The rapidly expanding aging population presents an urgent global challenge cutting through just about every dimension of worldly life, including the social, political, cultural, and economic. Developing innovations in health and assistive technology (AT) are poised to support effective and sustainable health care in the face of this challenge, yet there is scant (but growing) discussion of the ethical issues surrounding AT for older persons with dementia. Demands for ethical frameworks that can respond to frontline dilemmas regarding AT development and (...) provision, and how the needs of aging persons themselves are defined throughout this development process, are increasing. This article suggests that fulfilling the promises of AT to provide effective and ethically informed solutions may demand shifting away from standard bioethical analyses that centralize the principle of respect for autonomy. An autonomy-centric paradigm is dubiously equipped to theorize the foundational ethical issues in dementia care and to effectively guide AT development and implementation. An agency-centered approach to dementia care, which could engage more adaptively with the perspectives and choices of older persons themselves while offering strong support to AT research and stakeholders, may offer an attractive alternative. (shrink)

Are animals not ours to use? According to proponents of veganism such as Gary Francione, any and all use of animals by humans is exploitative and wrong. It is wrong because animals have intrinsic worth and humans' use of animals fails to respect that worth. Contra Francione, I argue that that there are conditions under which it may be morally appropriate to collect, consume, sell, or otherwise use animal products. Francione is mistaken in his belief that assigning intrinsic worth to (...) a being is impossible if said being is also conceived as a resource. Using and (non-instrumental) valuing are not mutually exclusive; if they were, many if not most human relationships would be deemed morally unacceptable. Through a series of thought experiments involving intra-human relationships, I suggest that moral condemnation of relationships within which a less dependent party regularly takes from a more dependent party is indefensible. In fact, relationships of use between asymmetrically dependent parties are essential to the functioning of cooperative society, and are therefore desirable. My aims with this article are to convince readers of the need to reject principled veganism, and to garner support for new philosophical accounts of morally appropriate human-nonhuman animal relationships. (shrink)

The continuous pursuit and support of medical research on both a societal and individual level is frequently presupposed as laudable, or even obligatory. However, some critics have challenged the assumption that medical research ought to be conducted. These critics reject claims that there is a moral obligation to pursue research, and that medical research may always be justifiable given adequate safeguards and regulations. We align ourselves with critics of the research imperative to the extent that we believe that medical research (...) may only be an imperfect obligation, grounded in the principle of beneficence. Our central purpose in this article, however, is not to advance an original argument concerning the .. (shrink)