The One Health vision requires veterinarians and physicians to collaborate to prevent bioethical challenges created by restricted access to ketamine in low- and middle-income countries.

The One Health approach asserts that the health of animals and people is closely connected. Under this approach, the CDC and AVMA work globally to attain optimal health outcomes for both animals and humans. One facet of optimal health involves access to safe and effective anesthetics and analgesics. The anesthetic and analgesic drug ketamine possesses unique properties that make it particularly important for both veterinary and human patients in low- and middle-income countries (LMICs). These properties include its portability and stability, low cost, ease of administration, and wide therapeutic margin. China advocates regularly to the United Nations for global scheduling of ketamine as a controlled substance. However, this would disproportionately restrict access to ketamine in LMICs, imposing bioethical challenges related to animal patients, human patients, and communities. In alignment with the One Health vision, opposing global scheduling of ketamine in LMICs creates a unique opportunity for collaboration between veterinarians and physicians in LMICs and high-income countries to prevent these bioethical challenges.

Intersections of ethnicity and social class in provider advice regarding reproductive health.

OBJECTIVES: We examined how ethnicity and social class influence women's perceptions of reproductive health care. Of primary interest was assessing whether health care providers are perceived as advising low-income women, particularly women of color, to limit their childbearing and to what extent they feel they are discouraged by providers from having future children. METHODS: Ethnically diverse, low-income (n=193) and middle-class women (n=146) completed a questionnaire about their pregnancy-related health care experiences. RESULTS: Logistic regression analyses revealed that low-income women of color experienced greater odds of being advised to limit their childbearing than did middle-class White women. A separate model demonstrated that low-income Latinas reported greater odds of being discouraged from having children than did middle-class White women. CONCLUSIONS: Low-income women of color were more likely to report being advised to limit their childbearing and were more likely to describe being discouraged from having children than were middle-class White women. More research is needed regarding how ethnicity and social class impact women's experiences with reproductive health care.

Affirmative action. Psychological data and the policy debates.

The authors bring psychological research to bear on an examination of the policy of affirmative action. They argue that data from many studies reveal that affirmative action as a policy has more benefits than costs. Although the majority of pro-affirmative action arguments in the social sciences stress diversity, the authors' argument focuses on issues of merit. The merit-based argument, grounded in empirical studies, concludes that the policy of affirmative action conforms to the American ideal of fairness and is a necessary policy.