GSTDTAP  > 气候变化
New in the Hastings Center Report, November-December 2020
admin
2020-12-16
发布年2020
语种英语
国家美国
领域气候变化 ; 地球科学 ; 资源环境
正文(英文)

Prescription Requirements and Patient Autonomy: Considering an Over-the-Counter Default
Madison Kilbride, Steven Joffe, and Holly Fernandez Lynch

When new drugs are approved by the Food and Drug Administration, the default assumption is that they will be available by prescription only, safe for use exclusively under clinical supervision. The paternalism underlying this default must be interrogated in order to ensure appropriate respect for patient autonomy. Upon closer inspection, prescription requirements are justified when nonprescription status would risk harm to third parties and when a large segment of the population would struggle to exercise their autonomy in using a drug safely and effectively on their own. Although these justifications can support prescription status for many drugs, this article proposes that reversing the FDA's current default to instead begin with a presumption in favor of over?the?counter status is the best way to avoid interference with valid claims of patient autonomy. Under this approach, a range of drug products, including oral contraceptives, statins, and HIV?prevention drugs, could be considered for an OTC switch. The authors are at the Perelman School of Medicine at the University of Pennsylvania.

Also in this issue:

The Social Risks of Science
Jonathan Herington, Scott Tanona

Another Voice: Health Research and Social Justice Philosophy
Sridhar Venkatapuram

Case Study: A Small-Town Heart
Tim Lahey, Jennifer L. Herbst, Marielle S. Gross, Brandi Braud Scully

Perspective: OK, Boomer, MD: The Rights of Aging Physicians and the Health of Our Communities
Tia Powell

###

The table of contents of the November-December 2020 Hastings Center Report is available here: Hastings Center Report: vol. 50, no. 6 (wiley.com).

For more information, contact
Susan Gilbert
Director of Communications
The Hastings Center
845-424-4040 x244
gilberts@thehastingscenter.org.

Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.

URL查看原文
来源平台EurekAlert
文献类型新闻
条目标识符http://119.78.100.173/C666/handle/2XK7JSWQ/307326
专题气候变化
地球科学
资源环境科学
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GB/T 7714
admin. New in the Hastings Center Report, November-December 2020. 2020.
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