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  1.  30
    Disambiguating Clinical Intentions: The Ethics of Palliative Sedation.L. A. Jansen - 2010 - Journal of Medicine and Philosophy 35 (1):19-31.
    It is often claimed that the intentions of physicians are multiple, ambiguous, and uncertain—at least with respect to end-of-life care. This claim provides support for the conclusion that the principle of double effect is of little or no value as a guide to end-of-life pain management. This paper critically discusses this claim. It argues that proponents of the claim fail to distinguish two different senses of “intention,” and that, as a result, they are led to exaggerate the extent to which (...)
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  2.  13
    Two Concepts of Therapeutic Optimism.L. A. Jansen - 2011 - Journal of Medical Ethics 37 (9):563-566.
    Researchers and ethicists have long been concerned about the expectations for direct medical benefit expressed by participants in early phase clinical trials. Early work on the issue considered the possibility that participants misunderstand the purpose of clinical research or that they are misinformed about the prospects for medical benefit from these trials. Recently, however, attention has turned to the possibility that research participants are simply expressing optimism or hope about their participation in these trials. The ethical significance of this therapeutic (...)
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  3.  28
    Between Beneficence and Justice: The Ethics of Stewardship in Medicine.L. A. Jansen - 2013 - Journal of Medicine and Philosophy 38 (1):50-63.
    In an era of rapidly rising health care costs, physicians and policymakers are searching for new and effective ways to contain health care spending without sacrificing the quality of services provided. These proposals are increasingly articulated in terms of an ethical duty of stewardship. The duty of stewardship in medicine, however, is not at present well understood, and it is frequently conflated with other duties. This article presents a critical analysis of the notion of stewardship, which shows that it has (...)
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  4.  95
    HIV Exceptionalism, CD4+ Cell Testing, and Conscientious Subversion.L. A. Jansen - 2005 - Journal of Medical Ethics 31 (6):322-326.
    In recent years, many states in the United States have passed legislation requiring laboratories to report the names of patients with low CD4 cell counts to their state Departments of Health. This name reporting is an integral part of the growing number of “HIV Reporting and Partner Notification Laws” which have emerged in response to recently revised guidelines suggested by the National Centers for Disease Control (CDC). Name reporting for patients with low CD4 cell counts allows for a more accurate (...)
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