs

Recently, I wrote an Op-Ed in the New York Timescalling upon physicians to discuss out-of-pocket costs with their patients before making medical decisions, and urging patients to take matters into their own hands if their physicians fail to initiate such conversations. This Op-Ed closely mirrored an argument I made in the New England Journal of Medicine with my colleagues Yousuf Zafar and Amy…

What's Fair About Price Discrimination in Pharmaceutical Markets

A while back, DVD companies hoping to sell their products in countries like Poland faced a dilemma.  They could sell their products at a nice profit in the booming U.S. market, but to sell products in those other countries, they had to lower their prices.  Such variable pricing is a common business practice.  All kinds of services…

Congratulations to the MacLean Center

The University of Chicago Medicine’s MacLean Center for Clinical Medical Ethics, where I trained in the early 90s, has been awarded the prestigious Cornerstone Award from the American Society of Bioethics and Humanities for “outstanding contributions from an institution that has helped shape the direction of the fields of bioethics and/or medical humanities.” To learn…

Is There a Difference Between Suicide and Ending One's Life?

The Centers for Disease Control and Prevention defines suicide as: “Death caused by self-directed injurious behavior with any intent to die as a result of the behavior .” The Merriam-Webster dictionary defines it as: “the act or an instance of taking one’s own life voluntarily and intentionally especially by a person of years of discretion and of…

A Debate on Death with Dignity

The below post is a response to my article Death With Dignity Should Not Be Equated With Physician Assisted Suicide by Kathryn L. Tucker, JD. My own thoughts on her response are here. In a Forbes.com oped, “Death With Dignity Should Not Be Equated With Physician Assisted Suicide, Duke University physician Peter Ubel writes: “I think it is wrong-headed to…

Death With Dignity Should Not Be Equated With Physician Assisted Suicide

In 2008, the state legislature of Washington passed what was called the Death with Dignity Act, a law that legalized physician assisted suicide.  Under the law, terminally ill patients (predicted to have less than six months to live) can request prescriptions for lethal medications from their physicians, under a series of safeguards:  multiple requests for example,…