AMA Journal of Ethics
@JournalofEthics
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Examining #ethical issues facing students & clinicians. We are editorially independent; posts do not necessarily reflect AMA views/policies. RTs ≠ endorsements.
Chicago, IL
Joined March 2010
The July 2025 Issue of the #AMAJournalofEthics – Rural US Emergency Medical Services – is live! . This theme issue explores rural EMS as a source of questions neglected in health care ethics, policy, and equity discussions:
journalofethics.ama-assn.org
Emergency medical services (EMS) are the most immediate health care resource for many US residents living in rural areas. We all rely on EMS to coordinate deployment of networks of transporters,...
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Author interview: Dr Molly Nguyen joins #EthicsTalk to discuss the July 2025 issue of the Journal, “Rural US Emergency Medical Services”:
journalofethics.ama-assn.org
Editorial Fellow Dr Molly Nguyen joins Ethics Talk to discuss the July 2025 issue of the Journal, co-curated with Dr Tanya Shenoy: “Rural US Emergency Medical Services.”
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Despite their essential functions, rural EMS systems are often underfunded and understaffed to the point at which health equity is severely compromised. Read this Letter from the Editors, Molly Nguyen, MD and Tanya Shenoy, MD:
journalofethics.ama-assn.org
Despite their essential functions, rural EMS systems are often underfunded and understaffed to the point at which health equity is severely compromised.
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Representative Eric Emery joins #EthicsTalk to discuss how rural EMS workers manage time as a critical resource and how legislative policy can help direct resources toward improving rural EMS service:
journalofethics.ama-assn.org
Representative Eric Emery joins Ethics Talk to discuss how rural EMS workers manage time as a critical resource and how legislative policy can help direct resources toward improving rural EMS service.
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Situational awareness means that good care might not only be about the patient. Read this personal narrative from David M Sine, DBioethics:
journalofethics.ama-assn.org
Situational awareness means that good care might not only be about the patient.
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Dr Siân Lewis-Bevan joins #EthicsTalk to discuss her article, coauthored with Dr Stephen Powell, “What Might the Past Suggest About Rural Emergency Services Amidst Critical Access Hospitals’ Decline?”:
journalofethics.ama-assn.org
Dr Siân Lewis-Bevan joins Ethics Talk to discuss her article, coauthored with Dr Stephen Powell: “What Might the Past Suggest About Rural Emergency Services Amidst Critical Access Hospitals’ Decline?”
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Recent rural hospital closures influence clinical and ethical dimensions of emergency care, write Siân Lewis-Bevan, MD, MPH, EMT-B and Stephen Powell, MD:
journalofethics.ama-assn.org
Recent rural hospital closures influence clinical and ethical dimensions of emergency care.
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Cultural humility, cost-effectiveness, equity, and tribal sovereignty are key to improving EMS responsiveness in AI/NA rural communities. Read more in this article by Chelsea Tsasse and John Shufeldt, MD, JD, MBA:
journalofethics.ama-assn.org
Cultural humility, cost-effectiveness, equity, and tribal sovereignty are key to improving EMS responsiveness in AI/NA rural communities.
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RT @AMAEdHub: How does private equity investment undermine rural health equity and create instability in health care markets? Find out in t….
edhub.ama-assn.org
This article argues that private equity firms' business practices generate overall health care market instability. This can be devastating for people in rural areas, who report worse health outcomes,...
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RT @AMAEdHub: How should the quality of health care services from providers backed by private equity be assessed? Find out with this articl….
edhub.ama-assn.org
Capital and staff shortages have forced many rural hospitals to close. Private equity investment has been one solution to these problems. This article argues that private equity firms' business...
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RT @AMAEdHub: This article from @JournalofEthics argues that nonprofit hospitals' adoption of private equity acquisition and closure practi….
edhub.ama-assn.org
This article argues that nonprofit hospitals' adoption of private equity acquisition prioritizes profit and works to the detriment of local communities. It also advocates for policy changes by...
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RT @AMAEdHub: Discover how and when patients should be informed about the sale of a clinical practice to a private equity buyer in this art….
edhub.ama-assn.org
This commentary on a case argues that clinician-sellers have obligations to disclose to their patients known and foreseeable changes—especially those affecting services' cost or quality or health...
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RT @AMAEdHub: How should physicians stop private equity firms from exploiting public health insurance? Find out with @JournalofEthics. http….
edhub.ama-assn.org
This article canvasses what is currently known about how private equity (PE) investments in physician practices influence clinician practice patterns. It then proposes strategies for restricting...
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James Small joins #EthicsTalk to discuss his article, “How Should Rural EMS Funding Streams Be Improved?”:
journalofethics.ama-assn.org
James Small joins Ethics Talk to discuss his article: “How Should Rural EMS Funding Streams Be Improved?”
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EMS responses are critical functions of local governments, yet, in rural areas, many are staffed by licensed volunteers, writes James Small MJA, CPM:
journalofethics.ama-assn.org
EMS responses are critical functions of local governments, yet, in rural areas, many EMS systems are staffed by licensed volunteers.
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Barriers to maintaining emergency medical services (EMS) in rural areas include personnel shortages, long travel times, and austere settings. Read the full article by Sophia Görgens, MD:
journalofethics.ama-assn.org
Barriers to maintaining EMS in rural areas include personnel shortages, long travel times, and austere settings.
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Emergency medical services (EMS) care in rural areas of the United States has suffered from being chronically under-resourced and understaffed, writes Michael Levy, MD:
journalofethics.ama-assn.org
Barriers to maintaining EMS in rural areas include personnel shortages, long travel times, and austere settings.
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In prehospital settings, clinicians make difficult decisions that need to be made quickly and be within their scope of practice and skill set. Learn more in commentary by Elizabeth Reiche, DO, Shaila Coffey, MD, and Emma Zeratsky, NRP, FP-C:
journalofethics.ama-assn.org
In prehospital settings, clinicians make difficult decisions that need to be made quickly and be within their scope of practice and skill set.
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Dr Casey Patrick joins #EthicsTalk to discuss his article, “According to Which Criteria Should a Return EMS Trip of Long Duration and Distance Be Deemed Ethically Justifiable?”:
journalofethics.ama-assn.org
Dr Casey Patrick joins Ethics Talk to discuss his article: “According to Which Criteria Should a Return EMS Trip of Long Duration and Distance Be Deemed Ethically Justifiable?”
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