Who deserves to be healthy—and who’s responsible for making that possible? In this episode of Top of Mind, we explore one of the toughest questions in modern healthcare: how we decide who gets care, compassion, and lifesaving treatment. A doctor reflects on a moment with a patient that changed his understanding of kindness in medicine. A widow shares the devastating consequences of a transplant policy that kept her husband from getting the organ he needed. And a bioethicist walks us through the uncomfortable reality of deciding who gets lifesaving care when resources are scarce. Original airdate – March 13, 2023 GUESTS Dr. Michael Stein, primary care physician and Chair of Health Policy at the Boston University School of Public Health (https://www.michaelsteinbooks.com/home) Debra Selkirk, Chief Advocacy Officer at the USC Annenberg Center for Health Journalism and widow of a liver failure patient (https://centerforhealthjournalism.org/debra-selkirk) Dr. Jacob M. Appel, psychiatrist and bioethicist at the Icahn School of Medicine at Mount Sinai (https://jacobmappel.com/) Dr. Dayna Bowen Matthew, Dean of the George Washington University Law School and expert in public health and civil rights law (https://www.law.gwu.edu/dayna-bowen-matthew) CHAPTERS (0:00) Introduction (0:57) Beatrice and the Broken Promise (3:17) Kindness Over Judgment (5:47) Empathy Improves Outcomes (8:35) Public Health vs Individualism (13:03) Alcohol and Transplant Fairness (26:09) Social Worth Taboo (27:32) Stewardship and Past Choices (29:07) Vaccine Refusal Priority (31:28) Manufactured Medical Scarcity (34:27) Just Health and Family Story (47:16) Racism Stress and Community Action

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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