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  1.  24
    The ethical case for non-directed postmortem sperm donation.Nathan Hodson & Joshua Parker - 2020 - Journal of Medical Ethics 46 (7):489-492.
    In this article we outline and defend the concept of voluntary non-directed postmortem sperm donation. This approach offers a potential means of increasing the quantity and heterogeneity of donor sperm. This is pertinent given the present context of a donor sperm shortage in the UK. Beyond making the case that it is technically feasible for dead men to donate their sperm for use in reproduction, we argue that this is ethically permissible. The inability to access donor sperm and the suffering (...)
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  2.  30
    Postmortem non-directed sperm donation: quality matters.Joshua Parker & Nathan Hodson - 2021 - Journal of Medical Ethics 47 (4):263-264.
    In our paper ‘The ethical case for non-directed postmortem sperm donation’ we argued that it would be ethical for men to donate sperm after death for use by strangers. In their thoughtful response Fredrick and Ben Kroon lay out practical concerns regarding our proposal. They raise issues regarding the quality of sperm collected postmortem based on empirical studies. Second, they claim that concerns about quality would make women unlikely to use sperm collected after death. In this response we explore issues (...)
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  3.  17
    Differences between sperm sharing and egg sharing are morally relevant.Nathan Hodson - 2022 - Journal of Medical Ethics 49 (1):60-64.
    Sperm sharing arrangements involve a man (‘the sharer’) allowing his sperm to be used by people seeking donor sperm (‘the recipients’) in exchange for reduced price in vitro fertilisation. Clinics in the UK have offered egg sharing since the 1990s and the arrangement has been subjected to regulatory oversight and significant ethical analysis. By contrast, until now no published ethical or empirical research has analysed sperm sharing. Moreover the Human Fertilisation and Embryology Authority (HFEA) does not record the number of (...)
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  4.  18
    Bawa-Garba ruling is not good news for doctors.Nathan Hodson - 2019 - Journal of Medical Ethics 45 (1):15-16.
    Although some doctors celebrated when the Court of Appeal overturned Hadiza Bawa-Garba’s erasure from the medical register, it is argued here that in many ways the ruling is by no means good news for the medical profession. Doctors’ interests are served by transparent professional tribunals but the Court of Appeal’s approach to the GMC Sanctions Guidance risks increasing opacity in decision-making. Close attention to systemic factors in the criminal trial protects doctors yet the Court of Appeal states that the structural (...)
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  5.  16
    Confused out of care: unanticipated consequences of a ‘Hostile Environment’.Rose Glennerster & Nathan Hodson - 2020 - Journal of Medical Ethics 46 (3):163-167.
    The UK’s 2014 Immigration Act aimed to create a ‘Hostile Environment’ for migrants to the UK. One aspect of this was the restriction of access to secondary care for overseas visitors to the UK, although it remains the case that everybody living in the UK has the legal right to access primary care. In this paper, we argue that the effects of this policy extend beyond secondary care, including preventing eligible people from registering with a General Practice, although as an (...)
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  6.  12
    A care ethics approach to the Gender Kidney Donation Gap.Nathan Hodson - 2019 - Nursing Ethics 26 (7-8):2185-2194.
    Many studies have shown that women are more likely than men to be living kidney donors, and the discrepancy is particularly marked in heterosexual couples: wives are more likely than husbands to donate a kidney to their spouse. This ‘ Gender Kidney Donation Gap’ can be understood in terms of Carol Gilligan’s claims about gender differences in ethical decision-making style, making it appropriate to analyse responses to this imbalance using an ethic of care. This article centres the vast majority of (...)
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  7.  18
    How should institutions help clinicians to practise greener anaesthesia: first-order and second-order responsibilities to practice sustainably.Joshua Parker, Nathan Hodson, Paul Young & Clifford Shelton - forthcoming - Journal of Medical Ethics.
    There is a need for all industries, including healthcare, to reduce their greenhouse gas emissions. In anaesthetic practice, this not only requires a reduction in resource use and waste, but also a shift away from inhaled anaesthetic gases and towards alternatives with a lower carbon footprint. As inhalational anaesthesia produces greenhouse gas emissions at the point of use, achieving sustainable anaesthetic practice involves individual practitioner behaviour change. However, changing the practice of healthcare professionals raises potential ethical issues. The purpose of (...)
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  8.  24
    Commitment devices: beyond the medical ethics of nudges.Nathan Hodson - 2023 - Journal of Medical Ethics 49 (2):125-130.
    Commitment devices (CDs) can help people overcome self-control problems to act on their plans and preferences. In these arrangements, people willingly make one of their options worse in order to change their own future behaviour, often by setting aside a sum of money that they will forfeit it if they fail to complete the planned action. Such applications of behavioural science have been used to help people stick to healthier lifestyle choices, overcome addictions and adhere to medication; they are acceptable (...)
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  9.  14
    Discharge policies for homeless people and immigrants: Compromising professional ethics.Nathan Hodson & Rose Glennerster - 2020 - Nursing Ethics 27 (5):1355-1363.
    Discharging a homeless patient from hospital raises ethical issues which are compounded when the patient is from outside the United Kingdom. This article begins with an extended case study of a 30-year-old homeless man from Lithuania describing his complex medical and social needs. It is best practice for all homeless patients to have their housing needs planned for prior to discharge, but this is made more difficult by the United Kingdom’s ‘hostile environment’ policy which creates a subclass of homeless people (...)
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  10.  26
    Is one narrative enough? Analytical tools should match the problems they address.Nathan Hodson & Susan Bewley - 2021 - Journal of Medical Ethics 47 (5):357-359.
    Jeff Nisker describes his personal experience of a diagnosis of advanced prostate cancer and the kindnesses he received from friendly doctors. He claims that this narrative account supports the promotion of Prostate Specific Antigen screening for asymptomatic men and impugns statisticians, mistakenly thinking that their opposition to PSA screening derives from concerns about financial cost. The account inadvertently demonstrates the danger of over-reliance on a single ethical tool for critical analysis. In the first part of this response, we describe the (...)
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