Ezekiel J. Emanuel

You are viewing 10 posts with the tag Global Health

Mar 11

The Case for Resource Sensitivity: Why is it Ethical to Provide Cheaper, Less Effective Treatments in Global Health

Persad GC, Emanuel EJ.

Hastings Center Report, September 2017. 

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Abstract

When Dr. Hortense screens her patients in Chicago for cervical dysplasia and cancer, she conducts a pelvic exam, takes a sample of cervical cells, and sends them for Pap cytology and human papilloma virus DNA co-testing. But when she conducts cervical cancer screening in Botswana, she employs a much simpler diagnostic strategy. She applies acetic acid to highlight precancerous lesions and visually inspects the cervix-a technique known as the VIA (visual inspection with acetic acid) method. She treats suspicious lesions with cryotherapy. There are multiple reasons that Dr. Hortense uses VIA in developing countries. It requires no specialized laboratory facilities or highly trained personnel. With immediate results, there is no delay in diagnosis and treatment, ensuring that patients are not lost to follow-up. Most importantly, VIA is considerably cheaper than Pap and HPV co-testing. This difference in care between Chicago and Botswana presents an ethical dilemma in global health: is it ethically acceptable to provide some patients cheaper treatments that are less effective or more toxic than the treatments other patients receive? We argue that it is ethical to consider local resource constraints when deciding what interventions to provide. The provision of cheaper, less effective health care is frequently the most effective way of promoting health and realizing the ethical values of utility, equality, and priority to the worst off.

Categories: Academic Writing

May 31 '16

Want to win $2 billion? Create the next antibiotic. (Washington Post)


May 31 '16

Doctor Outlines Plan To Battle Antibiotic Resistance In 'The Washington Post' (NPR's All Things Considered)

Click here to see the article.


Heard on All Things Considered on May 31, 2016 4:28 PM ET

Categories: Appearances

Jul 30 '15

Promoting healthy living, nuitritious eating (MSNBC's Andrea Mitchell Reports)


Sep 17 '14

Ebola Outbreak a Danger to Health, Economy (MSNBC's Andrea Mitchell Reports)

Categories: Appearances

Sep 16 '14

President Obama Leads International Effort to Stop Ebola (MSNBC's NOW with Alex Wagner)

Categories: Appearances

Sep 11 '14

Why Should High-Income Countries Help Combat Ebola? (JAMA)


Aug 22 '14

The Challenges of Treating Ebola Patients (MSNBC's Morning Joe)

Categories: Appearances

Aug 22 '14

Ethical Considerations of Experimental Interventions in the Ebola Outbreak (The Lancet)

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The Lancet, 2014

Categories: Academic Writing

May 16 '12

PEPFAR and Maximizing the Effects of Global Health Assistance

JAMA 2012

Categories: Academic Writing