abstract：:Gabriele Badano offers three criticisms of my challenge to the orthodox family of theories of legitimacy in bioethics. First, I assumed an 'oversimplified version of the orthodoxy'. Second, I failed to appreciate its domain of application. Third, I only addressed the ways in which orthodox theorists incorporate substa...

journal_title：Journal of medical ethics

authors： Smith WR

更新日期：2019-04-01 00:00:00

abstract：:In this article, we discuss the ethical dimensions for the prescribing behaviours of opioids for a chronic pain patient, a scenario commonly witnessed by many physicians. The opioid epidemic in the USA and Canada is well known, existing since the late 1990s, and individuals are suffering and dying as a result of the e...

journal_title：Journal of medical ethics

authors： Yan E,Kuo DJ

更新日期：2019-04-01 00:00:00

abstract：:Ancell and Sinnott-Armstrong argue that medical providers possess wide freedoms to determine the scope of their practice, and therefore, prohibiting almost any conscientious objections is a bad idea. They maintain that we could create an acceptable system on the whole which even grants accommodations to discriminatory...

journal_title：Journal of medical ethics

authors： Card RF

更新日期：2019-03-01 00:00:00

abstract：:Robert Veatch and others have questioned whether there are internal moral rules of medicine. This paper examines the legal regulatory model for governing professions as the autonomous exercise of professional skills and asks whether there is a theoretical basis for this model. Taking John Rawls's distinction between t...

journal_title：Journal of medical ethics

authors： McAndrew S

更新日期：2019-03-01 00:00:00

abstract：:Albertsen, in his recent article, offers an assessment of the recently introduced opt-out system for organ donation in Wales. However, he focuses on whether concerns raised prior to the enactment of the new system have been realised, rather than any positive impact on the number of actual donors. This side-lining of t...

journal_title：Journal of medical ethics

authors： Parsons JA

更新日期：2019-03-01 00:00:00

abstract：:In popular lay discourse, objections to human biological enhancement technologies are sometimes expressed in terms of the charge that they are unnatural. This paper critiques the literal claim that seems to be presented here, namely that such technologies are in some ordinary sense 'unnatural' and that it follows from...

journal_title：Journal of medical ethics

authors： Miller PR

更新日期：2019-02-01 00:00:00

abstract：:In terms of ethical implications, Boers, van Delden and Bredenoord (2018) have made an interesting step forward with their model of organoids as hybrids, which seeks to find a balance between subject-like value and object-like value. Their framework aims to introduce effective procedures not to exploit donors and to i...

journal_title：Journal of medical ethics

authors： Lavazza A

更新日期：2019-02-01 00:00:00

abstract：:Opioid and sedative use are common 'active' practices in the provision of mainstream palliative care services, and are typically distinguished from euthanasia on the basis that they do not shorten survival time. Even supposing that they did, it is often argued that they are justified and distinguished from euthanasia ...

journal_title：Journal of medical ethics

authors： Riisfeldt TD

更新日期：2019-02-01 00:00:00

abstract：:I explain the notion of contributory injustice, a kind of epistemic injustice, and argue that it occurs within psychiatric services, affecting (at least) those who hear voices. I argue that individual effort on the part of clinicians to avoid perpetrating this injustice is an insufficient response to the problem; miti...

journal_title：Journal of medical ethics

authors： Miller Tate AJ

更新日期：2019-02-01 00:00:00

abstract：:The ethics of the Flexibility In duty hour Requirements for Surgical Trainees (FIRST) trial have been vehemently debated. Views on the ethics of the FIRST trial range from it being completely unethical to wholly unproblematic. The FIRST trial illustrates the complex ethical challenges posed by cluster randomised trial...

journal_title：Journal of medical ethics

authors： Horn AR,Weijer C,Hey SP,Brehaut J,Fergusson DA,Goldstein CE,Grimshaw J,Taljaard M

更新日期：2018-09-01 00:00:00

abstract：:Despite concerns about the relationships between health professionals and the medical device industry, the issue has received relatively little attention. Prevalence data are lacking; however, qualitative and survey research suggest device industry representatives, who are commonly present in clinical settings, play a...

journal_title：Journal of medical ethics

authors： Grundy Q,Hutchison K,Johnson J,Blakely B,Clay-Wlliams R,Richards B,Rogers WA

更新日期：2018-09-01 00:00:00

abstract：:Values-based recruitment is used in England to select healthcare staff, trainees and students on the basis that their values align with those stated in the Constitution of the UK National Health Service (NHS). However, it is unclear whether the extensive body of existing literature within the field of moral philosophy...

journal_title：Journal of medical ethics

authors： Groothuizen JE,Callwood A,Gallagher A

更新日期：2018-08-01 00:00:00

abstract：:The law ordinarily recognises the woman who gives birth as the mother of a child, but in certain jurisdictions, it will recognise the commissioning couple as the legal parents of a child born to a commercial surrogate. Some commissioning parents have, however, effectively abandoned the children they commission, and in...

journal_title：Journal of medical ethics

authors： Parks JA,Murphy TF

更新日期：2018-08-01 00:00:00

abstract：:In the context of military medical care, Eisenstein and colleagues have introduced the notion 'left of bang intervention in trauma', which refers to interventions administered before trauma to reduce morbidity and mortality after injury. This paper responds to Eisenstein and colleagues' ethical analysis of such interv...

journal_title：Journal of medical ethics

authors： Liivoja R

更新日期：2018-07-01 00:00:00

abstract：:The public often believes that parents have a right to make medical decisions about their child. The idea that, in respect of children, doctors should do what parents tell them to do is problematic on the face of it. The effect of such a claim would be that a doctor who acted deliberately to harm a child would be maki...

journal_title：Journal of medical ethics

authors： Hain RDW

更新日期：2018-07-01 00:00:00

abstract：:Several prominent writers including Norman Daniels, James Sabin, Amy Gutmann, Dennis Thompson and Leonard Fleck advance a view of legitimacy according to which, roughly, policies are legitimate if and only if they result from democratic deliberation, which employs only public reasons that are publicised to stakeholder...

journal_title：Journal of medical ethics

authors： Smith WR

更新日期：2018-06-01 00:00:00

abstract：:As the demand for healthcare rises, so does the need for priority setting in healthcare. In this paper, I consider a prominent priority-setting principle: proportional shortfall. My purpose is to argue that proportional shortfall, as a principle, should not be adopted. My key criticism is that proportional shortfall f...

journal_title：Journal of medical ethics

authors： Altmann S

更新日期：2018-05-01 00:00:00

abstract：:In 2016, the Office of the State Coroner of New South Wales released its report into the death of an Australian woman, Sheila Drysdale, who had died from complications of an autologous stem cell procedure at a Sydney clinic. In this report, we argue that Mrs Drysdale's death was avoidable, and it was the result of a p...

journal_title：Journal of medical ethics

authors： Lysaght T,Lipworth W,Hendl T,Kerridge I,Lee TL,Munsie M,Waldby C,Stewart C

更新日期：2017-11-01 00:00:00

abstract：:A quiet revolution is occurring in the field of transplantation. Traditionally, transplants have involved solid organs such as the kidney, heart and liver which are transplanted to prevent recipients from dying. Now transplants are being done of the face, hand, uterus, penis and larynx that aim at improving a recipien...

journal_title：Journal of medical ethics

authors： Caplan A,Purves D

更新日期：2017-11-01 00:00:00

abstract：:Antimicrobial therapy is a cornerstone of therapy in critically ill patients; however, the wide use of antibiotics has resulted in increased antimicrobial resistance and outbreaks of resistant disease. To counter this, many hospitals have instituted antimicrobial stewardship programmes as a way to reduce the inappropr...

journal_title：Journal of medical ethics

authors： Oczkowski S

更新日期：2017-10-01 00:00:00

abstract：:It has been suggested that future application of stem-cell derived gametes (SCD-gametes) might lead to the possibility for same-sex couples to have genetically related children. Still, for this to become possible, the technique of gamete derivation and techniques of reprogramming somatic cells to a pluripotent state (...

journal_title：Journal of medical ethics

authors： Segers S,Mertes H,Pennings G,de Wert G,Dondorp W

更新日期：2017-10-01 00:00:00

abstract：OBJECTIVES:To evaluate the UK undergraduate medical ethics curricula against the Institute of Medical Ethics (IME) recommendations; to identify barriers to teaching and assessment of medical ethics and to evaluate perceptions of ethics faculties on the preparation of tomorrow's doctors for clinical practice. DESIGN:Qu...

journal_title：Journal of medical ethics

authors： Brooks L,Bell D

更新日期：2017-09-01 00:00:00

abstract：:The revised Declaration of Helsinki allows placebo-controlled trials to be used even when there is an established therapy, provided there are adequate 'methodological' reasons for doing so. This seems to violate the principle of beneficence: where there is an established therapy, physicians treating patients with a pl...

journal_title：Journal of medical ethics

authors： Batra S,Howick J

更新日期：2017-08-09 00:00:00

abstract：:Children participating in clinical research may show signs of discomfort, discontent, dissent and so on, that cannot be solved by comforting the child. When, and on what ground, should such signs lead to the decision to withdraw the child from the trial? In order to adequately protect children participating in clinica...

journal_title：Journal of medical ethics

authors： Bos W,Westra A,de Beaufort I,van de Vathorst S

更新日期：2017-08-01 00:00:00

abstract：:The Belgian model of 'integral' end-of-life care consists of universal access to palliative care (PC) and legally regulated euthanasia. As a first worldwide, the Flemish PC organisation has embedded euthanasia in its practice. However, some critics have declared the Belgian-model concepts of 'integral PC' and 'palliat...

journal_title：Journal of medical ethics

authors： Bernheim JL,Raus K

更新日期：2017-08-01 00:00:00

abstract：:Best interests decision-making and end-of-life care for patients in permanent vegetative or minimally conscious states (VS/MCS) is a complex area of clinical and legal practice, which is poorly understood by most clinicians, lawyers and members of the public. In recent weeks, the Oxford Shrieval lecture by Mr Justice ...

journal_title：Journal of medical ethics

authors： Turner-Stokes L

更新日期：2017-07-01 00:00:00

abstract：:In this paper, I explore under what circumstances it might be morally acceptable to transplant organs from a patient lacking capacity. I argue, with a developed hypothetical based around a mother and son, that (1) 'Best interests' should be interpreted broadly to include the interests that people have previously expre...

journal_title：Journal of medical ethics

authors： Fritz Z

更新日期：2017-07-01 00:00:00

abstract：:The death toll from tobacco is staggering: it might contribute to one billion premature deaths over the course of the 21st century. In 'The case for banning cigarettes', Kalle Grill and Kristin Voigt argue that the well-being and equality benefits of a complete ban on cigarettes more than justify the restrictions on a...

journal_title：Journal of medical ethics

authors： Doucet M

更新日期：2017-06-01 00:00:00

abstract：:Several distinct arguments conclude that terminally ill patients have a right to a medically assisted death; two are especially influential: the autonomy argument and the non-harm argument. Both have proven convincing to many, but not to those who view the duty not to kill as an (almost) absolute constraint. Some phil...

journal_title：Journal of medical ethics

authors： Rivera-López E

更新日期：2017-06-01 00:00:00

abstract：:Unit 731, a biological warfare research organisation that operated under the authority of the Imperial Japanese Army in the 1930s and 1940s, conducted brutal experiments on thousands of unconsenting subjects. Because of the US interest in the data from these experiments, the perpetrators were not prosecuted and the at...

journal_title：Journal of medical ethics

authors： Hickey D,Li SS,Morrison C,Schulz R,Thiry M,Sorensen K

更新日期：2017-04-01 00:00:00

abstract：:I explore the increasingly important issue of cooperation in immoral actions, particularly in connection with healthcare. Conscientious objection, especially as pertains to religious freedom in healthcare, has become a pressing issue in the light of the US Supreme Court judgement in Hobby Lobby Section 'Moral evaluati...

journal_title：Journal of medical ethics

authors： Oderberg DS

更新日期：2017-04-01 00:00:00

abstract：:It is argued that the current policy of the British Medical Association (BMA) on conscientious objection is not aligned with recent human rights developments. These grant a right to conscientious objection to doctors in many more circumstances than the very few recognised by the BMA. However, this wide-ranging right m...

journal_title：Journal of medical ethics

authors： Adenitire JO

更新日期：2017-04-01 00:00:00

abstract：:The recent essay by Schuklenk and Smalling opposing respect for physicians' conscientious objections to providing patients with medical services that are legally permitted in liberal democracies is based on several erroneous assumptions. Acting in this manner would have serious harmful effects on the ethos of medicine...

journal_title：Journal of medical ethics

authors： Glick SM,Jotkowitz A

更新日期：2017-04-01 00:00:00

abstract：:Reflecting on the contribution by Rahul Kumar to the symposium, I consider the following topics in relation to risks in research: (1) treating someone as a mere means; (2) aggregation; (3) different conceptions of contractualism; (4) uncertainty; (5) paternalism and complicity. ...

journal_title：Journal of medical ethics

authors： Kamm FM

更新日期：2017-02-01 00:00:00

abstract：:The feasibility of a common European code of medical ethics is discussed, with consideration and evaluation of the difficulties such a project is going to face, from both the legal and ethical points of view. On the one hand, the analysis will underline the limits of a common European code of medical ethics as an inst...

journal_title：Journal of medical ethics

authors： Patuzzo S,Pulice E

更新日期：2017-01-01 00:00:00

abstract：:Anne Barnhill and Franklin Miller dispute my claim that the prescriptions of placebo treatments to patients are not typically deceptive, and do not typically violate the patients' informed consent. However, Barnhill and Miller seriously mischaracterise my position in two ways, as well as failing to show that the proce...

journal_title：Journal of medical ethics

authors： Glackin SN

更新日期：2016-10-01 00:00:00

abstract：:In this paper, I explore the ethics of subject selection in the context of biomedical research. I reject a key principle of what I shall refer to as the standard view According to this principle, investigators should select participants so as to minimise aggregate risk to participants and maximise aggregate benefits t...

journal_title：Journal of medical ethics

authors： MacKay D

更新日期：2016-10-01 00:00:00

abstract：:This article is a response to Raphael Cohen-Almagor's paper entitled 'First do no harm: intentionally shortening lives of patients without their explicit request in Belgium'. His paper deals with very important matters of life and death, however its concept usage is in part misleading. For instance, the fact that medi...

journal_title：Journal of medical ethics

authors： Materstvedt LJ,Magelssen M

更新日期：2016-09-01 00:00:00

abstract：:I sketch a libertarian argument for the right to test in the context of 'direct to consumer' (DTC) genetic testing. A libertarian right to genetic tests, as defined here, relies on the idea of a moral right to self-ownership. I show how a libertarian right to test can be inferred from this general libertarian premise,...

journal_title：Journal of medical ethics

authors： Loi M

更新日期：2016-09-01 00:00:00

abstract：:This response refutes the claim made in a recent article that organs for transplantation in China will no longer be sourced from executed prisoners. We identify ongoing ethical problems due to the lack of transparent data on current numbers of transplants in China; implausible and conflicting claims about voluntary do...

journal_title：Journal of medical ethics

authors： Rogers WA,Trey T,Fiatarone Singh M,Bridgett M,Bramstedt KA,Lavee J

更新日期：2016-08-01 00:00:00