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Thomas May [54]Thomas Charles May [1]
  1. Ethics, pandemics, and the duty to treat.Heidi Malm, Thomas May, Leslie P. Francis, Saad B. Omer, Daniel A. Salmon & Robert Hood - 2008 - American Journal of Bioethics 8 (8):4 – 19.
    Numerous grounds have been offered for the view that healthcare workers have a duty to treat, including expressed consent, implied consent, special training, reciprocity (also called the social contract view), and professional oaths and codes. Quite often, however, these grounds are simply asserted without being adequately defended or without the defenses being critically evaluated. This essay aims to help remedy that problem by providing a critical examination of the strengths and weaknesses of each of these five grounds for asserting that (...)
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  2.  63
    Evaluating the Outcomes of Ethics Consultation.J. M. Craig & Thomas May - 2006 - Journal of Clinical Ethics 17 (2):168-180.
  3.  19
    Clarifying a Clinical Ethics Service’s Value, the Visible and the Hidden.Jane Jankowski, Marycon Chin Jiro, Thomas May, Arlene M. Davis, Kaarkuzhali Babu Krishnamurthy, Kelly Kent, Hannah I. Lipman, Marika Warren & Laura Guidry-Grimes - 2019 - Journal of Clinical Ethics 30 (3):251-261.
    Our aim in this article is to define the difficulties that clinical ethics services encounter when they are asked to demonstrate the value a clinical ethics service (CES) could and should have for an institution and those it serves. The topic emerged out of numerous related presentations at the Un- Conference hosted by the Cleveland Clinic in August 2018 that identified challenges of articulating the value of clinical ethics work for hospital administrators. After a review these talks, it was apparent (...)
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  4.  48
    Bioethics in a liberal society: the political framework of bioethics decision making.Thomas May - 2002 - Baltimore: Johns Hopkins University Press.
    Issues concerning patients' rights are at the center of bioethics, but the political basis for these rights has rarely been examined. In Bioethics in a Liberal Society: The Political Framework of Bioethics Decision Making , Thomas May offers a compelling analysis of how the political context of liberal constitutional democracy shapes the rights and obligations of both patients and health care professionals. May focuses on how a key feature of liberal society -- namely, an individual's right to make independent decisions (...)
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  5.  12
    You Kids Get off My Ethics Lawn!: An Admitted Curmudgeonly Critique of Credentialing Individual Clinical Ethics Consultants.Thomas May - 2020 - American Journal of Bioethics 20 (3):32-34.
    Volume 20, Issue 3, March 2020, Page 32-34.
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  6.  78
    The Concept of Autonomy.Thomas May - 1994 - American Philosophical Quarterly 31 (2):133 - 144.
  7. The concept of autonomy in bioethics: an unwarranted fall from grace.Thomas May - 2005 - In J. Stacey Taylor (ed.), Personal Autonomy: New Essays on Personal Autonomy and Its Role in Contemporary Moral Philosophy. New York: Cambridge University Press. pp. 299--309.
     
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  8.  17
    Hare’s Archangel, Human Fallibility, and Utilitarian Justification(?) of Deception.William Paul Kabasenche & Thomas May - 2021 - American Journal of Bioethics 21 (5):17-19.
    The target article by Christopher Meyers concerning justification of deception for clinical ethicists is both well-reasoned and plausible. Clearly grounded in utilitarian considerations, its...
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  9.  26
    The Importance of Trust in the Vaccine Safety Enterprise.Thomas May - 2017 - American Journal of Bioethics 17 (4):48-50.
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  10.  38
    Issues of “Cost, Capabilities, and Scope” in Characterizing Adoptees' Lack of “Genetic-Relative Family Health History” as an Avoidable Health Disparity: Response to Open Peer Commentaries on “Does Lack of ‘Genetic-Relative Family Health History’ Represent a Potentially Avoidable Health Disparity for Adoptees?”.Thomas May, James P. Evans, Kimberly A. Strong, Kaija L. Zusevics, Arthur R. Derse, Jessica Jeruzal, Alison LaPean Kirschner, Michael H. Farrell & Harold D. Grotevant - 2016 - American Journal of Bioethics 16 (12):4-8.
    Many adoptees face a number of challenges relating to separation from biological parents during the adoption process, including issues concerning identity, intimacy, attachment, and trust, as well as language and other cultural challenges. One common health challenge faced by adoptees involves lack of access to genetic-relative family health history. Lack of GRFHx represents a disadvantage due to a reduced capacity to identify diseases and recommend appropriate screening for conditions for which the adopted person may be at increased risk. In this (...)
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  11.  33
    Funding agendas: Has bioterror defense been over-prioritized?Thomas May - 2005 - American Journal of Bioethics 5 (4):34 – 44.
    Post-9/11, concern about bioterrorism has transformed public health from unappreciated to a central component of national security. Within the War on Terror, bioterrorism preparedness has taken a back seat only to direct military action in terms of funding. Domestically, homelessness, joblessness, crime, education, and race relations are just a few of a litany of pressing issues requiring government attention. Even within the biomedical sciences and healthcare, issues surrounding the fact that more than 40 million Americans lack health insurance, the rising (...)
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  12.  19
    Public Communication, Risk Perception, and the Viability of Preventive Vaccination Against Communicable Diseases.Thomas May - 2005 - Bioethics 19 (4):407-421.
    ABSTRACT Because of the nature of preventive vaccination programs, the viability of these public health interventions is particularly susceptible to public perceptions. This is because vaccination relies on a concept of ‘herd immunity’, achievement of which requires rational public behavior that can only be obtained through full and accurate communication about risks and benefits. This paper describes how irrational behavior that threatens the effectiveness of vaccination programs – both in crisis and non‐crisis situations – can be tied to public perceptions (...)
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  13.  16
    The Role of Race in Pandemic Vaccine Allocation.Thomas May - 2021 - American Journal of Bioethics 21 (3):89-91.
    The Target Article by Sabatello et al. should prove significant in advancing recognition of, and discussion concerning how, race is embedded in allocation strategies adopted in pandemic resp...
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  14.  19
    Why Healthcare Workers Ought to Be Prioritized in ASMR During the SARS-CoV-2 Pandemic.Mark P. Aulisio & Thomas May - 2020 - American Journal of Bioethics 20 (7):125-128.
    Volume 20, Issue 7, July 2020, Page 125-128.
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  15.  63
    On Raz and the obligation to obey the law.Thomas May - 1997 - Law and Philosophy 16 (1):19-36.
  16.  11
    Unintended Effects, Iatrogenic Harms, and the Challenge of Population-Wide Vaccination Compliance.Thomas May - 2020 - American Journal of Bioethics 20 (9):60-62.
    Volume 20, Issue 9, September 2020, Page 60-62.
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  17.  37
    On the Justifiability of ACMG Recommendations for Reporting of Incidental Findings in Clinical Exome and Genome Sequencing.Thomas May - 2015 - Journal of Law, Medicine and Ethics 43 (1):134-142.
    This paper examines three possible justifications for original ACMG recommendations to return incidental findings from whole exome or genome sequencing independent of patient preferences. The first two potential justifications, based on a patient's authentic values, then on harms to others, are founding lacking as a basis of justification for these recommendations. The third, grounded in analogous professional practices, might serve as a potential justification if several controversies can be avoided. However, given the nature of these controversies and the need to (...)
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  18.  28
    The breadth of bioethics: Core areas of bioethics education for hospital ethics committees.Thomas May - 2001 - Journal of Medicine and Philosophy 26 (1):101 – 118.
    The multidisciplinary nature of bioethics can result in narrow sub-specialists within the field, whose work reflects the issues and concerns most relevant to their home discipline. This can result in work which is insensitive to the important ways in which particular areas of bioethics are interrelated, and which (while viable in the context of the sub-specialty) is not viable in a broader context. The narrow focus of many healthcare ethics committees on issues directly related to clinical patient care can exacerbate (...)
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  19.  41
    Rethinking Clinical Risk for DNA Sequencing.Thomas May - 2012 - American Journal of Bioethics 12 (10):24-26.
    The American Journal of Bioethics, Volume 12, Issue 10, Page 24-26, October 2012.
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  20.  29
    Political Authority in a Bioterror Emergency.Thomas May - 2004 - Journal of Law, Medicine and Ethics 32 (1):159-163.
    The events of September 11, 2001 have prompted significant concern to protect against future terror attacks, especially attacks that would involve the use of biological weapons - the most dangerous weapons of massdestruction considered accessible to terrorist groups and organizations. This concern, in turn, has led to a re-evaluation of the public health system and its preparedness to meet the challenges of treating a large number of people in circumstances of public fear and significant demand for resources. One important result (...)
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  21.  24
    Political Authority in a Bioterror Emergency.Thomas May - 2004 - Journal of Law, Medicine and Ethics 32 (1):159-163.
    The events of September 11, 2001 have prompted significant concern to protect against future terror attacks, especially attacks that would involve the use of biological weapons - the most dangerous weapons of massdestruction considered accessible to terrorist groups and organizations. This concern, in turn, has led to a re-evaluation of the public health system and its preparedness to meet the challenges of treating a large number of people in circumstances of public fear and significant demand for resources. One important result (...)
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  22.  58
    Medical Malpractice, Mistake Prevention, and Compensation.Thomas May & Mark P. Aulisio - 2001 - Kennedy Institute of Ethics Journal 11 (2):135-146.
    Clinicians' fear of malpractice litigation is the most significant obstacle to the open reporting of medical mistakes. Without open reporting of medical mistakes, however, root cause analysis of mistakes cannot be done, thus undermining efforts to implement safeguards to minimize the occurrence of future mistakes. Efforts to prevent medical mistakes, therefore, must first directly address cliniciansÕ fear of malpractice litigation. In this paper, we explore the relationship between the current malpractice system and cliniciansÕ fear of litigation. Ultimately, we argue that (...)
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  23.  48
    Reassessing the Reliability of Advance Directives.Thomas May - 1997 - Cambridge Quarterly of Healthcare Ethics 6 (3):325.
    A competent patient has the right to refuse treatment necessary to sustain life. However, for many end-of-life decisions, we lack direct access to the wishes of a competent patient. Some treatment decisions near the end of life involve patients with severely diminished mental capacity, some involve patients who are unable to communicate, and some involve patients who are simply unable or unwilling to participate in decisionmaking due to the nature or severity of their illness.
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  24.  19
    Professional-Client Relationships: Rethinking Confidentiality, Harm, and Journalists' Public Health Duties.Renita Coleman & Thomas May - 2004 - Journal of Mass Media Ethics 19 (3-4):276-292.
    Journalists seldom consider the layers of those affected by their actions; third parties such as families, children, and even people unlucky enough to be in the wrong place at the wrong time. This article argues for consideration of the broader group, considering a range of options available for doing their duty to inform the public while also minimizing harm to others. Journalists might compare themselves with other professions that have similar roles, such as anthropologists, on such issues as confidentiality and (...)
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  25.  12
    Assessing Competency Without Judging Merit.Thomas May - 1998 - Journal of Clinical Ethics 9 (3):247-257.
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  26.  26
    Bioethics in a Liberal Society.Thomas May - 1999 - International Journal of Applied Philosophy 13 (1):1-19.
    This paper argues for the importance of the political context of a society for bioethics. In particular, I argue that in a liberal constitutional society, such as the one we find ourselves in, no particular moral perspective is granted a privileged position. Rather, individuals are allowed to live their lives according to values they adopt for themselves, and the rights granted to protect this ability “trump” social consensus, and place boundaries on the social application of personal moral beliefs and values.
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  27.  49
    Should Smallpox Vaccine be Made Available to the General Public?Thomas May & Ross D. Silverman - 2003 - Kennedy Institute of Ethics Journal 13 (2):67-82.
    : In June 2002, the Advisory Committee on Immunization Practices (ACIP) approved draft recommendations concerning preparation for potential biological terror attacks that utilize the smallpox virus. ACIP recommends against both mandatory and voluntary vaccination of the general public. The present paper examines the moral and political considerations both for and against each of the general public vaccination options considered by the ACIP in the context of the state's authority over vaccination for the purposes of protecting public health. Although it is (...)
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  28.  52
    The Limits of Traditional Approaches to Informed Consent for Genomic Medicine.Thomas May, Kaija L. Zusevics, Arthur Derse, Kimberly A. Strong, Jessica Jeruzal, Alison La Pean Kirschner, Michael H. Farrell & Ryan Spellecy - 2014 - HEC Forum 26 (3):185-202.
    This paper argues that it will be important for new genomic technologies to recognize the limits of traditional approaches to informed consent, so that other-regarding implications of genomic information can be properly contextualized and individual rights respected. Respect for individual autonomy will increasingly require dynamic consideration of the interrelated dimensions of individual and broader community interests, so that the interests of one do not undermine fundamental interests of the other. In this, protection of individual rights will be a complex interplay (...)
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  29.  30
    The Smallpox Vaccination of Health Care Workers: Professional Obligations and Defense against Bioterrorism.Thomas May, Mark P. Aulisio & Ross D. Silverman - 2003 - Hastings Center Report 33 (5):26-33.
    Health care workers have not gone along with President Bush's request that they be vaccinated against smallpox in order to prepare the nation's health care system for a terrorist attack using the virus. But there is no professional moral obligation to receive the vaccination—either as a matter of public health or as a matter of national security.
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  30.  35
    In the Absence of Evidentiary Harm, Existing Societal Norms Regarding Parental Authority Should Prevail.Kimberly A. Strong, Arthur R. Derse, David P. Dimmock, Kaija L. Zusevics, Jessica Jeruzal, Elizabeth Worthey, David Bick, Gunter Scharer, Alison La Pean Kirschner, Ryan Spellecy, Michael H. Farrell, Jennifer Geurts, Regan Veith & Thomas May - 2014 - American Journal of Bioethics 14 (3):24-26.
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  31.  34
    Ethics consultation as a tool for teaching residents.Jana M. Craig & Thomas May - 2006 - American Journal of Bioethics 6 (4):25 – 27.
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  32.  20
    N-of-1 Precision Medicine and Research Oversight.Andrew Crouse, Mariko Nakano-Okuno, Matthew Might & Thomas May - 2019 - American Journal of Bioethics 19 (8):36-37.
    One of the concerns that citizen science shares with the evolving practice of precision medicine is how to approach oversight for N-of-1 or N-of-many-1’s research. In their target article, Wiggins...
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  33.  21
    Decisions by Conscious Persons about Controlled NHBD after Death: Eyes Wide Open.Michael A. DeVita & Thomas May - 2000 - Journal of Clinical Ethics 11 (1):85-89.
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  34.  62
    Procreation for Donation: The Moral and Political Permissibility of “Having a Child to Save a Child”.Mark P. Aulisio, Thomas May & Geoffrey D. Block - 2001 - Cambridge Quarterly of Healthcare Ethics 10 (4):408-419.
    The crisis in donor organ and tissue supply is one of the most difficult challenges for transplant today. New policy initiatives, such as the driver's license option and requiredrequest, have been implemented in many states, with other initiatives, such as mandatedchoice and presumedconsent, proposed in the hopes of ameliorating this crisis. At the same time, traditional acquisition of organs from human cadavers has been augmented by living human donors, and nonheartbeating human donors, as well as experimental animal and artificial sources. (...)
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  35.  26
    Autonomy, Well-Being, and the Value of Genetic Testing for Adopted Persons.Thomas May & Harold Grotevant - 2018 - HEC Forum 30 (3):283-295.
    This paper argues that the value of genetic-relative family health history information and the notion that lack of this information is a disadvantage can be established through its role as a nested goal in comprehensive life projects independent of documentation of particular health outcomes. Health information often plays a significant role in a person's formulation of life goals and projects, as well as in identification of plausible effective means to realize these goals. If health outcomes are valuable in part because (...)
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  36.  24
    Bioterror and Public Health Infrastructure: A Response to Commentators.Thomas May - 2006 - American Journal of Bioethics 6 (1):W29-W31.
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  37.  13
    Challenges to International Business: Past and Present.Thomas May - 1967 - Business and Society 8 (1):13-18.
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  38.  28
    Dual use opportunity and public health infrastructure.Thomas May - 2013 - Journal of Medical Ethics 39 (4):206-207.
    The paper ‘Biodefence and the production of knowledge’ by Buchanan and Kelley1 is an extremely valuable addition to the scientific and bioterrorism defence literature. It points out the myriad of ways that the structure of current debates about the dual use problem neglects important values, and discussions of how these values should be considered in policy making. In this commentary, I will focus on only one of these areas: what the authors characterise as ‘dual use opportunity’. My goal is not (...)
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  39.  14
    Healthcare Challenges Faced by Adopted Persons Lacking Family Health History Information.Thomas May, Richard M. Lee & James P. Evans - 2018 - Narrative Inquiry in Bioethics 8 (2):103-106.
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  40.  59
    Intelligence, foreign health aid, and bioterror defence.Thomas May - 2007 - Theoria 54 (114):102-117.
    Arguments for the provision of foreign aid to help relieve the blight of developing countries have traditionally centred on obligations of benevolence and a duty to help those less fortunate.1 However, the War on Terror has resulted in a significant shift in how foreign aid is perceived. International prosperity and stability are now recognized as key elements in a fight to ameliorate the conditions that give rise to terrorism. Public support for foreign aid in general, normally unpopular, has increased since (...)
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  41.  36
    Intelligence, Foreign Health Aid, and Bioterror Defence.Thomas May - 2007 - Theoria 54 (114):102-117.
    Arguments for the provision of foreign aid to help relieve the blight of developing countries have traditionally centred on obligations of benevolence and a duty to help those less fortunate.1 However, the War on Terror has resulted in a significant shift in how foreign aid is perceived. International prosperity and stability are now recognized as key elements in a fight to ameliorate the conditions that give rise to terrorism. Public support for foreign aid in general, normally unpopular, has increased since (...)
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  42.  18
    Quality of Life, Justice, and the Demands of Hospital-Based Nursing.Thomas May, J. M. Craig, Carol May & John Tomkowiak - 2005 - Public Affairs Quarterly 19 (3):213-225.
  43.  27
    Rights of Conscience in Health Care.Thomas May - 2001 - Social Theory and Practice 27 (1):111-128.
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  44.  11
    Rights of Conscience in Health Care.Thomas May - 2001 - Social Theory and Practice 27 (1):111-128.
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  45.  7
    Response to “Advance Directives and Voluntary Slavery” by Christopher Tollefsen - Slavery, Commitment, and Choice: Do Advance Directives Reflect Autonomy?Thomas May - 1999 - Cambridge Quarterly of Healthcare Ethics 8 (3):358-363.
    In an interesting response to an article I published in CQ that questions the ability of advance directives to reflect autonomy, Christopher Tollefsen raises a number of issues that deserve greater attention. Tollefsen offers several examples to illustrate how the critique of advance directives I offer would also threaten other choices that most people would consider autonomous. Importantly, I largely agree that the examples Tollefsen offers should be captured as autonomous. Where I disagree, however, is whether these examples reflect the (...)
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  46.  19
    Sovereignty and International Order.Thomas May - 1995 - Ratio Juris 8 (3):287-295.
  47.  47
    Social restrictions on informed consent: Research ethics and medical decision making.Thomas May - 2004 - HEC Forum 16 (1):38-44.
  48.  48
    Transplantation Ethics: Old Questions, New Answers?Michael Devita, Mark P. Aulisio & Thomas May - 2001 - Cambridge Quarterly of Healthcare Ethics 10 (4):357-360.
    The first reported successful kidney transplantation occurred in 1954, between twins. Since then, organ donation and transplantation has become less a medical marvel than a common expectation of patients with a variety of diseases resulting in organ failure. Those expectations have caused demand for organs to skyrocket far beyond available supply, fueling an organ shortage and resulting in over 60,000 patients on transplant waiting lists. In this special issue, our contributors attempt to shed new light on some of the many (...)
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  49.  5
    Philosophy Books, 1982-1986.Thomas May - 1991 - Bowling Green State Univ philosophy.
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  50.  37
    Children and Parents as Members of the Research Team: Fair Employment Practices Without a Union Contract.Ryan Spellecy, L. Eugene Arnold & Thomas May - 2008 - Ethics and Behavior 18 (2-3):199-214.
    In clinical mental health research with children, both child and parent are essential members of the research team. The 3 R's of parent/child team membership are respect, rapport, and recognition. Respect and recognition include fair reimbursement for time, expense, and inconvenience, but the most important compensation for many families is the appreciation of the other team members for their sacrifice and cooperation. Reimbursement, although honoring the principles of justice and respect for persons, raises difficult issues about appropriate amount, particularly in (...)
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