Browse Perspective
- PerspectiveVOL. 387 No. 9, Sep 01, 2022
Responding to the Escalating Cybersecurity Threat to Health Care
N Engl J Med 2022; 387:767-770The cyberthreat to health care has never been greater. Fortunately, clinicians can protect themselves and their patients from the worst of these attacks, in part by means of precautions and preparation.
- PerspectiveVOL. 387 No. 9, Sep 01, 2022
“Fertility Fraud” Legislation — A Turning Point for Informed Consent?
N Engl J Med 2022; 387:770-772State fertility-fraud laws prohibit deliberately misrepresenting the source of sperm, eggs, or embryos used to treat infertility. Such legislation could herald an expansion of informed-consent doctrine.
- PerspectiveVOL. 387 No. 9, Sep 01, 2022
What Dobbs Means for Patients with Breast Cancer
N Engl J Med 2022; 387:765-767Under Dobbs, some U.S. patients with breast cancer will be forced to carry a high-risk pregnancy and will have limited choices for treating their cancer.
- PerspectiveVOL. 387 No. 9, Sep 01, 2022
Updated Health Warnings for Alcohol — Informing Consumers and Reducing Harm
N Engl J Med 2022; 387:772-774The risks associated with alcohol consumption are well documented. Requiring new, well-designed warning labels on alcohol containers could provide information to consumers and reduce harm.
- PerspectiveVOL. 387 No. 9, Sep 01, 2022
Losing Contact — Covid-19, Telemedicine, and the Patient–Provider Relationship
N Engl J Med 2022; 387:775-777For patients with rare diseases, connecting virtually with specialists across state lines can be the only option for excellent care. So why are state-licensing restrictions being enforced more aggressively than ever?
- PerspectiveAug 31, 2022
Intradermal Vaccination for Monkeypox — Benefits for Individual and Public Health
10.1056/NEJMp2211311Intradermal JYNNEOS may safely provide populations that have been disproportionately affected by monkeypox with rapid access to a limited resource without sacrificing the level of immune response achieved.
- PerspectiveVOL. 387 No. 8, Aug 25, 2022
The Physician–Patient Relationship
N Engl J Med 2022; 387:669-672Today the physician–patient relationship may be more fraught than ever, but physicians still owe patients both long-standing and more recently added legal duties.
- PerspectiveVOL. 387 No. 8, Aug 25, 2022
Hospital Standards of Care for People with Substance Use Disorder
N Engl J Med 2022; 387:672-675For the one in nine hospitalized U.S. adults who have SUD, hospital-based addiction care has critical health benefits. But most hospitals don’t offer such care.
- PerspectiveVOL. 387 No. 8, Aug 25, 2022
Improving the Use of FDA Advisory Committees
N Engl J Med 2022; 387:675-677Advisory committees cannot support public trust in FDA decisions if the agency uses them inconsistently. Simple reforms could improve accountability, transparency, and trust.
- PerspectiveAug 24, 2022
Professional Civil Disobedience — Medical-Society Responsibilities after Dobbs
10.1056/NEJMp2210192When state laws banning abortion directly and immediately threaten the health of patients, should physicians collectively disobey them?
- PerspectiveVOL. 387 No. 7, Aug 18, 2022
Tecovirimat and the Treatment of Monkeypox — Past, Present, and Future Considerations
N Engl J Med 2022; 387:579-581Tecovirimat might speed resolution of monkeypox illness and improve outcomes, but how can we manage compassionate access to a drug whose safety and efficacy in humans have not been established?
- PerspectiveVOL. 387 No. 7, Aug 18, 2022
From Survival to Survivorship — Framing Traumatic Injury as a Chronic Condition
N Engl J Med 2022; 387:581-583The long-term physical, mental, and social sequelae of traumatic injuries are substantial and have often been neglected. This burden is especially high among members of marginalized populations.
- PerspectiveVOL. 387 No. 7, Aug 18, 2022
Confronting Health Worker Burnout and Well-Being
N Engl J Med 2022; 387:577-579Health worker burnout, exacerbated by Covid-19, is not only about long hours. It’s about the fundamental disconnect between health workers and the mission to serve that motivates them.
- PerspectiveVOL. 387 No. 7, Aug 18, 2022
Professionals as Targets in the Culture Wars
N Engl J Med 2022; 387:584-585For professionals who work with children and adolescents, policies like Florida’s “Don’t Say Gay” law have outsized cruelty — even beyond the enormous harm they will do to the young people we serve.
- PerspectiveVOL. 387 No. 6, Aug 11, 2022
The Critical Shortage of Iodinated Contrast Material — Will Value Prevail?
N Engl J Med 2022; 387:491-493A shortage of contrast material has made weighing value an urgent aspect of imaging decisions and provided a stark example of the consequences of low-value imaging for public health and health equity.
- PerspectiveVOL. 387 No. 6, Aug 11, 2022
Noncompete Agreements — The Need for a Refresh
N Engl J Med 2022; 387:486-488Recent developments in health care delivery pose challenges for noncompete agreements. Practices should recognize the changing legal landscape and adjust their employment contracts accordingly.
- PerspectiveVOL. 387 No. 6, Aug 11, 2022
Bringing Sickle-Cell Treatments to Children in Sub-Saharan Africa
N Engl J Med 2022; 387:488-491Many children born with sickle-cell disease in sub-Saharan Africa will die before their fifth birthday. Opportunities exist to expand the distribution, use, and oversight of effective medication.
- PerspectiveVOL. 387 No. 6, Aug 11, 2022
Considering Race and Ethnicity in Covid Risk Assessments — Legal Concerns and Possible Solutions
N Engl J Med 2022; 387:481-483Explicitly including race or ethnicity as a factor in government allocation of resources raises legal concerns. Litigation related to Covid-19 treatment guidance in New York highlights these issues.
- PerspectiveVOL. 387 No. 6, Aug 11, 2022
Understanding Covid Vaccine Efficacy over Time — Bridging a Gap Between Public Health and Health Care
N Engl J Med 2022; 387:483-485It’s now feasible to track, for each patient seen at a health care facility, which Covid-19 vaccine they received when and what their clinical evaluation revealed.
- PerspectiveVOL. 387 No. 5, Aug 04, 2022
The End of Roe v. Wade — States’ Power over Health and Well-Being
N Engl J Med 2022; 387:390-393After Dobbs, Americans may find themselves in a society where many aspects of basic health care are threatened and the law tries to turn clinicians into adversaries of their patients.