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Larry R. Churchill [56]Larry Churchill [4]
  1.  3
    What patients teach: the everyday ethics of health care.Larry R. Churchill - 2013 - New York: Oxford University Press. Edited by Joseph B. Fanning & David Schenck.
    Being a patient and living a life -- Clinical space and traits of healing -- False starts and frequent failures -- Three journeys : A.'Ibuprofen and love', B. 'Staying tuned up', C. 'We all want the same things' -- Being a patient : the moral field -- Rethinking healthcare ethics : the patient's moral authority.
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  2.  12
    The Future of Bioethics: It Shouldn't Take a Pandemic.Larry R. Churchill, Nancy M. P. King & Gail E. Henderson - 2020 - Hastings Center Report 50 (3):54-56.
    The Covid‐19 pandemic has concentrated bioethics attention on the “lifeboat ethics” of rationing and fair allocation of scarce medical resources, such as testing, intensive care unit beds, and ventilators. This focus drives ethics resources away from persistent and systemic problems—in particular, the structural injustices that give rise to health disparities affecting disadvantaged communities of color. Bioethics, long allied with academic medicine and highly attentive to individual decision‐making, has largely neglected its responsibility to address these difficult “upstream” issues. It is time (...)
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  3.  15
    Consent forms and the therapeutic misconception.Nancy M. P. King, Gail E. Henderson, Larry R. Churchill, Arlene M. Davis, Sara Chandros Hull, Daniel K. Nelson, P. Christy Parham-Vetter, Barbra Bluestone Rothschild, Michele M. Easter & Benjamin S. Wilfond - 2005 - IRB: Ethics & Human Research 27 (1):1-7.
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  4.  11
    Rationing Health Care in America: Perceptions and Principles of Justice.Larry R. Churchill - 1987
  5.  4
    The Ethicist in Professional Education.Larry R. Churchill - 1978 - Hastings Center Report 8 (6):13-15.
  6.  6
    Ethics for Everyone: A Skills-Based Approach.Larry R. Churchill - 2020 - New York: Oxford University Press.
    "This book maps the moral terrain in the grounded reality of human experience without relying on theories or systems of ethics as the primary orienting strategy. Moral awareness needs first to be appreciated for what it is before it is made to conform to theories or systems. And moral consciousness is not a steady or stable set of perceptions; as we change so do the moral challenges that most concern us"--.
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  7.  15
    Narrative Awareness in Ethics Consultations: The Ethics Consultant as Story‐Maker.Larry Churchill - 2014 - Hastings Center Report 44 (s1):36-39.
    Much has been written about the importance of narrative in teaching ethics and humanities to medical students and residents, as well as the value of narratives in clinical care. Relatively little has been said about the essential role of narrative in bioethics consultations. For most consults, the interpretation of narratives is the central moral feature, and the ethics consultant is inevitably one of the narrators. In a recent consult in which I participated, at least three narratives were in play. The (...)
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  8.  16
    Beyond the Medical Model: Retooling Bioethics for the Work Ahead.Nancy M. P. King, Gail E. Henderson & Larry R. Churchill - 2021 - American Journal of Bioethics 21 (2):53-55.
    The three important target articles make a strong case for regarding racism as a public health crisis. Each calls for advocacy by the bi...
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  9.  11
    Assessing Benefits in Clinical Research: Why Diversity in Benefit Assessment Can Be Risky.Larry R. Churchill, Daniel K. Nelson, Gail E. Henderson, Nancy M. P. King, Arlene M. Davis, Erin Leahey & Benjamin S. Wilfond - 2003 - IRB: Ethics & Human Research 25 (3):1.
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  10.  36
    Genetic Research as Therapy: Implications of "Gene Therapy" for Informed Consent.Larry R. Churchill, Myra L. Collins, Nancy M. R. King, Stephen G. Pemberton & Keith A. Wailoo - 1998 - Journal of Law, Medicine and Ethics 26 (1):38-47.
    In March 1996, the General Accounting Office (GAO) issued the reportScientific Research: Continued Vigilance Critical to Protecting Human Subjects.It stated that “an inherent conflict of interest exists when physician-researchers include their patients in research protocols. If the physicians do not clearly distinguish between research and treatment in their attempt to inform subjects, the possible benefits of a study can be overemphasized and the risks minimized.” The report also acknowledged that “the line between research and treatment is not always cleartoclinicians. Controversy (...)
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  11.  27
    Genetic Research as Therapy: Implications of "Gene Therapy" for Informed Consent.Larry R. Churchill, Myra L. Collins, Nancy M. R. King, Stephen G. Pemberton & Keith A. Wailoo - 1998 - Journal of Law, Medicine and Ethics 26 (1):38-47.
    In March 1996, the General Accounting Office (GAO) issued the reportScientific Research: Continued Vigilance Critical to Protecting Human Subjects.It stated that “an inherent conflict of interest exists when physician-researchers include their patients in research protocols. If the physicians do not clearly distinguish between research and treatment in their attempt to inform subjects, the possible benefits of a study can be overemphasized and the risks minimized.” The report also acknowledged that “the line between research and treatment is not always cleartoclinicians. Controversy (...)
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  12.  3
    Why We Should Continue to Worry about the Therapeutic Misconception.Larry Churchill, Nancy King & Gail Henderson - 2013 - Journal of Clinical Ethics 24 (4):381-386.
    In a recent article in The Journal of Clinical Ethics, David Wendler argues that worries about the therapeutic misconception (TM) are not only misconceived, but detract from the larger agenda of a proper informed consent for subjects involved in clinical research. By contrast, we argue that Wendler mischaracterizes those who support TM research, and that his arguments are fragmentary, often illogical, and neglect a critical difference between clinical care and clinical research. A clear explanation about the chief aim of research (...)
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  13.  18
    Genetic Research as Therapy: Implications of “Gene Therapy” for Informed Consent.Larry R. Churchill, Myra L. Collins, Nancy M. P. King, Stephen G. Pemberton & Keith A. Wailoo - 1998 - Journal of Law, Medicine and Ethics 26 (1):38-47.
    In March 1996, the General Accounting Office issued the report Scientific Research: Continued Vigilance Critical to Protecting Human Subjects. It stated that “an inherent conflict of interest exists when physician-researchers include their patients in research protocols. If the physicians do not clearly distinguish between research and treatment in their attempt to inform subjects, the possible benefits of a study can be overemphasized and the risks minimized.” The report also acknowledged that “the line between research and treatment is not always clear (...)
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  14.  43
    Physician-investigator/patient-subject: Exploring the logic and the tension.Larry R. Churchill - 1980 - Journal of Medicine and Philosophy 5 (3):215-224.
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  15.  68
    Ethical Maxims for a Marginally Inhabitable Planet.David Schenck & Larry R. Churchill - 2021 - Perspectives in Biology and Medicine 64 (4):494-510.
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  16.  29
    The Hegemony of Money: Commercialism and Professionalism in American Medicine.Larry R. Churchill - 2007 - Cambridge Quarterly of Healthcare Ethics 16 (4):407.
    Money plays a powerful role in modern medicine, both in terms of how health services are organized and delivered and increasingly in how physicians understand themselves and their work. The phrase “the hegemony of money” is intended to capture that power.
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  17.  41
    Rationing, Rightness, and Distinctively Human Goods.Larry R. Churchill - 2011 - American Journal of Bioethics 11 (7):15 - 16.
    The American Journal of Bioethics, Volume 11, Issue 7, Page 15-16, July 2011.
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  18.  16
    Autonomy and the Common Weal.Marion Danis & Larry R. Churchill - 1991 - Hastings Center Report 21 (1):25-31.
    When health care providers make decisions to use resources, their devotion to the patient at hand must be mediated by a framework that puts individual autonomy and social equity into focus simultaneously. The concept of citizenship yields such a framework.
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  19.  10
    Conscience, Moral Reasoning, and Skepticism.Larry R. Churchill - 2019 - Perspectives in Biology and Medicine 62 (3):519-526.
    Lauris Kaldjian makes a strong case for respecting the role of conscience in the practice of medicine. His excellent book, Practicing Medicine and Ethics, presents an historically informed and carefully crafted explication of the role of conscience in Western ethics and its relevance for medical practitioners. The essay that initiates the discussion in this issue of Perspectives in Biology and Medicine is an equally well-written and lucid account of this important component of morality. But it is also worrisome in its (...)
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  20.  2
    How Is Ethics Consultation Work Justified?Larry R. Churchill - 2019 - American Journal of Bioethics 19 (11):63-64.
    Volume 19, Issue 11, November 2019, Page 63-64.
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  21.  5
    Reviving A Distinctive Medical Ethic.Larry R. Churchill - 1989 - Hastings Center Report 19 (3):28-34.
    Our culture is well on its way to reducing medical ethics to legal requirements, general citizen ethics, or personal values. A distinctive ethic for medicine provides critical distance and moral meaning for the profession and an enriched societal ethic.
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  22.  35
    “Damaged humanity”: The call for a patient-centered medical ethic in the managed care era.Larry R. Churchill - 1997 - Theoretical Medicine and Bioethics 18 (1-2):113-126.
    Edmund Pellegrino claims that medical ethics must be derived from a perception of the patient's damaged humanity, rather than from the self-imposed duties of professionals. This essay explores the meaning and examines the challenges to this patient-centered ethic. Social scientific and bioethical interpretations of medicine constitute one kind of challenge. A more pervasive challenge is the ascendancy of managed care, and especially investor-owned, for-profit managed care. A list of questions addressed to patients, physicians and organizations is offered as one means (...)
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  23.  35
    Beyond the Recommendation: Discerning Achievable Goals in Clinical Ethics Consultation.Joseph B. Fanning, Nanibaa’ A. Garrison & Larry R. Churchill - 2015 - American Journal of Bioethics 15 (1):42-44.
  24.  34
    Age-Rationing in Health Care: Flawed Policy, Personal Virtue.Larry R. Churchill - 2005 - Health Care Analysis 13 (2):137-146.
    The age-rationing debate of fifteen years ago will inevitably reemerge as health care costs escalate. All age-rationing proposals should be judged in light of the current system of rationing health care by price in the U.S., and the resulting pattern of excess and deprivation. Age-rationing should be rejected as public policy, but recognized as a personal virtue of stewardship among the elderly.
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  25. Moralist, technician, sophist, teacher/learner: Reflections on the ethicist in the clinical setting.Larry R. Churchill & Alan W. Cross - 1986 - Theoretical Medicine and Bioethics 7 (1).
    The ethicist's role in the clinical context is not presently well defined. Ethicists can be thought of as moralists, technicians, Sophists, or as teachers and learners. Each of these roles is examined in turn. An argument is made for the ethicist as a teacher who must also learn a great deal about the clinical setting in order to encourage an effective critical examination of basic values. Four specific tasks of this teaching role are discussed: describing moral experience, eliciting assumptions, considering (...)
     
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  26.  8
    Accepting and Embracing Our Mortality.Larry R. Churchill - 2023 - Perspectives in Biology and Medicine 66 (3):451-460.
    ABSTRACT:Aging and death need to be seen as a single reality, aging-and-death. Separating them largely voids the lessons to be learned from aging, and the benefits of seeing life as a whole and learning a new sense of beauty, meaning, hope, and love. All the distinctive experiences central to our sense of ourselves as human beings are tied to recognition of our mortality. Living a full life means accepting and embracing death as not only inevitable, but necessary and desirable.
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  27.  62
    Severe Brain Injury and the Subjective Life.J. Andrew Billings, Larry R. Churchill & Richard Payne - 2010 - Hastings Center Report 40 (3):17-21.
  28. AIDS and 'dirt': Reflections on the ethics of ritual cleanliness.Larry R. Churchill - 1990 - Theoretical Medicine and Bioethics 11 (3).
    AIDS and the responses and attitudes it evokes surpass the analytic abilities of standard bioethics. These responses and attitudes are explored in terms of literary and anthropological categories, such as dirt, disorder, pollution and ritual cleanliness. Implications for medical education are suggested.
     
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  29.  13
    Abortion and the Rhetoric of Individual Rights.Larry R. Churchill & José Jorge Simán - 1982 - Hastings Center Report 12 (1):9-12.
  30. Beneficence.Larry R. Churchill - 1995 - Encyclopedia of Bioethics 1:243-7.
     
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  31.  6
    Editorial announcement.Larry R. Churchill - 1972 - International Journal for Philosophy of Religion 3 (1):1.
  32.  10
    Essential Reading for Bioethicists in the Anthropocene Era.Larry R. Churchill & David Schenck - 2021 - Hastings Center Report 51 (4):3-3.
    The multiple emergencies of global heating require bioethicists to embrace the dormant, comprehensive bioethics legacy of Van Rensselaer Potter, moving beyond the current narrower focus of the field on medicine and health care. We recommend readings that expand the core literature of bioethics to address key environmental issues. These are Jessica Pierce and Andrew Jameton's The Ethics of Environmentally Responsible Health Care; Dale Jamieson's Reason in a Dark Time; and David Wallace‐Well's The Uninhabitable Earth. Because efforts to mitigate climate disasters (...)
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  33. Hermeneutics in science and medicine: A thesis understated.Larry R. Churchill - 1990 - Theoretical Medicine and Bioethics 11 (2).
    Drew Leder's Clinical Interpretation: The Hermeneutics of Medicine [1] is an essay which understates its case and thereby opens itself to misinterpretation. This response to Leder argues for a more thorough-going hermeneutic for both medicine and science. At the conceptual as well as the practical level, modern medicine and its scientific foundations are hermeneutic enterprises. The purpose of this essay is to argue that we should not back away from this more radical thesis. Embracing it will result in less alienation (...)
     
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  34.  23
    Introduction.Larry R. Churchill & Joshua E. Perry - 2014 - Journal of Law, Medicine and Ethics 42 (4):408-411.
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  35.  23
    Introduction.Larry R. Churchill & Joshua E. Perry - 2014 - Journal of Law, Medicine and Ethics 42 (4):408-411.
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  36.  21
    J. Andrew Billings is the director.Larry R. Churchill & Rebecca Dresser - forthcoming - Hastings Center Report.
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  37.  59
    Looking to Hume for justice: On the utility of Hume's view of justice for american health care reform.Larry R. Churchill - 1999 - Journal of Medicine and Philosophy 24 (4):352 – 364.
    This essay argues that Hume's theory of justice can be useful in framing a more persuasive case for universal access in health care. Theories of justice derived from a Rawlsian social contract tradition tend to make the conditions for deliberation on justice remote from the lives of most persons, while religiously-inspired views require superhuman levels of benevolence. By contrast, Hume's theory derives justice from the prudent reflections of socially-encumbered selves. This provides a more accessible moral theory and a more realistic (...)
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  38.  8
    Market Meditopia: A Glimpse at American Health Care in 2005.Larry R. Churchill - 1997 - Hastings Center Report 27 (1):5-6.
    Images of the future are usually only caricatures of the present. Perhaps this picture of the future of medical care will also prove to be a caricature. Whether it does depends on choices that Americans have still to make. —Paul Starr The Social Transformation of American Medicine.
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  39. Narrative awareness in ethics consultation.Larry Churchill - 2014 - In Martha Montello (ed.), Narrative ethics: the role of stories in bioethics. John Wiley and Sons.
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  40.  13
    One Cheer for Bioethics: Engaging the Moral Experiences of Patients and Practitioners Beyond the Big Decisions.Larry Churchill & David Schenck - 2005 - Cambridge Quarterly of Healthcare Ethics 14 (4):389-403.
    We will argue here that after more than 30 years of talk, theory, and clinical practice, we bioethicists still know far too little about what patients, subjects, and healthcare professionals are up to, morally. Bioethics is still near the beginning in grasping what it means to understand, much less to honor fully, the moral power and perspicacity of those bioethics is designed to serve. This is, of course, a serious charge, but one we will endeavor to show has merit. However, (...)
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  41.  12
    Duties to Others.Larry R. Churchill, Courtney S. Campbell & B. Andrew Lustig - 1995 - Hastings Center Report 25 (5):44.
    Book reviewed in this article: Duties to Others. Edited by Courtney S. Campbell and B. Andrew Lustig.
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  42.  7
    Three Kinds of Humility in Bioethics Certification.Larry R. Churchill - 2020 - Perspectives in Biology and Medicine 63 (3):420-428.
    Two decades ago, I wrote an essay expressing my skepticism about the nascent movement to certify bioethics consultants. My concerns were numerous. For example, I worried that the move toward certification would give too much weight to moral theory and neglect the importance of the less formal moral reasoning of patients and their families. I was also concerned that the effort to certify competence, complete with standardized testing, would be largely self-promotional and make unfounded claims about who has the capacity (...)
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  43.  2
    The “territory” of medical ethics.Larry R. Churchill - 1974 - Hastings Center Report 4 (2):13-13.
  44.  35
    Universal health care for children: Why every self-interested person should support it.Larry R. Churchill - 2001 - Journal of Medicine and Philosophy 26 (2):179 – 191.
  45.  4
    Why We Need a Theory of Suffering, and Lots of Other Theories as Well.Larry R. Churchill - 1991 - Journal of Clinical Ethics 2 (2):95-97.
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  46.  16
    Who Will Teach Us to Die?: Reflections on Futility and Finitude.Larry R. Churchill - 2018 - Perspectives in Biology and Medicine 60 (3):336-339.
    Schneiderman, Jecker, and Jonsen have written an eloquent essay that both defends the concept of medical futility and describes their own candidate for a practical, working definition. Whether they have provided the best such definition I cannot say, but they are surely right to claim that some such concept is needed—for doctors to practice, for patients to receive good care, for family and friends of the patient to understand and prepare for what is happening, and for society to trust what (...)
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  47. Clinical research and the physician–patient relationship: the dual roles of physician and researcher.Nancy Mp King & Larry R. Churchill - 2008 - In Peter A. Singer & A. M. Viens (eds.), The Cambridge textbook of bioethics. New York: Cambridge University Press.
     
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  48.  7
    Out of This World: re-grounding justice through science fiction.Nancy M. P. King & Larry R. Churchill - 2023 - Perspectives in Biology and Medicine 66 (2):284-298.
    ABSTRACT:Good science fiction can be a successful vehicle for portraying justice. Science fiction can stimulate moral imagination in much the same way as the most effective justice theories, connecting the world in which we live with a range of alternative futures deliberately and creatively made plausible. A selective examination of classic and recent science fiction stories and novels provides contextual framing for considering questions of climate justice, virtuous personal action in the face of structural injustice, and the problem of what (...)
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  49.  6
    Editors' Introduction to the Special Issue on the Translational Work of Bioethics.Elizabeth Lanphier & Larry R. Churchill - 2022 - Perspectives in Biology and Medicine 65 (4):515-520.
    In lieu of an abstract, here is a brief excerpt of the content:Editors' Introduction to the Special Issue on the Translational Work of BioethicsElizabeth Lanphier and Larry R. ChurchillRecent essays in Perspectives and Biology and Medicine, including "Can Clinical Ethics Survive Climate Change" by Andrew Jameton and Jessica Pierce and "Ethical Maxims for a Marginally Inhabitable Planet" by David Schenck and Larry R. Churchill, both appearing in the Autumn 2021 issue, inspired conversations between us, among our colleagues, and with various (...)
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  50.  36
    One cheer for bioethics: engaging the moral experiences of patients and practitioners beyond the big decisions.Larry R. Churchill & David Schenck - 2005 - Cambridge Quarterly of Healthcare Ethics 14 (4):389-403.
    We will argue here that after more than 30 years of talk, theory, and clinical practice, we bioethicists still know far too little about what patients, subjects, and healthcare professionals are up to, morally. Bioethics is still near the beginning in grasping what it means to understand, much less to honor fully, the moral power and perspicacity of those bioethics is designed to serve. This is, of course, a serious charge, but one we will endeavor to show has merit. However, (...)
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