WH

What It's Like To Be... with Dan Heath

Dan Heath

A Clinical Ethicist

Jun 2, 202640 min
Summary

In this episode, host Dan Heath explores the challenging and often invisible profession of a clinical ethicist by interviewing Esther Berkowitz. Unlike medical staff who focus on physical treatment, a clinical ethicist operates in the high-stakes gray area where medicine meets morality. The discussion examines the role of an ethicist in navigating excruciating hospital dilemmas, such as determining who should make decisions for incapacitated patients, resolving conflicts between family members, and addressing whether doctors should honor a patient's wish to refuse life-saving treatment. A significant portion of the conversation focuses on the importance of advanced care planning and the concept of substituted judgment—the process of asking family members to set aside their own desires and speak for the patient’s true values. Berkowitz shares profound insights into how she helps care teams weigh the burdens and benefits of medical interventions, emphasizing the "dignity of risk" and the difficulty of identifying a patient's "authentic self" during a medical crisis. Ultimately, the episode highlights how this work fosters a comfort with uncertainty and a deep commitment to ensuring that patients can experience a peaceful end of life aligned with their own beliefs.

Updated Jul 8, 2026

About This Episode

Untangling who gets to speak for a dying patient, weighing a treatment's benefits against its burdens, and searching for clarity in the grayest corners of healthcare with Esther Berkowitz, a clinical ethicist. What is the "dignity of risk"? And how do you know which "version" of a person to trust?

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