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ETHICS IN MEDICINE   University of Washington School of Medicine

Public Health Ethics:
Case 2

MW is a 33-year-old man with multi-drug resistant tuberculosis. He is homeless, and has a pattern of missing many of his scheduled clinic visits. Upon starting a multi-drug regimen for his TB, MW initially comes to his scheduled clinic visits, but after a few weeks begins missing them. The physician contacts the social work case manager, who arranges supervised drug administration. Nevertheless, MW often cannot be found and this approach is deemed to be failing.

Should MW be forced into treatment against his will?
What are the ethical considerations behind your answer?


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