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Journal Bioethics

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Who's next? Shifting balances between medical AI, physicians and patients in shaping the future of medicine.

Nils-Frederic Wagner, Mita Banerjee, Norbert W Paul,

Bioethics (Bioethics)
[2022, 36(2):111-112]

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"What can I possibly do?": White individual responsibility for addressing racism as a public health crisis.

Nabina K Liebow, Travis N Rieder,

What responsibilities do individuals have when it comes to combating large-scale public health crises such as racism? A seductive argument borrowed from the climate ethics literature suggests that focusing on individual morality for a structural problem such as racism is at best unhelpful and at worst actively harmful. In response, ... Read more >>

Bioethics (Bioethics)
[2022, :]

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Racism in child welfare: Ethical considerations of harm.

Emily Berkman, Emily Brown, Maya Scott, Alicia Adiele,

Racism has resulted in significant disproportionality and disparity in the US child welfare system. Being Black is not an inherent risk factor for child abuse and neglect yet Black children are almost twice as likely to be victims of substantiated abuse and neglect claims compared to other racial groups. Addressing the disproportionality within the child welfare system due to systemic racism falls ... Read more >>

Bioethics (Bioethics)
[2022, :]

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Suffering is not enough: Assisted dying for people with mental illness.

Manuel Trachsel, Ralf J Jox,

Persons with mental disorders who are resistant to evidence-based treatment can be referred to as patients with severe and persistent mental illness (SPMI). Some patients with SPMI develop a strong wish for assisted dying. Switzerland has the longest history of non-medicalized assisted dying, which is considered a civil right even ... Read more >>

Bioethics (Bioethics)
[2022, :]

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Towards equitable genomics governance in Africa: Guiding principles from theories of global health governance and the African moral theory of Ubuntu.

Nchangwi Syntia Munung, Jantina de Vries, Bridget Pratt,

The post-genomics era promises a revolution characterized by precision medicine and the integration of genomics into almost every area of biomedical research. At the same time, there are concerns that if care is not taken, the genomics revolution may widen global inequities in science and health. In Africa, these concerns ... Read more >>

Bioethics (Bioethics)
[2022, :]

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LETTER TO THE EDITORS.

Jeff Hughes, Philip Daffas, Scott Robertson,

Bioethics (Bioethics)
[2022, :]

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Paying people for getting vaccinated? A favorable solution for both vaccine-hesitant persons and the public.

Alexander Reese, Ingo Pies,

Assume a pandemic in which, despite all efforts of vaccine persuasion, too many people are hesitant toward vaccination for a laissez-faire regime to reach herd immunity on a strictly voluntary basis. Then, basically four policy options are available-(a) moral appeals, (b) legal obligation, (c) monetary fines, and (d) monetary rewards. ... Read more >>

Bioethics (Bioethics)
[2022, :]

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Causation and Injustice: Locating the injustice of racial and ethnic health disparities.

Brian Hutler,

The COVID-19 pandemic has had a disproportionate impact on the health of Black Americans, Latinx or Hispanic Americans, and American Indians. These disparities are deeply unjust, in part, because they are the causal result of racism at both the interpersonal and structural levels. This paper argues, however, that establishing a ... Read more >>

Bioethics (Bioethics)
[2022, :]

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Assisted suicide for prisoners: An ethical and legal analysis from the Swiss context.

Yoann Della Croce,

Should prisoners be allowed to access assisted suicide? Whereas the ethical and legal issues regarding assisted suicide have now been extensively discussed in the literature, surprisingly scarce attention has been given to the pressing issue of inmates requesting assistance in dying. Through an analysis supported by the Swiss legal framework, ... Read more >>

Bioethics (Bioethics)
[2022, :]

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Medical assistance in dying: Squabbles over the meaning of 'irremediable'.

Udo Schuklenk,

Bioethics (Bioethics)
[2022, 36(1):1-2]

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Empathy and structural injustice in the assessment of patient noncompliance.

Yolonda Wilson,

Empathy is generally considered important because it is linked to prosocial helping behaviors. To the extent that humans are thought to be social creatures, empathy is regarded as an important component of our general well-being. Meanwhile, empathy skeptics argue that empathy is not as important as its proponents believe. While ... Read more >>

Bioethics (Bioethics)
[2021, :]

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In defence of the bioethics scoping review: Largely systematic literature reviewing with broad utility.

Jordan A Parsons, Harleen Kaur Johal,

There is growing interest in the possible role of systematic methods of reviewing literature in bioethics. This has arisen alongside the growth of empirical bioethics and a general push towards introducing some level of rigour and reproducibility into scholarship in the field. However, there remain a range of approaches to ... Read more >>

Bioethics (Bioethics)
[2021, :]

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Moving beyond mistrust: Centering institutional change by decentering the white analytical lens.

Alyssa M Newman,

The topic of Black mistrust of medical institutions and health care has received a great deal of attention over the course of the Covid-19 pandemic, especially with the arrival of vaccines and the emergence of a gap in vaccination rates by race. This article examines current discourses and debates over ... Read more >>

Bioethics (Bioethics)
[2021, :]

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The ethical-legal requirements for adolescent self-consent to research in sub-Saharan Africa: A scoping review.

Busisiwe Nkosi, Brian Zanoni, Janet Seeley, Ann Strode,

Support for the enrolment of adolescents in research has been constrained by uncertainties in parental involvement, and the lack of clarity in the ethical and legal frameworks. We conducted a scoping review to examine articles that explored the opinion of scholars on the question of adolescent consent and conditions for ... Read more >>

Bioethics (Bioethics)
[2021, :]

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'Mad', bad or Muslim? The UK's Vulnerability Support Hubs and the nexus of mental health, counterterrorism and racism.

Hil Aked,

The UK government's 'Prevent' counter-extremism policy was placed on a statutory footing in 2015, requiring specified authorities including NHS providers by law to work to 'prevent people being drawn into terrorism', leading to calls for a boycott on ethical grounds. Since 2016, mental health professionals have been embedded within counterterrorism ... Read more >>

Bioethics (Bioethics)
[2021, :]

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Beneficent dehumanization: Employing artificial intelligence and carebots to mitigate shame-induced barriers to medical care.

Amitabha Palmer, David Schwan,

As costs decline and technology inevitably improves, current trends suggest that artificial intelligence (AI) and a variety of "carebots" will increasingly be adopted in medical care. Medical ethicists have long expressed concerns that such technologies remove the human element from medicine, resulting in dehumanization and depersonalized care. However, we argue ... Read more >>

Bioethics (Bioethics)
[2022, 36(2):187-193]

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Is enhancement inherently ableist?

Lysette Chaproniere,

Transhumanists and other proponents of enhancement have been criticized for their attitude to disability. Melinda Hall argues that transhumanists denigrate disabled people by devaluing interdependence and vulnerability, and implying that disabled people are dangerous. It might also be thought that further development of enhancement technologies would have bad consequences within ... Read more >>

Bioethics (Bioethics)
[2021, :]

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One health ethics.

Benjamin Capps,

One health has brought to the fore connections-between human culture and nature-that underlie healthy (and unhealthy) ecological niches. Like other emerging environmental concepts-eco-health, one medicine and planetary health-one health merges scientific evidence with reasons for sustaining a healthy environment. This narrative is not new, but the importance of a cogent ... Read more >>

Bioethics (Bioethics)
[2021, :]

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Racialized disablement and the need for conceptual analysis of "racial health disparities".

Desiree Valentine,

It is well established that racial health disparities are impacted by structural racism, but the imbrication of racialization processes with processes of disablement remains underdeveloped. This essay advocates for a conceptual lens that looks historically and politically at the co-constitution of "race" and "disability." Racism and ableism intersect in ways ... Read more >>

Bioethics (Bioethics)
[2021, :]

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Public health ethics and abortion: A response to Simkulet.

Bruce P Blackshaw, Daniel Rodger,

Bioethics (Bioethics)
[2021, :]

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Against procreative moral rights.

Jake Earl,

Many contemporary ethical debates turn on claims about the nature and extent of our alleged procreative moral rights: moral rights to procreate or not to procreate as we choose. In this article, I argue that there are no procreative moral rights, in that generally we do not have a distinctive ... Read more >>

Bioethics (Bioethics)
[2021, :]

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Uterus collectors: The case for reproductive justice for African American, Native American, and Hispanic American female victims of eugenics programs in the United States.

Eric D Smaw,

In this article, I offer historical, jurisprudential, and moral analyses of racial eugenics campaigns against African American, Native American, and Hispanic American women. I argue that African American, Native American, and Hispanic American women were sterilized at a time in US history when doctors working for/with the Department of Health, ... Read more >>

Bioethics (Bioethics)
[2021, :]

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Your pain is not mine: A critique of clinical empathy.

Eugenia Stefanello,

Both in mainstream culture and in bioethical literature, there is a general agreement on the absolute positive value assigned to empathy in healthcare settings. Thanks to its two components-affective and cognitive-clinical empathy should allow physicians to be emotionally affected by the experiences of their patients, and at the same time, ... Read more >>

Bioethics (Bioethics)
[2021, :]

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Two internal critiques for theists who oppose moral enhancement on a process virtue basis.

Abram Brummett, Parker Crutchfield,

Some bioconservatives reject the use of biotechnology for moral enhancement while simultaneously purporting to accept standard theism and process virtue. Standard theism holds that God is a personal, omniscient, omnibenevolent, omnipotent, transcendent being. Process virtue holds that virtue can only be obtained through a specific process and not by means ... Read more >>

Bioethics (Bioethics)
[2021, :]

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Substituted judgment for the never-capacitated: Crossing Storar's bridge too far.

Jacob M Appel,

Since several landmark legal decisions in the 1970s and 1980s, substituted judgment has become widely accepted as an approach to decision-making for incapacitated patients that incorporates their autonomy and interests. Two notable exceptions have been cases involving minors and those involving cognitively or psychiatrically impaired individuals who never previously possessed ... Read more >>

Bioethics (Bioethics)
[2022, 36(2):225-231]

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