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  1. Ethical and social reflections on the proposed European Health Data Space.Ciara Staunton, Mahsa Shabani, Deborah Mascalzoni, Signe Mezinska & Santa Slokenberga - 2024 - European Journal of Human Genetics 1 (1):1-9.
    The COVID-19 pandemic demonstrated the benefits of international data sharing. Data sharing enabled the health care policy makers to make decisions based on real-time data, it enabled the tracking of the virus, and importantly it enabled the development of vaccines that were crucial to mitigating the impact of the virus. This data sharing is not the norm as data sharing needs to navigate complex ethical and legal rules, and in particular, the fragmented application of the General Data Protection Regulation (GDPR). (...)
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  2. Is pregnancy a disease? A normative approach.Anna Smajdor & Joona Räsänen - forthcoming - Journal of Medical Ethics.
    In this paper, we identify some key features of what makes something a disease, and consider whether these apply to pregnancy. We argue that there are some compelling grounds for regarding pregnancy as a disease. Like a disease, pregnancy affects the health of the pregnant person, causing a range of symptoms from discomfort to death. Like a disease, pregnancy can be treated medically. Like a disease, pregnancy is caused by a pathogen, an external organism invading the host’s body. Like a (...)
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  3. A fair exchange: why living kidney donors in England should be financially compensated.Daniel Rodger & Bonnie Venter - 2023 - Medicine, Health Care and Philosophy 26 (4):625-634.
    Every year, hundreds of patients in England die whilst waiting for a kidney transplant, and this is evidence that the current system of altruistic-based donation is not sufficient to address the shortage of kidneys available for transplant. To address this problem, we propose a monopsony system whereby kidney donors can opt-in to receive financial compensation, whilst still preserving the right of individuals to donate without receiving any compensation. A monopsony system describes a market structure where there is only one ‘buyer’—in (...)
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  4. Dürfen Gentherapien so viel kosten? – Ethische Bewertung der hohen Preise und des performanceorientierten Erstattungsmodells.Karla Alex & Julia König - 2023 - In Boris Fehse, Hannah Schickl, Sina Bartfels & Martin Zenke (eds.), Gen- und Zelltherapie 2.023 – Forschung, klinische Anwendung und Gesellschaft. Berlin, Heidelberg: Springer. pp. 317-337.
    This chapter examines whether high prices for gene therapies are justified and whether the problems associated with high prices can be solved by the "pay for performance" (P4P) reimbursement model. To this end, we first describe how prices for new drugs, including gene therapies, are set in Germany (section 2.). P4P is then presented as an example of a reimbursement model (section 3.). The subsequent ethical analysis (section 4.) first examines whether P4P models can sustainably guarantee the right to health (...)
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  5. Defusing the legal and ethical minefield of epigenetic applications in the military, defence and security context.Gratien Dalpe, Katherine Huerne, Charles Dupras, Katherine Cheung, Nicole Palmour, Eva Winkler, Karla Alex, Maxwell Mehlmann, John W. Holloway, Eline Bunnik, Harald König, Isabelle M. Mansuy, Marianne G. Rots, Cheryl Erwin, Alexandre Erler, Emanuele Libertini & Yann Joly - 2023 - Journal of Law and the Biosciences 10 (2):1-32.
    Epigenetic research has brought several important technological achievements, including identifying epigenetic clocks and signatures, and developing epigenetic editing. The potential military applications of such technologies we discuss are stratifying soldiers’ health, exposure to trauma using epigenetic testing, information about biological clocks, confirming child soldiers’ minor status using epigenetic clocks, and inducing epigenetic modifications in soldiers. These uses could become a reality. This article presents a comprehensive literature review, and analysis by interdisciplinary experts of the scientific, legal, ethical, and societal issues (...)
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  6. Data Safety Monitoring during Covid-19: Keep On Keeping On.Deborah Barnbaum - 2020 - Ethics and Human Research 42 (3):43-44.
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  7. Personhood and Disorders of Consciousness: Finding Room in Person-Centered Healthcare.Marco Antonio Azevedo - 2020 - European Journal for Person Centered Healthcare 8 (3):391-405.
    Advocates of the Person-Centered Healthcare (PCH) approach say that PCH is a response to a failure of caring for patients as persons. Nevertheless, there are many human subjects falling to fulfill the requirements of a traditional philosophical definition of personhood. Hence, if we take, PCH seriously, a greater clarification of the key terminology of PCH is urgently needed. It seems necessary, for instance, that the concept of the person should be extended in order to include those individuals with insipient or (...)
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  8. Bipolar Disorder and Competence.Samuel Director - forthcoming - Journal of Medical Ethics.
    Josh is a typical 27-year-old in a career that he enjoys and a successful marriage. Josh begins to exhibit the symptoms of a manic episode. He is soon diagnosed with bipolar disorder. While non-manic, Josh’s preferences are typical. While manic, his preferences change dramatically. He quits his job, cheats on his partner, and squanders his savings. These are behaviors that Josh, when non-manic (euthymic), would never agree to. When Josh returns to a euthymic state, he regrets these decisions. Should those (...)
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  9. Antinatalism—Solving everything everywhere all at once?Joona Räsänen & Matti Häyry - 2023 - Bioethics 37 (9):829-830.
  10. Xenotransplantation Clinical Trials and Equitable Patient Selection.Christopher Bobier & Daniel Rodger - forthcoming - Cambridge Quarterly of Healthcare Ethics:1-10.
    Xenotransplant patient selection recommendations restrict clinical trial participation to seriously ill patients for whom alternative therapies are unavailable or who will likely die while waiting for an allotransplant. Despite a scholarly consensus that this is advisable, we propose to examine this restriction. We offer three lines of criticism: (1) The risk–benefit calculation may well be unfavorable for seriously ill patients and society; (2) the guidelines conflict with criteria for equitable patient selection; and (3) the selection of seriously ill patients may (...)
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  11. Knowledge Regarding Sexual Abuse of Selected University Students of Dhaka City.Sabrina Akhter, Shafquat H. Chowdhury, Turna Mithila & Shamima Parvin Lasker - 2023 - Joj Public Health 7 (5):1-5.
    Introduction: Sexual harassment involves an assortment of coercive behaviors, including physical force, intimidation, and various forms of compulsion, including verbal harassment and forced penetration [1]. Sexual abuse can happen to both men and women. In the United Kingdom(UK), the problem of child sexual abuse (CSA) has epidemic proportions and is a global public health issue [2]. 53,874 incidents were reported under the 2012 Protection of Children from Sexual Offences Act as of 2021 [3]. to their ignorance about puberty, sexuality, and (...)
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  12. Responsible risking, forethought, and the case of germline gene editing.Madeleine Hayenhjelm - 2024 - In Adriana Placani & Stearns Broadhead (eds.), Risk and Responsbility in Context. New York and London: Routledge. pp. 149-169.
    This chapter addresses a general question: What is responsible risking? It explores the notion of "responsible risking" as a thick moral concept, and it argues that the notion can be given moral content that could be action-guiding and add an important tool to our moral toolbox. To impose risks responsibly, on this view, is to take on responsibility in a good way. A core part of responsible risking, this chapter argues, is some version of a Forethought Condition. Such a condition (...)
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  13. Emerging plurality of life: Assessing the questions, challenges and opportunities.Jessica Abbott, Erik Persson & Olaf Witkowski - 2023 - Frontiers Human Dynamics 5:1153668.
    Research groups around the world are currently busy trying to invent new life in the laboratory, looking for extraterrestrial life, or making machines increasingly more life-like. In the case of astrobiology, any newly discovered life would likely be very old, but when discovered it would be new to us. In the case of synthetic organic life or life-like machines, humans will have invented life that did not exist before. Together, these endeavors amount to what we call the emerging plurality of (...)
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  14. Institutional Review Boards and Public Justification.Anantharaman Muralidharan & G. Owen Schaefer - 2022 - Ethical Theory and Moral Practice 26 (3):405-423.
    Ethics committees like Institutional Review Boards and Research Ethics Committees are typically empowered to approve or reject proposed studies, typically conditional on certain conditions or revisions being met. While some have argued this power should be primarily a function of applying clear, codified requirements, most institutions and legal regimes allow discretion for IRBs to ethically evaluate studies, such as to ensure a favourable risk-benefit ratio, fair subject selection, adequate informed consent, and so forth. As a result, ethics committees typically make (...)
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  15. Predicting and Preferring.Nathaniel Sharadin - forthcoming - Inquiry: An Interdisciplinary Journal of Philosophy.
    The use of machine learning, or “artificial intelligence” (AI) in medicine is widespread and growing. In this paper, I focus on a specific proposed clinical application of AI: using models to predict incapacitated patients’ treatment preferences. Drawing on results from machine learning, I argue this proposal faces a special moral problem. Machine learning researchers owe us assurance on this front before experimental research can proceed. In my conclusion I connect this concern to broader issues in AI safety.
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  16. Ditching Decision-Making Capacity.Daniel Fogal & Ben Schwan - forthcoming - Journal of Medical Ethics.
    Decision-making capacity (DMC) plays an important role in clinical practice—determining, on the basis of a patient’s decisional abilities, whether they are entitled to make their own medical decisions or whether a surrogate must be secured to participate in decisions on their behalf. As a result, it’s critical that we get things right—that our conceptual framework be well-suited to the task of helping practitioners systematically sort through the relevant ethical considerations in a way that reliably and transparently delivers correct verdicts about (...)
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  17. Ethical Controversy Surrounding the Revision of the Uniform Determination of Death Act in the United States.Osamu Muramoto - 2023 - In Peter A. Clark (ed.), Contemporary Issues in Clinical Bioethics. London: Intech Open. pp. DOI: 10.5772/intechopen.1002031.
    This chapter reviews fundamental ethical controversy surrounding the ongoing effort to revise the Uniform Determination of Death Act in the United States. Instead of focusing on the process of the revision itself, the chapter explores the underlying ethical debate over brain death that has been ongoing for many decades and finally culminated in this revision. Three issues are focused: the requirement for consent and personal exemptions before applying brain death for the diagnosis of death; redefining the areas of the brain (...)
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  18. Human Nature and Aspiring the Divine: On Antiquity and Transhumanism.Sarah Malanowski & Nicholas R. Baima - 2022 - Journal of Medicine and Philosophy 47 (5):653-666.
    Many transhumanists see their respective movement as being rooted in ancient ethical thought. However, this alleged connection between the contemporary transhumanist doctrine and the ethical theory of antiquity has come under attack. In this paper, we defend this connection by pointing out a key similarity between the two intellectual traditions. Both traditions are committed to the “radical transformation thesis”: ancient ethical theory holds that we should assimilate ourselves to the gods as far as possible, and transhumanists hold that we should (...)
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  19. The Health Crisis of Immigrants and Displaced Persons in a Pluralistic Society: A Need for Global Bioethics Governance.Asmat Ara Islam - 2020 - Jibon Darshon 10:342-350.
    Abstract. Global bioethics governance is a necessity in the era of globalization, yet the research on this issue is inadequate and underdeveloped. This research project argues that introducing global bioethics governance may deal effectively with the health crisis of migrants. Since immigrants are the minority in a new country, thus, one of the moral questions regarding this issue reflects on how to ensure health justice for this population. Health crisis issues arise in a multicultural society, which is often problematic to (...)
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  20. Artificialidad y naturalidad en la discusión bioética.Lourdes Velazquez - 2020 - Medicina y Ética 31:327-355.
    El problema de la manera correcta de utilizar lo artificial se ha presentado varias veces en los debates de bioética, y a menudo ha tenido que enfrentarse con un principio que siempre ha sido considerado fundamental en la ética y adoptado como criterio para evaluar la rectitud moral de las acciones humanas; es decir, el hecho de ser conformes con la naturaleza. Según este planteamiento, lo artificial es potencialmente malo, mientras que lo natural siempre es bueno. La tensión entre estos (...)
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  21. Fulfilled present and rhythm of life.Roland Kipke - 2023 - Ethik in der Medizin 35 (1):23-42.
    Definition of the problem: The connection between time and the good life has already been worked out for a number of medical specialties and practices. However, what role does the temporality of the good life play for medicine as a whole? That is the central question of this article. Arguments: The good life is here understood as a meaningful life. Living meaningfully is only possible through present action. A fulfilled presence in this sense is therefore an essential aspect of the (...)
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  22. Does ectogestation have oppressive potential?Ji-Young Lee, Ezio Di Nucci & Andrea Bidoli - forthcoming - Journal of Social Philosophy.
    In the future, full ectogestation – in which artificial placenta technology would be used to carry out the entirety of gestation – could be an alternative to human pregnancy. This article analyzes some underexplored objections to ectogestation which relate to the possibility for new and continuing forms of social oppression. In particular, we examine whether ectogestation could be linked to an unwarranted de-valuing of certain aspects of female reproductive embodiment, or exacerbate objectionable kinds of scrutiny over the reproductive choices of (...)
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  23. Introduction: controversial arguments in bioethics.Joona Räsänen, Matti Häyry & Tuija Takala - 2023 - Theoretical Medicine and Bioethics 44 (2):109-112.
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  24. Please Wear a Mask: A Systematic Case for Mask Wearing Mandates.Roberto Fumagalli - forthcoming - Journal of Medical Ethics.
    This paper combines considerations from ethics, medicine and public health policy to articulate and defend a systematic case for mask wearing mandates. The paper argues for two main claims of general interest in favour of these mandates. First, mask wearing mandates provide a more effective, just and fair way to tackle the ongoing COVID-19 pandemic than policy alternatives such as laissez-faire approaches, mask wearing recommendations and physical distancing measures. And second, the proffered objections against mask wearing mandates may justify some (...)
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  25. Evaluating Tradeoffs between Autonomy and Wellbeing in Supported Decision Making.Walter Veit, Brian Earp, Heather Browning & Julian Savulescu - 2021 - American Journal of Bioethics 21 (11):21-24.
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  26. Colombian youth express interest in receiving sex education from their parents.Julien Brisson, Vardit Ravitsky & Bryn Williams-Jones - 2023 - Sexuality and Culture 1 (27):266-289.
    Despite having essential health needs regarding sexual and reproductive health services (SRHS), young people (e.g., adolescents) in many countries show low use of such services. The World Health Organization advocates fostering young people’s autonomy to access health services to address this global health problem. However, there are gaps in the literature to understand how young people’s autonomy can be fostered to access SRHS. In 2019–2020, we conducted semi-structured interviews with 45 young people aged 14–23 years old in Colombia to explore (...)
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  27. Deception, intention and clinical practice.Nicholas Colgrove - 2022 - Journal of Medical Ethics 1 (Online First):1-3.
    Regarding the appropriateness of deception in clinical practice, two (apparently conflicting) claims are often emphasised. First, that ‘clinicians should not deceive their patients.’ Second, that deception is sometimes ‘in a patient’s best interest.’ Recently, Hardman has worked towards resolving this conflict by exploring ways in which deceptive and non-deceptive practices extend beyond consideration of patients’ beliefs. In short, some practices only seem deceptive because of the (common) assumption that non-deceptive care is solely aimed at fostering true beliefs. Non-deceptive care, however, (...)
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  28. Diachronic and synchronic variation in the performance of adaptive machine learning systems: the ethical challenges.Joshua Hatherley & Robert Sparrow - 2023 - Journal of the American Medical Informatics Association 30 (2):361-366.
    Objectives: Machine learning (ML) has the potential to facilitate “continual learning” in medicine, in which an ML system continues to evolve in response to exposure to new data over time, even after being deployed in a clinical setting. In this article, we provide a tutorial on the range of ethical issues raised by the use of such “adaptive” ML systems in medicine that have, thus far, been neglected in the literature. -/- Target audience: The target audiences for this tutorial are (...)
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  29. Ethical medical innovations and their applications: an Islamic perspective.Mohammad Manzoor Malik - 2019 - Al Ameen Journal of Medical Sciences 3 (12):115-120.
    Creativity and innovation is very part of human nature (fitrah) which makes human beings different from other beings that are so far found on the planet. The outcome of creativity can be both harmful and beneficial. And most of it depends on the moral standing of those to whom end products of such creativity are available. Islam gives high importance to health and the Muslim civilization that flourished in Bagdad and Spain during the medieval period made original contributions to medical (...)
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  30. Toward Meeting the Obligation of Respect for Persons in Pragmatic Clinical Trials.Stephanie R. Morain, Stephanie A. Kraft, Benjamin S. Wilfond, Amy Mcguire, Neal W. Dickert, Andrew Garland & Jeremy Sugarman - 2022 - Hastings Center Report 52 (3):9-17.
    Hastings Center Report, Volume 52, Issue 3, Page 9-17, May–June 2022.
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  31. Experimental and relational authenticity: how neurotechnologies impact narrative identities.Cristian Iftode, Alexandra Zorilă, Constantin Vică & Emilian Mihailov - forthcoming - Phenomenology and the Cognitive Sciences:1-18.
    The debate about how neurotechnologies impact authenticity has focused on two inter-related dimensions: self-discovery and self-creation. In this paper, we develop a broader framework that includes the experimental and relational dimensions of authenticity, both understood as decisive for shaping one’s narrative identity. In our view, neurointerventions that alter someone’s personality traits will also impact her very own self-understanding across time. We argue that experimental authenticity only needs a minimum conception of narrative coherence of the self and that reversibility should remain (...)
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  32. Recent Work in the Philosophy of Medicine: An Essay Review. [REVIEW]John E. Huss - 2022 - Philosophy of Science 89 (1):193-201.
  33. Comparing Germany and Israel regarding debates on policy-making at the beginning of life: PGD, NIPT and their paths of routinization.Aviad E. Raz, Tamar Nov-Klaiman, Yael Hashiloni-Dolev, Hannes Foth, Christina Schües & Christoph Rehmann-Sutter - 2021 - Ethik in der Medizin 34 (1):65-80.
    The routinization of prenatal diagnosis is the source of bioethical and policy debates regarding choice, autonomy, access, and protection. To understand these debates in the context of cultural diversity and moral pluralism, we compare Israel and Germany, focusing on two recent repro-genetic “hot spots” of such policy-making at the beginning of life: pre-implantation genetic diagnosis and non-invasive prenatal genetic testing, two cutting-edge repro-genetic technologies that are regulated and viewed very differently in Germany and Israel, reflecting different medicolegal policies as well (...)
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  34. Informed Consent: Foundations and Applications.Joanna Smolenski - 2021 - Dissertation, Cuny Graduate Center
    Since its advent in the 20th century, informed consent has become a cornerstone of ethical healthcare, and obtaining it a core obligation in medical contexts. In my dissertation, I aim to examine the theoretical underpinnings of informed consent and identify what values it is taken to protect. I will suggest that the fundamental motivation behind informed consent rests in something I’ll call bodily self-sovereignty, which I argue involves a coupling of two groups of values: autonomy and non-domination on the one (...)
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  35. Public Reason and Bioethics: Three Perspectives.Hon-Lam Li & Michael Campbell (eds.) - 2021 - London, UK: Palgrave Macmillan.
    This book explores and elaborates three theories of public reason, drawn from Rawlsian political liberalism, natural law theory, and Confucianism. Drawing together academics from these separate approaches, the volume explores how the three theories critique each other, as well as how each one brings its theoretical arsenal to bear on the urgent contemporary debate of medical assistance in dying. The volume is structured in two parts: an exploration of the three traditions, followed by an in-depth overview of the conceptual and (...)
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  36. Public Health Policies: Philosophical Perspectives Between Science and Democracy.Federico Boem & Matteo Galletti - 2021 - Humana Mente 14 (40).
    COVID19 pandemic has clarified that public health policies are central for the future of human societies from several perspectives. As a matter of fact, they are based on certain premises that are practical-political (e.g., ensuring the health of citizens), moral (e.g., health is a value), or epistemological (e.g., certain ideas concerning expertise and shared knowledge). Indeed, effective policies require first and foremost not only to be based on reliable data and models (i.e., so-called evidence-based policy) but also to ensure that (...)
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  37. Clinical Ethics Consultations in the Opinion of Polish Physicians.Marek Czarkowski, Joanna Różyńska, Bartosz Maćkiewicz & Jakub Zawiła-Niedźwiecki - 2021 - Journal of Bioethical Inquiry 18 (3):499-509.
    Clinical Ethics Consultations are an important tool for physicians in solving difficult cases. They are extremely common in North America and to a lesser extent also present in Europe. However, there is little data on this practice in Poland. We present results of a survey of 521 physicians practising in Poland concerning their opinion on CECs and related practices. We analysed the data looking at such issues as CECs’ perceived availability, use of CECs, and perceived usefulness of such support. Physicians (...)
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  38. Donchin and Holmes Emerging Scholar Prize Paper Understanding and Correcting Sex Disparity in Cardiovascular Disease Research: Ethical and Practical Solutions.Lida Sarafraz - 2021 - International Journal of Feminist Approaches to Bioethics 14 (2):81-96.
    Cardiovascular disease is the leading cause of death of women in the United States, yet cardiovascular research is disproportionately conducted using male human subjects and male animal models. This article deploys Katrina Hutchison’s (2019) analysis of gender disparity in clinical trials as a moral aggregation problem to address the problem of underrepresentation of women in cardiovascular research. I identify cost concerns, convenience, pregnancy, and negligence as potential reasons for the underrepresentation of women in CVD research. Finally, I suggest that multilevel (...)
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  39. Civil Liberties in a Lockdown: The Case of COVID-19.Samuel Director & Christopher Freiman - 2023 - Journal of Medicine and Philosophy 1 (6):1-24.
    In response to the spread of COVID-19, governments across the world have, with very few exceptions, enacted sweeping restrictive lockdown policies that impede citizens’ freedom to move, work, and assemble. This paper critically responds to the central arguments for restrictive lockdown legislation. We build our critique on the following assumption: public policy that enjoys virtually unanimous support worldwide should be justified by uncontroversial moral principles. We argue that that the virtually unanimous support in favor of restrictive lockdowns is not adequately (...)
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  40. Detached from Humanity: Artificial Gestation and the Christian Dilemma.Daniel Rodger & Bruce P. Blackshaw - forthcoming - Christian Bioethics.
    The development of artificial womb technology is proceeding rapidly and will present important ethical and theological challenges for Christians. While there has been extensive secular discourse on artificial wombs in recent years, there has been little Christian engagement with this topic. There are broadly two primary uses of artificial womb technology—ectogestation as a form of enhanced neonatal care, where some of the gestation period takes place in an artificial womb, and ectogenesis, where the entire gestation period is within an artificial (...)
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  41. Does Medicine Need to Accommodate Positive Conscientious Objections to Morally Self-Correct?Kyle Ferguson & Eric J. Kim - 2021 - American Journal of Bioethics 21 (8):74-76.
    The controversy around the accommodation of conscientious objections in medicine persists, especially for such contentious services as abortions. COs are typically considered in their negativ...
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  42. There is No Race Problem: Theorizing the Absence of Racial and Ethnic Disparity Data in Scotland After COVID-19.Tommy J. Curry - 2021 - In Scotland After the Virus. Edinburgh, UK: pp. 195-202.
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  43. Resistance, Medicine, and Moral Courage: Lessons on Bioethics from Jewish Physicians during the Holocaust.Jason Adam Wasserman & Herbert Yoskowitz - 2019 - Conatus 4 (2):359.
    There is a perpetrator historiography of the Holocaust and a Jewish historiography of the Holocaust. The former has received the lion’s share of attention in bioethics, particularly in the form of warnings about medicine’s potential for complicity in human atrocity. However, stories of Jewish physicians during the Holocaust are instructive for positive bioethics, one that moves beyond warnings about what not to do. In exercising both explicit and introspective forms of resistance, the heroic work of Jewish physicians in the ghettos (...)
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  44. Becoming and being a biobank donor: The role of relationships and ethics.Signe Mezinska, Ilze Mileiko & Jekaterina Kaleja - 2020 - PLoS ONE 11 (15):1-14.
    Relational aspects, such as involvement of donor’s relatives or friends in the decision-making on participation in a research biobank, providing relatives’ health data to researchers, or sharing research findings with relatives should be considered when reflecting on ethical aspects of research biobanks. The aim of this paper is to explore what the role of donor’s relatives and friends is in the process of becoming and being a biobank donor and which ethical issues arise in this context. We performed qualitative analysis (...)
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  45. On Conditions that Compromise Autonomous Choice.Tom L. Beauchamp - 2020 - Journal of Law, Medicine and Ethics 48 (3):565-566.
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  46. Harm, Consent, and Virtual Selves in Full-Body Ownership Illusions: Real Concerns for Immersive Virtual Reality Therapies.Maria Botero & Elise Whatley - 2020 - Cambridge Quarterly of Healthcare Ethics 29 (4):585-591.
    This paper analyzes in the use of virtual reality when used to induce full-body ownership in violent offenders in order to elicit empathetic feelings by allowing them to embody the virtual body of a victim of domestic abuse. The authors explore potentially harmful effects to individuals participating in this kind of therapy and question whether consent is fully informed. The paper concludes with guidelines for ethical research and rehabilitation using this innovative technology.
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  47. Radical enhancement as a moral status de-enhancer.Jesse Gray - 2020 - Monash Bioethics Review 1 (2):146-165.
    Nicholas Agar, Jeff McMahan and Allen Buchanan have all expressed concerns about enhancing humans far outside the species-typical range. They argue radically enhanced beings will be entitled to greater and more beneficial treatment through an enhanced moral status, or a stronger claim to basic rights. I challenge these claims by first arguing that emerging technologies will likely give the enhanced direct control over their mental states. The lack of control we currently exhibit over our mental lives greatly contributes to our (...)
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  48. Bacterial Baptism: Scientific, Medical, and Regulatory Issues Raised by Vaginal Seeding of C-Section-Born Babies.Noel T. Mueller, Suchitra K. Hourigan, Diane E. Hoffmann, Lauren Levy, Erik C. von Rosenvinge, Betty Chou & Maria-Gloria Dominguez-Bello - 2019 - Journal of Law, Medicine and Ethics 47 (4):568-578.
    Several lines of evidence suggest that children born via Cesarean section are at greater risk for adverse health outcomes including allergies, asthma and obesity. Vaginal seeding is a medical procedure in which infants born by C-section are swabbed immediately after birth with vaginal secretions from the mother. This procedure has been proposed as a way to transfer the mother's vaginal microbiome to the child, thereby restoring the natural exposure that occurs during vaginal birth that is interrupted in the case of (...)
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  49. The Paradox of Consent for Capacity Assessments.Peter Koch - 2019 - Journal of Law, Medicine and Ethics 47 (4):751-757.
    The use of decision-making capacity assessments in clinical medicine is an underdeveloped yet quickly growing practice. Despite the ethical and clinical importance of these assessments as a means of protecting patient autonomy, clinicians, philosophers, and ethicists have identified a number of practical and theoretical hurdles which remain unresolved. One ethically important yet largely unaddressed issue is whether, and to what extent physicians ought to inform and obtain consent from patients prior to initiating a capacity assessment. In what follows, I address (...)
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  50. Do mothers of extremely preterm babies have a duty to express breastmilk?Fiona Woollard - 2020 - Acta Paediatrica 110 (1):22-24.
    Infant feeding decisions are highly emotionally charged. I argue elsewhere that many problems surrounding infant feeding decisions result from a moralized context created by mistakes in our assumptions about maternal duties including the mistaken assumption that mothers have a defeasible moral duty to breastfeed. Mothers have a reason, but not a moral duty to breastfeed. Even those who are convinced by my argument in the case of full-term babies, might find it harder to accept in the case of premature babies. (...)
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