Financial toxicity and dialysis: Autonomy and truth-telling in resource-limited settings.

From an ethical perspective, resource limitations provide a challenge for healthcare providers. Handling disclosure of the financial details of treatment options in a way that empowers patients, even in the face of extreme poverty, requires careful consideration of the personal preferences and motivations of each patient. This article will consider the high costs of dialysis for patients experiencing extreme poverty in light of various ethical principles, including informed consent and truth-telling. It will conclude that a graduated method of disclosing the physical and financial burdens of each treatment option is the best way forward, particularly for healthcare workers engaged in resource-limited settings.

The Bleak Future of Reproductive Rights for Queer Indians.

Despite the decriminalization of homosexuality in India in 2018, LGBTQ+ rights are under threat in the nation under Prime Minister Modi's far-right government. In this commentary, I explain why two bills recently passed by the Indian parliament-the Artificial Reproductive Technologies (Regulation) Bill and the Surrogacy Regulation Bill-will have chilling effects on the reproductive rights of LGBTQ+ citizens. The biologically essentialist and heteropatriarchal framing of reproductive rights in the bills will prevent LGBTQ+ citizens from accessing reproductive technologies. Contextualizing this framing within Modi's wider far-right Hindu nationalist agenda, I argue that there is a need for a heightened bioethical call to action from queer and feminist bioethicists in India and across the globe.