Publications by authors named "Devora Shapiro"

In 1971, two years before Roe v. Wade affirmed federal protection for abortion, Judith Jarvis Thomson attempted to demonstrate the wrongs of forced gestation through analogy: you awake to find that the world's most esteemed violinist is wholly, physically dependent on you for life support. Here, the authors suggest that Thomson's intuition, that there is a relevant similarity between providing living kidney support and forced gestation, is realized in the contemporary practice of living organ donation.

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Artificial intelligence (AI) is increasingly being used in health care. Without an ethically supportable, standard approach to knowing when patients should be informed about AI, hospital systems and clinicians run the risk of fostering mistrust among their patients and the public. Therefore, hospital leaders need guidance on when to tell patients about the use of AI in their care.

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Article Synopsis
  • The case of Michael Johnson, an African-American man with COVID-19, raises concerns about his refusal of intubation due to a belief that ventilators cause death.
  • This situation highlights the challenges clinicians face when assessing a patient's decision-making capacity (DMC), especially when false beliefs influence their choices.
  • The article explores how misinformation and systemic racism can contribute to such false beliefs, complicating the understanding of patients' preferences in critical medical situations.
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Within the evidence-based medicine (EBM) construct, clinical expertise is acknowledged to be both derived from primary experience and necessary for optimal medical practice. Primary experience in medical practice, however, remains undervalued. Clinicians' primary experience tends to be dismissed by EBM as unsystematic or anecdotal, a source of bias rather than knowledge, never serving as the "best" evidence to support a clinical decision.

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