In Memoriam: The Sudden Demise of the AMA Journal of Ethics — A great loss for physicians, the profession, and the public; MedPage Today, November 14, 2025

 Matthew Wynia, MD, MPH, and Kayhan Parsi, JD, PhD, MedPage Today; In Memoriam: The Sudden Demise of the AMA Journal of Ethics — A great loss for physicians, the profession, and the public

"Bioethics is a small field, but we punch above our weight when it comes to writing. Professional journal articles, reports, and policies are arguably our primary written products, since the main job in bioethics is to help clinicians and others navigate ethical challenges in their work. But we also write for the public, in forums like blogs and editorials, since many of the issues we write about have broader implications. Consequently, learning to write for publication is a key skill for bioethicists, and professional journals are critical for the field. One particular journal -- the AMA Journal of Ethics -- has been a stalwart in giving a voice to newcomers to the field...

Why Did the AMA Kill its Journal of Ethics?

The AMA is the nation's largest and most influential medical professional organization, and its Journal of Ethics held the mission of, "illuminating the art of medicine" by being an open access journal, freely available to all, with no advertising, focusing each month on an important ethical issue in healthcare, and, most uniquely perhaps, each issue was edited by health professional trainees and their mentors. Only the AMA, with its mission, resources, and reach, could have produced this journal.

One possible reason for its elimination might be financial. But if financial returns were to be a metric for success, then the AMA JoE had a bad business model from the start: no fees, no subscriptions, no advertising. As Kao argued, a guiding premise for the journal was that "ethics inquiry is a public goodopens in a new tab or window" -- hence no fees or subscriptions and no ads (avoiding conflicts of interest is critical in ethics inquiry).

For the AMA, the business case for AMA JoE could never have been about profit; rather, it was about demonstrating the AMA's integrity, altruism, and service to physicians from very early in their careers. The journal aimed to build goodwill, bolster the AMA's reputation, improve ethical deliberation within the profession and, most importantly, entice students and trainees to engage seriously with the organization. By these metrics it has succeeded. Over its more than 25 years in existence, the journal drew innumerable medical students, residents, and fellows into the AMA. It also provided a crucial training ground for young people in medicine who wanted to learn about bioethics and about writing and editing, and it helped build the credibility and presence of the AMA and its ethics group nationally and internationally.

So, if it wasn't about profit, perhaps it was the political environment. The journal encouraged medical trainees to explore some of the most contentious challenges facing medicine and society, so it inherently provided opportunities for controversy. Issues this year have addressed themes of private equity in medicineopens in a new tab or window, regret and surgical professionalismopens in a new tab or window, and evidence-based design in healthcareopens in a new tab or window. Meanwhile, issues in prior years have addressed some currently inflammatory topics, like ethical issues related to transgender surgical careopens in a new tab or window and segregation in healthcareopens in a new tab or window. Remarkably, the journal still very rarely caused public relations problems for the AMA, perhaps because its editorial staff were highly qualified professionals, but also because its approach to controversy was civil, inquisitive, and exploratory.

As Kao wrote in a farewell essayopens in a new tab or window this month: "For over a quarter of a century, the AMA Journal of Ethics has striven to publish insightful commentaries, engaging podcasts, and provocative artwork that help medical students, physicians, and all health care professionals reflect on and make sound ethical decisions in service to patients and society." In fact, the journal often demonstrated exactly this spirit of respectful discussion about challenging ethical issues that we need to rekindle today, making its loss even more tragic and difficult to explain.

AMA JoE: A Value-Added Offering

In a recent opinion piece in MedPage Today, "Medical Societies Are Facing an Existential Crisis,opens in a new tab or window" the authors exhorted medical societies, facing declining memberships and engagement among young physicians, to reimagine their role by offering "free basic memberships supplemented by value-added services [that] could attract early-career physicians who might otherwise remain disengaged." AMA JoEwas exactly this type of value-added offering that not only served students and trainees, but also educators across health professions. Anecdotally, many health profession educators we know routinely use pieces from AMA JoE in their teaching and now lament its demise.

The AMA has reportedly promisedopens in a new tab or window to keep the historical content of the journal accessible on the AMA JoE website. This is no consolation for the students, residents, and fellows who were working on future issues, but it means the legacy of the journal will live on. Someday, we'd like to believe it might even be revived.

For now, we mourn the loss of AMA JoE for the field of bioethics. Even more, we mourn what the AMA's sudden elimination of its ethics journal might mean for physicians, the profession, and the public."

opens in a new tab or window(AMA JoE) -- has been a stalwart in giving a voice to newcomers to the field.

Audiey Kao, MD, PhD, on what physicians need to know about ethics in 2022; American Medical Association (AMA), January 5, 2022

American Medical Association (AMA); Audiey Kao, MD, PhD, on what physicians need to know about ethics in 2022

"AMA's Moving Medicine video series amplifies physician voices and highlights developments and achievements throughout medicine.

Kicking off 2022 with the AMA's "Look Forward/Look Back” series, AMA Chief Experience Officer Todd Unger talks with Audiey Kao, MD, PhD, the AMA's vice president of ethics, about the AMA's critical work in medical ethics and what to expect in the months ahead.

Speaker

• Audiey Kao, MD, PhD, vice president, ethics, AMA...

Unger: One of the things I've learned, I know over the past year of talking to so many different physicians is, whatever was wrong with health care going into the pandemic certainly became a lot worse, exposed so many issues. When physicians make decisions on things like a prognosis, we have found that the cards are already stacked against patients who've been medically underserved. What ethical guidance did the AMA provide about responding to health inequities that we've seen during the pandemic?

Dr. Kao: Respecting human dignity is one of the core principles underlying the AMA Code of Medical Ethics. And so, the Code, for example, offers guidance to physicians in how to realize their ethical responsibility to address health disparities and inequities. That said, we have also seen how the COVID-19 pandemic has greatly affected historically marginalized and minoritized populations who have been long oppressed by racist policies and structures.

This past June, the AMA Journal of Ethics published an entire issue on the topic of transgenerational trauma and how clinicians can respond to individuals and communities to address the health inequities created by such trauma.

Unger: Dr. Kao, you have talked to a lot of physicians and other experts throughout the pandemic on ethics-based issues. I'd love to hear about any standout conversations, any meaningful stories that come to mind when you think about those conversations?

Dr. Kao: Yeah. As you know Todd, when the pandemic started, the journal got creative and developed a series COVID-related in interviews, and I had the privilege of interviewing many thoughtful and engaging individuals. Some that come to mind include Doctors Ceasar and Charles, who helped to start White Coats for Black Lives.

The interview I conducted with Professor Ibram Kendi about what it means to be an anti-racist also stands out in my mind. I also had the opportunity to interview physician poet, Rafael Campo and political cartoonist Matt Wuerker, about the pandemic through the lens of their respective art forms.

I'm particularly of our focus on the pandemic's impact on some of the most vulnerable among us, including individuals experiencing homelessness, those who are living in jails and prisons and those working in low wage jobs, who frankly didn't have the luxury working from home."

What to tell patients when artificial intelligence is part of the care team; American Medical Association (AMA), February 13, 2019

Staff News Writer, American Medical Association (AMA); What to tell patients when artificial intelligence is part of the care team

"Artificial intelligence (AI) in health care can help manage and analyze data, make decisions and conduct conversations. The availability of AI is destined to drastically change physicians’ roles and everyday practices. It is key that physicians be able to adapt to changes in diagnostics, therapeutics and practices of maintaining patient safety and privacy. However, physicians need to be aware of ethically complex questions about implementation, uses and limitations of AI in health care.   

The February issue of the AMA Journal of Ethics® (@JournalofEthics) features numerous perspectives on AI in health care and gives you an opportunity to earn CME credit."