• NYT 1_6_22 Pensive Physician

    Lifesaving Covid Treatments Face Rationing as Virus Surges Again

    Jan 6, 2022
    NEW YORK TIMES: There is a greater menu of Covid pills and infusions now than at any point in the pandemic. The problem is that the supplies of those that work against the Omicron variant are extremely limited. Unvaccinated people are at far greater risk of hospitalization or death from Covid. But giving them priority access to treatments leaves people feeling “like you are rewarding intransigence,” said Center Director Dr. Matthew Wynia.
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  • Defendant Herta Oberhauser, who was sentenced to 20 years in prison by the Military Tribunal I at the Doctors Trial. August 20, 1947.

    "Why Does Medical Participation in the Holocaust Still Matter?" was 6th Most Read Article in 2021

    Dec 28, 2021
    AMA JOURNAL OF ETHICS: Why Does Medical Participation in the Holocaust Still Matter? by Tessa Chelouche, MD and Matthew K. Wynia, MD, MPH, was the 6th most read article in the AMA Journal of Ethics Top Ten of 2021. The #6, #7 and #8 most read articles all were from the January 2021 issue, "Legacies of the Holocaust in Health Care."
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  • Health Affairs logo

    US Physicians’ Knowledge About The Americans With Disabilities Act And Accommodation Of Patients With Disability

    Jan 4, 2022
    HEALTH AFFAIRS: Lisa I. Iezzoni, Eric G. Campbell, Julie Ressalam and co-authors surveyed of 714 US physicians in outpatient practices, 35.8 percent reported knowing little or nothing about their legal responsibilities under the ADA, 71.2 percent answered incorrectly about who determines reasonable accommodations, 20.5 percent did not correctly identify who pays for these accommodations, and 68.4 felt that they were at risk for ADA lawsuits.
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  • AJOB Cover_Goldberg_Jan, 2022

    Bioethics, (Funding) Priorities, and the Perpetuation of Injustice

    Jan 3, 2022
    AMERICAN JOURNAL OF BIOETHICS: Authors Rachel Fabi and Daniel S. Goldberg contend that bioethics funders’ focus on genetics, genomics, neuroethics, and the ethics of other emerging technologies disproportionately harms People of Color, who are more likely to experience inequities in health care and the social determinants of health. Neglecting to fund bioethics research into questions of population health in favor of flashier topics means that ethical questions about the root causes of, for instance, the egregiously high rates of maternal mortality among Black women in the United States are less fundable and therefore less likely to receive scholarly attention. They conclude that our community must endeavor to lift up the voices of those most affected by health inequities, including through community-based participatory research and other methods that bring to the fore the lived experiences of the victims and survivors of social injustice.
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  • Health Affairs logo

    Physicians’ Perceptions Of People With Disability And Their Health Care is Health Affairs' 9th Most Read Article in 2021

    Jan 3, 2022
    HEALTH AFFAIRS: Physicians’ Perceptions Of People With Disability And Their Health Care, co-authored by Eric G. Campbell, PhD and Julie Ressalam Full story
  • NAM hospital lobby

    Duty to Plan Perspective Paper is NAM's 9th Most Read in 2021

    Jan 3, 2022
    NATIONAL ACADEMY OF MEDICINE: Duty to Plan: Health Care, Crisis Standards of Care, and Novel Coronavirus SARS-CoV-2, co-authored by Matthew Wynia, MD, MPH, was the National Academy of Medicine's 9th most read perspective paper in 2021, and was in the top 5% of all 2021 research articles scored by Altmetric. The paper was cited by over 100 national news outlets and read in 8 countries besides the US.
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  • The Conversation intensive medical environment

    During a COVID-19 surge, ‘crisis standards of care’ involve excruciating choices and impossible ethical decisions for hospital staff

    Dec 22, 2021
    THE CONVERSATION & SALON: Center Director Matthew Wynia, MD, MPH believes that by the end of December, our health system in Colorado could be 10% over capacity across all our hospitals, in both intensive care units and regular floors. When hospitals are full, we are forced into making triage decisions, but unlike last spring, the situation has changed. Today our hospitals have plenty of ventilators, but not enough staff to run them. Stress and burnout are taking their toll.
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  • Warren Binford

    Warren Binford’s Hear My Voice Lets Children Detained at the Border Tell Their Story

    Nov 15, 2021
    BOSTONIA: Warren Binford travels the world advocating for children who are trafficked, abused, traumatized, exploited, or forced to migrate because of violence, poverty, or the climate crisis. Binford “comes with a whole host of skills you don’t appreciate until you see how she sits down and works with children,” says Michael Garcia Bochenek, who wrote the foreword to Hear My Voice. “To put children at ease and elicit information without coercion, to make it participatory, is amazing to watch. She’s a force of nature.”
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  • Camden VanBuskirk, 5, gets her first COVID-19 vaccine shot from medical assistant Yaa Prempeh with her mother Monica, at West High School in Denver

    A COVID-19 vaccine mandate for Colorado schoolchildren? Not so fast, say public health officials

    Nov 29, 2021
    GREELEY TRIBUNE: In most states, including Colorado, boards of health are able to add more vaccines to their lists of school immunization requirements. So there is a solid legal ground for state officials to require COVID-19 vaccines for schoolchildren, said Daniel Goldberg, JD, PhD, a public health law expert at the Center for Bioethics and Humanities. “Can they do it: absolutely,” he said. “Will they do it?
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  • Hydrocodone pills_bottle

    Colorado Edition: Opioid addiction stigma

    Nov 22, 2021
    KUNC COLORADO EDITION: Stigma scholar, Daniel Goldberg, JD, PhD says, “The best evaluations we have on stigma are very clear that stigma flows from things like power, oppression, race, class, gender, ability or disability status; these same oppressions that are driving differences between people are the ones that create stigma, that separate in-groups from out-groups, which is what stigma is. What can we do to move the needle on stigma structurally, to change some of the structures that drive stigma against marginalized, victimized and vulnerable groups?
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  • Dr. Eric France, CMO of Colorado Department of Health and Environment

    What roles should vaccination status, age play in decisions if Colorado has to ration health care?

    Nov 21, 2021
    DENVER POST: Colorado is in the process of updating the state’s crisis standards of care as the COVID-19 situation worsens. The frustration that some vaccinated people feel is understandable, but it’s not acceptable to withhold care from people because they may have contributed to their illness, said Matthew Wynia, Director of the Center for Bioethics and Humanities. Even measures that some people might feel are punitive, like withholding a liver transplant if a person is unable to stop drinking heavily, are focused on the future and how likely it is that the surgery will save a life, he said. “We don’t punish people for their bad decisions,” he said.
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  • JAMA Opthalmology logo

    Incidence of Accommodations for Patients With Significant Vision Limitations in Physicians’ Offices in the US

    Dec 2, 2021
    JAMA OPTHALMOLOGY: Authors Lisa I. Iezzoni, MD, MSc; Sowmya R. Rao, PhD; Julie Ressalam, MPH; Dragana Bolcic-Jankovic, PhD, and Eric G. Campbell, PhD surveyed 1,400 physicians across 7 specialties (family medicine, general internal medicine, rheumatology, neurology, ophthalmology, orthopedic surgery, and obstetrics-gynecology) about their use of basic accommodations when caring for patients with significant vision limitations. They found that less than one-tenth of physicians practicing in the US who care for patients with significant vision limitations usually or always describe clinic spaces or provide large-font materials, and less than one-third of ophthalmologists do so.
    In an invited commentary, Jacqueline Ramke, MPH, PhD, believes that unique barriers that people with vision impairment face have been ignored in health care settings, which translates to broader health inequities. Ramke calls for creation of accessible health care environments which are neccessary for equity, autonomy, and the rights of people with vision impairment.
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  • Pill Bottles

    Colorado revamps opioid anti-stigma campaign to reach more diverse audience

    Nov 22, 2021
    KUNC: In 2018, Colorado launched “Lift The Label,” an opioid anti-stigma public awareness campaign. Daniel Goldberg, JD, PhD studies laws and policies which deeply stigmatize persons who use drugs or persons who live with substance use disorder. One of his suggestions was to acknowledge that stigma “doesn’t exist in a vacuum. It’s a function of social power.” Black and brown communities and other marginalized groups are more likely to experience intersecting forms of stigma (like a pain condition and racial discrimination) at the same time, he said.
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  • Vaccine

    COVID-19 boosters are available to all adults but some consider the ethics

    Nov 19, 2021
    WYOMING PUBLIC RADIO: Society has also lost control of the ability to say who should and should not get a booster, said Matthew Wynia, MD, MPH. "The minute we started distributing the vaccines through individual doctor's offices and pharmacies and outside of big health systems and mass vaccination sites, where you had to register, we kind of lost control of the allocation scheme," Wynia said. "So at the moment ... if you walk into a Walgreens and say, 'I want to get a booster,' you're probably going to get a booster."
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  • Gov. Jared Polis visits a mass COVID-19 vaccination event on Jan. 30 in Denver

    Colorado Order Addresses Surge in Hospitalizations, Not Vaccination Status

    Nov 19, 2021
    FACTCHECK: “We are not using vaccination status in making triage decisions. We are treating everyone the same according to their medical needs,” Center Director Matthew Wynia said. “Bottom line: health care professionals don’t punish people for making bad medical decisions, even when those decisions harm both themselves and others.”
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  • Audience gathers for a Denver Film Festival screening at the Ellie Caulkins Opera House on Nov. 5, 2021

    The daily decisions that accompany living amid the pandemic

    Nov 18, 2021
    CPR-COLORADO MATTERS: Center Director Matthew Wynia, MD, MPH explains, "There's enormous amounts of disappointment, frustration, anger. You certainly hear that when you speak to people in the healthcare system. Some 80 percent of the folks we're seeing coming into our hospitals with COVID now, are the relatively few people remaining who are completely unvaccinated. That's who's showing up on our doorsteps and that is very frustrating, as we this week are looking at implementing "Crisis Standards of Care," because our health system is so swamped. At our health system for example, the national standard is you should have is one respiratory technician for every 5 people you have on a ventilator. We currently have one respiratory technician for every 15 people we have on ventilators. That's not only unsafe for patients, that's not at all ideal for those respiratory technicians. They are really being crushed by this current wave."
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  • Robert M Califf

    Biden nominates Robert Califf, former Obama FDA chief, as agency commissioner

    Nov 12, 2021
    WASHINGTON POST: Califf, 70, a renowned cardiologist and researcher, is senior adviser for Verily, a research organization, and Google Health. He spent much of his career at Duke University, where he founded the Duke Clinical Research Institute. CBH Research Director Eric G. Campbell is a health-policy expert who has done extensive research on the impact of financial conflicts of interest in medicine, said Califf’s past ties with industry should not disqualify him. “To my knowledge those relationships have been fully discussed and widely debated in the academic and political arena,” Campbell said, adding that many academic trials are underwritten by drug companies.
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  • Registered nurse Gail Balbier adjusts a patient’s IV pump inside ICU at UCHealth

    Medical experts begin early discussions on hospital crisis standards as Colorado rushes to find more beds

    Nov 12, 2021
    THE DENVER GAZETTE: The previous standards plan described a dire situation in which patients more likely to live would be given care over others, the focus has now flipped, said Matthew Wynia, MD, MPH. The focus now is likely to be on keeping less-sick patients out of the hospital or out of intensive care beds if that can be safely done. "It's trying to find those people who will be OK, even if they don't get a service they would normally get, even if they get discharged a little early, even if they go to the floor instead of the step-down or to step-down instead of ICU," he said.
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  • Nurses working

    Colorado weighs how to ration health care should COVID surge continue to worsen

    Nov 11, 2021
    DENVER POST: The current standards for rationing care largely rely on a formula to quantify patients’ odds of surviving the next month and the next year. The scoring system doesn’t allow the triage team to consider non-medical factors, like a person’s socioeconomic status, but those could be relevant in deciding who can safely be sent home with a referral to outpatient care, said Matthew Wynia, MD, MPH. “I would hate to see… sending someone home who’s homeless,” Wynia said.
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  • ICU nurse w protective gear

    Experts discuss possible changes to Colorado's crisis standards of care

    Nov 11, 2021
    9NEWS: Dr Matt Wynia, Director of the Center for Bioethics and Humanities, said because of that change from predicting mortality to predicting who will be okay without certain services, socioeconomic status needs to be a factor. “I would hate to use a criterion that was purely clinical and end up sending someone home who's homeless, and keeping someone in the hospital who is wealthy and could very well afford to have someone come and check on them at home," Wynia said.
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