Abstract
Dementia is a huge public health challenge with value conflicts affecting efforts to treat and care for persons with cognitive impairment. Standard biomedical ethical frameworks that focus primarily on the clinical or research arenas do not provide an adequate moral lens to find the necessary balance in setting priorities in a world of limited resources, global climate change, and competing social concerns. What appears missing in part is a focus on organizational ethics, including examining the roles of advocacy and professional organizations, as well as pharmaceutical and diagnostic device manufacturers. Well-developed and empirically-supported organizational value and social justice frameworks such as institutional corruption and responsible innovation will be reviewed. Evidence-based contributions of the arts and humanities to practice are growing at the interface between ethics and aesthetics. Increasingly data-driven prevention efforts and community transformation will play a role in addressing the social challenges of dementia.
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