Scarcity & allocation
Fair, transparent approaches to allocating medicines when supply cannot meet need.
Examining the difficult choices of pharmacy practice behind drug shortages, medication access, pharmacy policy, and clinical care.

Brian Spoelhof, PharmD, MBE
PharmacistBioethicistEducator
About Brian
Brian Spoelhof is a clinical pharmacist, pharmacy administrator, and bioethicist focused on the difficult choices that shape pharmacy practice. His work connects bedside care, policy, scarce resources, and ethical reasoning to help clinicians and organizations make more transparent, defensible decisions.
Areas of focus
Clear frameworks for clinicians, leaders, and organizations navigating choices with real consequences.
Fair, transparent approaches to allocating medicines when supply cannot meet need.
Building defensible systems that connect evidence, values, and institutional responsibility.
Examining who benefits, who bears the burden, and how pharmacy can close the gap.
Watch · Read · Listen
An ethics-focused review of privacy, informed consent, transparency, and patient data in healthcare AI.
Clinical cases examine responsibility, oversight, and the ethical limits of AI-supported decisions.
A workshop for developing and applying an ethical allocation framework during medication shortages.
Three cases explore how pharmacists can recognize and reason through ethical tension in everyday practice.
Speaking & consultation
For conferences, media, workshops, and complex pharmacy decisions.
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