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08/11/2018 - 4:00am

I just published my 8th Law and Ethics in Oncology column in the ASCO Post: "Why Oncologists Should Decline to Participate in the Right to Try Act." 

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08/11/2018 - 4:00am

I just published my 8th Law and Ethics in Oncology column in the ASCO Post: "Why Oncologists Should Decline to Participate in the Right to Try Act." 

On May 30, 2018, President Donald J. Trump signed into law the Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017. This law creates an additional and alternative pathway for patients with a “life-threatening disease or condition” to access investigational medicines outside the clinical trial system. Since there are more than 1,100 cancer medicines currently under investigation, this law will materially impact oncology patients and clinicians. Specifically, because of the sense of hope and expectation that the new law has created, increasing numbers of patients with cancer will be asking their oncologists questions about the Right to Try Act.

Here, we offer guidance on how oncologists should respond to these questions and outline strong concerns regarding the right-to-try program. The U.S. Food and Drug Administration’s (FDA’s) long-standing expanded access program to investigational drugs—also referred to as compassionate use—already provides a way for patients to access unapproved medicines outside a clinical trial, offering all the same benefits as the right-to-try law with fewer risks. Because the extra risks posed by the Right to Try Act are not offset by any countervailing benefit, it would be unethical for oncologists to use it to gain access to an experimental drug for their patients.

08/10/2018 - 12:56pm

I founded a bioethics club at my high school in the beginning of my sophomore year. From a very young age, I always considered it important to do the “right thing.” However, as I grew older and was confronted with more complex situations, I realized that the “right thing” is not always obvious. I found… Read more

The post Inside a High School Bioethics Club appeared first on The Hastings Center.

08/10/2018 - 11:20am

At the same hospital. The cost of four common inpatient surgeries can vary by more than six times at the same Minnesota hospital. That is a key takeaway from the Minnesota Department of Health’s latest examination of the cost of medical care

08/10/2018 - 11:16am

Last winter, unforgettable video footage online showed a starving polar bear, struggling in its Arctic hunting grounds. Because of global warming, the ice was thin and the food supply was scarce. The video generated a wellspring of sympathy for the plight of this poor creature

08/10/2018 - 10:43am

Then PETA went on the attack. Is the death of 188 lab rats justifiable if it spares the lives of millions of cows?

08/10/2018 - 9:50am

Then opioid prescribing dropped. In a small, randomized trial, researchers showed that this intervention — aimed at making the abstract issue of safe prescribing individually tangible — led to a slight reduction in the amount of opioids these clinicians prescribed

08/10/2018 - 4:00am

The 7th Advance Care Planning International Conference will be in Rotterdam, Netherlands, from March 14 to 16, 2019.

08/10/2018 - 4:00am
The 7th Advance Care Planning International Conference will be in Rotterdam, Netherlands, from March 14 to 16, 2019.
08/10/2018 - 4:00am

The 7th Advance Care Planning International Conference will be in Rotterdam, Netherlands, from March 14 to 16, 2019.