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How health technology can reinforce biases against the mentally ill

Imagine it is 2 a.m. in the ER at High Tech University Hospital. The charge nurse turns to his computer monitor to see who waits in triage. Three new patients. Alongside one of their names sits the dreaded red airplane icon. This means the patient has visited the ER more than…

Trump's Dr. Oz Appearance Has Nothing To Do With Health

The [Dr. Oz] show has trumpeted, Trump will finally release some actual, specific medical records. (At least, the campaign said he would, then backed off and said the appearance would be “a conversation generally about well-being,” and then reversed again after the show’s taping.) But those records probably won’t clear…

Don't Only Blame Mylan for $600 EpiPens

We should be anything but surprised at the sky-high prices we now see for prescription drugs. In the past several weeks, the public’s attention has focused on Mylan and its 400% EpiPen price increase since 2009. Yet EpiPens are not—by a long shot—the only drugs that have sparked recent outrage due…

The Ethics of Behavioral Health Information Technology

A subpopulation of individuals with serious mental health conditions makes repeated and frequent visits to emergency departments and psychiatric crisis centers. These so-called super utilizers often have financial problems and present with chronic or untreated comorbid psychiatric and substance use disorders. These patients are often well known to clinical staff and…

Waking up about sleep: A public health need, overlooked

Back to school lunacy is upon us.  Parents with kids in tow will raid retail outlets, snatching up the latest gadgets, backpacks, brand name clothes, and sneakers.  Many will schedule every minute of their child’s day for the next nine months. Kids will be signed up for soccer, gymnastics, instrument lessons,…

Congrats to Anne Barnhill on new book: Food, Ethics, and Society

Food, Ethics, and Society: An Introductory Text with Readings (Eds. Anne Barnhill, Mark Budolfson, and Tyler Doggett) presents seventy-three readings that address real-world ethical issues at the forefront of the food ethics debate. Topics covered include hunger, food justice, consumer ethics, food and identity, food and religion, raising plants and…

What changes are needed for ACA?

Dr. Ezekiel Emanuel joins Morning Joe to discuss insurers that are leaving the ACA and the rising cost of ACA premiums.See the Interview

CHIBE Summer 2016 Newsletter

Dear Colleague, We are happy to present to you our summer issue of the CHIBE newsletter. Our first story features a study conducted by Mitesh Patel, MD, Assistant Professor of Medicine and Health Care Management at the Perelman School of Medicine and CHIBE faculty member. The study, published recently in Health…

A mental health model of incarceration

Thomas J. Dart, sheriff of Cook County, Ill.—and overseer of what he says is the  nation’s largest jail—believes that posterity will gaze back 100 years from now and know that we were “horrible people.” This is because our country incarcerates mentally ill individuals in overwhelming numbers for minor violations instead…

Congratulations to the Inaugural Class of the Penn MSME!

The Department of Medical Ethics and Health Policy is pleased to announce the graduation of the inaugural class of students in its new Master of Science in Medical Ethics (MSME) program. The MSME, which builds on the success of the Department’s outstanding Master of Bioethics (MBE) program, is designed…
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More people can ask for help in dying, but very few do

Anyone who feared that making physician-assisted suicide legal would lead to an onslaught of assisted deaths can relax. A new study led by University of Pennsylvania bioethicist Ezekiel Emanuel finds that only a tiny fraction of the dying want help speeding up the process. However, Emanuel is concerned about the reasons…

Bioethics after Brexit

It is too soon to know how the crisis that has been created by Britain’s vote to leave the European Union will play out. But it is worth considering that the field of bioethics has a grave stake in the outcome. Modern bioethics is to a great extent a product of…

Volpp and Asch Win AcademyHealth Article-of-the-Year Award

Penn Medicine and Wharton School Professors and LDI Senior Fellows Kevin Volpp and David Asch have won the AcademyHealth Article-of-the-Year Award for their paper detailing a study of the effects of financial incentives on physicians and patients, the organization announced. The award, which recognizes the year's "best scientific work in…

'We're at a point of historic reckoning' on standards for behavioral health care

We've come a long way from the days when mental hospitals, like England's notorious "Bedlam", doubled as carnival sideshows, where the public paid good money to gawk at the antics of the patients chained to their walls. But even in the U.S., Pennsylvania Hospital, a main place for treating people with…

Psychosis Risk: What Is It and How Should We Talk About It?

Abstract: Schizophrenia and other psychosis spectrum disorders do not develop de novo but emerge from prodromal stages that are named and operationalized differently depending on the research group or consortium and its theoretical orientation. As a result, a complex lexicon now exists for characterizing individuals’ risk of subclinical symptoms converting to…

Doctor Outlines Plan to Battle Antibiotic Resistance in 'The Washington Post'

NPR's Ari Shapiro talks with Ezekiel Emanuel, a senior fellow at the Center for American Progress and chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania, about his opinion piece in the Washington Post that argues the cheap price of antibiotics has led to…

We need unbiased medical exams for presidential candidates

As unusual as the 2016 presidential election has been, one obvious aspect has gone largely unnoticed: By the time the next president of the United States is inaugurated on Jan. 20, 2017, he or she will have reached or come close to reaching 70 years old. That all the remaining major…

Psychiatric Institutions Are A Necessity

Behind the bars of prisons and jails in the United States exists a shadow mental health care system where nearly half a million inmates have a serious mental illness like schizophrenia. In hospitals, severely mentally ill patients languish for months in acute care units, which are designed to stabilize patients, not…

Price Transparency Not a Panacea for High Health Care Costs

In a JAMA editorial, UPenn PRC Director Kevin Volpp, MD, PhD, discusses whether price transparency helps lower the cost of health care when pricing of services is a choice tool for  deciding on a health care plan. Responding to a new study by Desai et al in the same May…
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Dr. Steve Joffe Awarded PCORI Grant on Learning Healthcare Systems

Penn Medicine bioethicist and LDI Senior Fellow Steven Joffe has received a $1 million grant from the Patient-Centered Outcomes Research Institute (PCORI) to fund a three year study of the governance structures of 16 Learning Health Systems across the country.Learn more
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