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  1. added 2019-06-25
    Human Values in Healthcare Ethics Introduction Many Voices: Human Values in Healthcare Ethics.K. W. M. Fulford, D. Dickenson & T. H. Murray - 2002
    This volume of articles, literature and case studies illustrates the central importance of human values throughout healthcare. The readings are structured around the main stages of the clinical encounter from the patient's perspective.
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  2. added 2019-06-05
    Asbestos Neglect: Why Asbestos Exposure Deserves Greater Policy Attention.Thomas Douglas & Laura Van den Borre - 2019 - Health Policy 123 (5):516-519.
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  3. added 2019-06-05
    How Bioethics Principles Can Aid Design of Electronic Health Records to Accommodate Patient Granular Control.Eric M. Meslin & Peter H. Schwartz - 2014 - Journal of General Internal Medicine 30 (1):3-6.
    Ethics should guide the design of electronic health records (EHR), and recognized principles of bioethics can play an important role. This approach was adopted recently by a team of informaticists designing and testing a system where patients exert granular control over who views their personal health information. While this method of building ethics in from the start of the design process has significant benefits, questions remain about how useful the application of bioethics principles can be in this process, especially when (...)
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  4. added 2019-03-27
    Understanding the Baby-Friendly Hospital Initiative: A Multidisciplinary Analysis.Erica Preston-Roedder, Hannah Fagen, Jessica Martucci & Anne Barnhill - 2019 - Ijfab: International Journal of Feminist Approaches to Bioethics 12 (2):117-147.
    In the United States, roughly 1 out of 4 births takes place at a hospital certified as Baby-Friendly. This paper offers a multi-disciplinary perspective on the Baby-Friendly Hospital Initiative (BFHI), including empirical, normative, and historical perspectives. Our analysis is novel in that we trace how medical practices of “quality improvement,” which initially appear to have little to do with breastfeeding, may have shaped the BFHI. Ultimately, we demonstrate that a rich understanding of the BFHI can be obtained by tracing how (...)
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  5. added 2019-01-08
    Pharmacogenomic Inequalities: Strategies for Justice in Biomedical Research and Healthcare.Giovanni De Grandis - 2017 - Diametros 51:153-172.
    The paper discusses the possibility that the benefits of pharmacogenomics will not be distributed equally and will create orphan populations. I argue that since these inequalities are not substantially different from those produced by ‘traditional’ drugs and are not generated with the intention to discriminate, their production needs not be unethical. Still, the final result is going against deep-seated moral feelings and intuitions, as well as broadly accepted principles of just distribution of health outcomes and healthcare. I thus propose two (...)
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  6. added 2018-12-31
    Uzasadnienie Sprzeciwu Sumienia: Lekarze, Poborowi I Żołnierze.Tomasz Żuradzki - 2016 - Diametros 47:98-128.
    I will argue that physicians have an ethical obligation to justify their conscientious objection and the most reliable interpretation of the Polish legal framework claims that conscientious objection is permissible only when the justification shows the genuineness of the judgment of conscience that is not based on false beliefs and arises from a moral norm that has a high rank. I will demonstrate that the dogma accepted in the Polish doctrine that the reasons that lie behind conscientious objection in medicine (...)
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  7. added 2018-12-13
    Prior Authorization as a Potential Support of Patient-Centered Care.Leah Rand & Zackary Berger - 2018 - Patient 4 (11):371-375.
    We discuss the role of prior authorization (PA) in supporting patient-centered care (PCC) by directing health system resources and thus the ability to better meet the needs of individual patients. We begin with an account of PCC as a standard that should be aimed for in patient care. In order to achieve widespread PCC, appropriate resource management is essential in a healthcare system. This brings us to PA, and we present an idealized view of PA in order to argue how (...)
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  8. added 2018-12-09
    Three Things Clinicians Should Know About Disability.Joel Michael Reynolds - 2018 - AMA Journal of Ethics 12 (20):E1181-1187.
    The historical relationship between health care professionals and people with disabilities is fraught, a fact all the more troubling in light of the distinctive roles clinicians play in both establishing and responding to that which is considered normal or abnormal by society at large. Those who wish to improve their clinical practice might struggle, however, to keep up with developments across numerous disability communities as well as the ever-growing body of disability studies scholarship. To assist with this goal, I offer (...)
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  9. added 2018-12-03
    Response to Ruud ter Meulen.Ruth Chadwick - 2015 - Diametros 43:21-27.
    In addition to thinking about the meanings of solidarity, it is important to address how solidarity of the appropriate sort can be cultivated. Possibilities include the transformative power of key individuals or events; and the role of institutions. In health care it is suggested that a combination of the two strategies is required. Professional conduct includes not only acting in 'face to face' delivery, but also engaging with those institutions which enable or disable certain ways of acting, so that they (...)
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  10. added 2018-11-18
    The Normative Significance of Identifiability.Tomasz Żuradzki - forthcoming - Ethics and Information Technology.
    According to psychological research, people are more eager to help identified individuals than unidentified ones. This phenomenon significantly influences many important decisions, both individual and public, regarding, for example, vaccinations or the distribution of healthcare resources. This paper aims at presenting definitions of various levels of identifiability as well as a critical analysis of the main philosophical arguments regarding the normative significance of the identifiability effect, which refer to: (1) ex ante contractualism; (2) fair distribution of chances and risks; (3) (...)
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  11. added 2018-11-14
    Harms and Wrongs in Epistemic Practice.Simon Barker, Charlie Crerar & Trystan S. Goetze - 2018 - Royal Institute of Philosophy Supplement 84:1-21.
    This volume has its roots in two recent developments within mainstream analytic epistemology: a growing recognition over the past two or three decades of the active and social nature of our epistemic lives; and, more recently still, the increasing appreciation of the various ways in which the epistemic practices of individuals and societies can, and often do, go wrong. The theoretical analysis of these breakdowns in epistemic practice, along with the various harms and wrongs that follow as a consequence, constitutes (...)
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  12. added 2018-10-16
    Impartiality and Infectious Disease: Prioritizing Individuals Versus the Collective in Antibiotic Prescription.Bernadine Dao, Thomas Douglas, Alberto Giubilini, Julian Savulescu, Michael Selgelid & Nadira S. Faber - 2019 - Ajob Empirical Bioethics 10 (1):63-69.
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  13. added 2018-09-07
    The Importance of Rationality.G. Owen Schaefer - 2013 - Hastings Center Report 43 (1):3.
    Michael Hauskeller (“Reflections from a Troubled Stream: Giubliani and Minerva on ‘After-Birth Abortion’) has recently suggested that we should resist rationalist tendencies in moral discourse: “[I]s not all morality ultimately irrational? Even the most strongly held moral convictions can be shown to lack a rational basis.” (Hauskeller 2012, p. 18) Hauskeller was responding to Alberto Giubliani and Francesca Minverva’s (2012) recent defense of the permissibility of killing infants, but his anti-rationality arguments have wide-reaching implications. Yet pace Hauskeller, rationality is indeed (...)
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  14. added 2018-08-03
    What's Philosophical About Moral Distress?Nancy J. Matchett - 2018 - Philosophical Practice: Journal of the American Philosophical Practitioners Association 2 (13):2108-19.
    Moral distress is a well-documented phenomenon in the nursing profession, and increasingly thought to be implicated in a nation-wide nursing shortage in the US. First identified by the philosopher Andrew Jameton in 1984, moral distress has also proven resistant to various attempts to prevent its occurrence or at least mitigate its effects. While this would seem to be bad news for nurses and their patients, it is potentially good news for philosophical counselors, for whom there is both socially important and (...)
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  15. added 2017-12-18
    Blameless Guilt: The Case of Carer Guilt and Chronic and Terminal-Illness.Matt Bennett - forthcoming - International Journal of Philosophical Studies.
    My ambition in this paper is to provide an account of an unacknowledged example of blameless guilt that, I argue, merits further examination. The example is what I call carer guilt: guilt felt by nurses and family members caring for patients with palliative-care needs. Nurses and carers involved in palliative care often feel guilty about what they perceive as their failure to provide sufficient care for a patient. However in some cases the guilty carer does not think that he has (...)
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  16. added 2017-10-19
    Clinical Decision-Making: The Case Against the New Casuistry.Mahesh Ananth - 2017 - Issues in Law and Medicine 32 (2):143-171.
    Albert Jonsen and Stephen Toulmin have argued that the best way to resolve complex “moral” issues in clinical settings is to focus on the details of specific cases. This approach to medical decision-making, labeled ‘casuistry’, has met with much criticism in recent years. In response to this criticism, Carson Strong has attempted to salvage much of Jonsen’s and Toulmin’s version of casuistry. He concludes that much of their analysis, including Jonsen’s further elaboration about the casuistic methodology, is on the mark. (...)
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  17. added 2017-05-12
    The Role of Healthcare Ethics Committee Networks in Shaping Healthcare Policy and Practices.Anita J. Tarzian, Diane E. Hoffmann, Rose Mary Volbrecht & Judy L. Meyers - 2006 - HEC Forum 18 (1):85-94.
    As national and state health care policy -making becomes contentious and complex, there is a need for a forum to debate and explore public concerns and values in health care, give voice to local citizens, to facilitate consensus among various stakeholders, and provide feedback and direction to health care institutions and policy makers. This paper explores the role that regional health care ethics committees can play and provides two contrasting examples of Networks involved in facilitation of public input into and (...)
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  18. added 2017-02-15
    Can Doctors Maintain Good Character? An Examination of Physician Lives.Saba Fatima - 2016 - Journal of Medical Humanities 37 (4):419-433.
    Can doctors maintain good character? This paper shifts the focus from patient care to ethical considerations that bear on the physician and impact her as a person. By decentering patient care, the paper highlights certain factors that habituate a particular way of reasoning that is not conducive to inculcating good character. Such factors include, standards of professionalism, being influenced by external monitors, and emphasis on adherence to guidelines. While such factors may benefit patients, they often adversely affect the character of (...)
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  19. added 2017-01-18
    Gender and Ethics Committees: Where's the 'Different Voice'?Donna Dickenson - 2006 - Bioethics 20 (3):115–124.
    Abstract Gender and Ethics Committees: Where’s the Different Voice? -/- Prominent international and national ethics commissions such as the UNESCO Bioethics Commission rarely achieve anything remotely resembling gender equality, although local research and clinical ethics committees are somewhat more egalitarian. Under-representation of women is particularly troubling when the subject matter of modern bioethics so disproportionately concerns women’s bodies, and when such committees claim to derive ‘universal’ standards. Are women missing from many ethics committees because of relatively straightforward, if discriminatory, demographic (...)
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  20. added 2016-12-15
    Will the World Decrease Births or Increase Deaths?—A Review of ‘Reproductive Medicine’--E. Coutinho & P. Spinola Eds. 366p (1999).Michael Starks - 2016 - In Suicidal Utopian Delusions in the 21st Century: Philosophy, Human Nature and the Collapse of Civilization-- Articles and Reviews 2006-2017 2nd Edition Feb 2018. Michael Starks. pp. 581-584.
    I review this report of an old medical congress on reproductive medicine. Much has happened in the 17 years since its publication but the most urgent task of preventing further population growth has largely failed on a global scale. I try to bring it up to date and briefly discuss the inexorable disaster coming as the world population passes 11 billion in the 22nd century. -/- Those wishing a comprehensive up to date framework for human behavior from the modern two (...)
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  21. added 2016-09-23
    Pandemics - Background Paper.Giovanni De Grandis & Jasper Littmann - 2011 - Forward Look Archive.
    The background paper provides an introduction to the concept of pandemics and to the ethical and political issues related with pandemic preparedness.
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  22. added 2016-09-22
    Ethical Dilemma for a Medical Resident: A Case Study Analysis.Marvin J. H. Lee, Ana Maheshwari & Peter A. Clark - 2016 - Internet Journal of Infectious Diseases 15 (1).
    Ebola is a deadly disease with no cure; there is no vaccine developed yet. Many died during the 2014 outbreak in West Africa, and many healthcare professionals went to the virus infected area to treat the patients while placing their lives in danger. Not every medical professional placed in the field is a fully trained specialist, and sometimes one or two under-trained doctors are in charge of the entire clinic with some nurses and operating technicians. When unexpected outbreaks of the (...)
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  23. added 2016-08-24
    Stillbirths: Economic and Psychosocial Consequences.Alexander E. P. Heazell, Dimitros Siassakos, Hannah Blencowe, Zulfiqar A. Bhutta, Joanne Cacciatore, Nghia Dang, Jai Das, Bicki Flenady, Katherine J. Gold, Olivia K. Mensah, Joseph Millum, Daniel Nuzum, Keelin O'Donoghue, Maggie Redshaw, Arjumand Rizvi, Tracy Roberts, Toyin Saraki, Claire Storey, Aleena M. Wojcieszek & Soo Downe - 2016 - The Lancet 387 (10018):604-16.
    Despite the frequency of stillbirths, the subsequent implications are overlooked and underappreciated. We present findings from comprehensive, systematic literature reviews, and new analyses of published and unpublished data, to establish the effect of stillbirth on parents, families, health-care providers, and societies worldwide. Data for direct costs of this event are sparse but suggest that a stillbirth needs more resources than a livebirth, both in the perinatal period and in additional surveillance during subsequent pregnancies. Indirect and intangible costs of stillbirth are (...)
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  24. added 2016-08-24
    A Silenced Cry: Should Stillbirth Be Given Greater Priority on the Global Health Agenda?Z. U. Qureshi - 2015 - British Medical Journal 351 (h4620).
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  25. added 2016-08-24
    The Post-2015 Development Agenda: Keeping Our Focus On the Worst Off.D. Sharp - 2015 - American Journal of Tropical Medicine and Hygiene 92 (6):1087-89.
    Non-communicable diseases now account for the majority of the global burden of disease and an international campaign has emerged to raise their priority on the post-2015 development agenda. We argue, to the contrary, that there remain strong reasons to prioritize maternal and child health. Policy-makers ought to assign highest priority to the health conditions that afflict the worst off. In virtue of how little healthy life they have had, children who die young are among the globally worst off. Moreover, many (...)
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  26. added 2016-06-03
    Two Cautions for a Common Morality Debate: Investigating the Argument From Empirical Evidence Through the Comparative Cultural Study Between Western Liberal Individualist Culture and East Asian Neo-Confucian Culture.Marvin J. H. Lee - 2012 - In Peter A. Clark (ed.), Contemporary Issues in Bioethics. InTech Publisher. pp. 1-14.
    The paper attempts to set a guideline to contemporary common morality debate. The author points out what he sees as two common problems that occur in the field of comparative cultural studies related to a common morality debate. The first problem is that the advocates and opponents of common morality, consciously or unconsciously, define the moral terms in question in a way that their respective meanings would naturally lead to the outcomes that each party desires. The second problem is that (...)
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  27. added 2016-05-09
    Clarifying the Best Interests Standard: The Elaborative and Enumerative Strategies in Public Policy-Making.Chong Ming Lim, Michael C. Dunn & Jacqueline J. Chin - 2016 - Journal of Medical Ethics 42 (8):542-549.
    One recurring criticism of the best interests standard concerns its vagueness, and thus the inadequate guidance it offers to care providers. The lack of an agreed definition of ‘best interests’, together with the fact that several suggested considerations adopted in legislation or professional guidelines for doctors do not obviously apply across different groups of persons, result in decisions being made in murky waters. In response, bioethicists have attempted to specify the best interests standard, to reduce the indeterminacy surrounding medical decisions. (...)
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  28. added 2016-02-29
    Liberalism and Public Health Ethics.Alex Rajczi - 2016 - Bioethics 30 (2):96-108.
    Many public health dilemmas involve a tension between the promotion of health and the rights of individuals. This article suggests that we should resolve the tension using our familiar liberal principles of government. The article considers the common objections that liberalism is incompatible with standard public health interventions such as anti-smoking measures or intervention in food markets; there are special reasons for hard paternalism in public health; and liberalism is incompatible with proper protection of the community good. The article argues (...)
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  29. added 2016-02-29
    A Liberal Approach to the Obesity Epidemic.Alex Rajczi - 2008 - Public Affairs Quarterly 22 (3):269-288.
    At least half of American adults are overweight or obese, and the number may be as high as two-thirds. These facts have spurred anti-obesity campaigns, and those campaigns have provoked difficult questions in public health and population ethics. Should the government merely inform people about the risks of unhealthy food? May it try to change behavior by taxing unhealthy food? May it ban some foods outright? This paper proposes that we should answer these questions using familiar liberal principles. The principles (...)
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  30. added 2015-05-18
    On the Epistemology of the Precautionary Principle: Reply to Steglich-Petersen.J. Adam Carter & Martin Peterson - 2016 - Erkenntnis 81 (2):297-304.
    In a recent paper in this journal, we proposed two novel puzzles associated with the precautionary principle. Both are puzzles that materialise, we argue, once we investigate the principle through an epistemological lens, and each constitutes a philosophical hurdle for any proponent of a plausible version of the precautionary principle. Steglich-Petersen claims, also in this journal, that he has resolved our puzzles. In this short note, we explain why we remain skeptical.
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  31. added 2014-12-12
    What's the Harm? Why the Mainstreaming of Complementary and Alternative Medicine is an Ethical Problem.Lawrence Torcello - 2013 - Ethics in Biology, Engineering and Medicine 4 (4):333-344.
    This paper argues that it is morally irresponsible for modern medical providers or health care institutions to support and advocate the integration of CAM practices (i.e. homeopathy, acupuncture, energy healing, etc.) with conventional modern medicine. The results of such practices are not reliable beyond that of placebo. As a corollary, it is argued that prescribing placebos perceived to stand outside the norm of modern medicine is morally inappropriate. Even when such treatments do no direct physical harm, they create unnecessary barriers (...)
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  32. added 2014-10-02
    Motives and Markets in Health Care.Daniel Hausman - 2013 - Journal of Practical Ethics 1 (2):64-84.
    The truth about health care policy lies between two exaggerated views: a market view in which individuals purchase their own health care from profit maximizing health-care firms and a control view in which costs are controlled by regulations limiting which treatments health insurance will pay for. This essay suggests a way to avoid on the one hand the suffering, unfairness, and abandonment of solidarity entailed by the market view and, on the other hand, to diminish the inflexibility and inefficiency of (...)
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  33. added 2014-05-22
    Bioethics and Large-Scale Biobanking: Individualistic Ethics and Collective Projects.Garrath Williams - 2005 - Genomics, Society and Policy 1 (2):50-66.
    Like most bioethical discussion, examination of human biobanks has been largely framed in terms of research subjects’ rights, principally informed consent, with some gestures toward public benefits. However, informed consent is for the competent, rights-bearing individual: focussing on the individual, it thus neglects social, economic and even political matters; focussing on the competent rights-bearer, it does not serve situations where consent is plainly inappropriate (eg, the young child) or where coercion can obviously be justified (the criminal). Using the British experience (...)
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  34. added 2014-04-24
    Contraception and Double Effect.Ezio Di Nucci - 2014 - American Journal of Bioethics 14 (7):42-43.
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  35. added 2014-03-06
    Referral in the Wake of Conscientious Objection to Abortion.Carolyn McLeod - 2008 - Hypatia 23 (4):pp. 30-47.
    Currently, the preferred accommodation for conscientious objection to abortion in medicine is to allow the objector to refuse to accede to the patient’s request so long as the objector refers the patient to a physician who performs abortions. The referral part of this arrangement is controversial, however. Pro-life advocates claim that referrals make objectors complicit in the performance of acts that they, the objectors, find morally offensive. McLeod argues that the referral requirement is justifiable, although not in the way that (...)
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  36. added 2014-03-04
    What Health Care Providers Know: A Taxonomy of Clinical Disagreements.Daniel Groll - 2011 - Hastings Center Report 41 (5):27-36.
    When, if ever, can healthcare provider's lay claim to knowing what is best for their patients? In this paper, I offer a taxonomy of clinical disagreements. The taxonomy, I argue, reveals that healthcare providers often can lay claim to knowing what is best for their patients, but that oftentimes, they cannot do so *as* healthcare providers.
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  37. added 2013-10-16
    Introducción al problema de la continuidad del tratamiento beneficioso para los sujetos de investigación.Ignacio Mastroleo - 2015 - In Jorge Alberto Álvarez Díaz (ed.), Ensayos sobre ética de la salud. Ciudad de México: Universidad Autónoma Metropolitana - Unidad Xochimilco. pp. 67 - 99.
    ¿Qué ocurre con la continuidad del tratamiento de los sujetos de investigación después de que realizan la última visita del ensayo en el que participan? En algunos casos, la falta de continuidad de atención de la salud apropiada podría poner en peligro la salud de estas personas. Por lo tanto, es probable que los sujetos de investigación que al terminar su participación en un ensayo todavía se encuentran enfermos, necesiten continuar con el tratamiento en estudio u otra atención de la (...)
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  38. added 2013-04-19
    The evaluation of scientific research in democratic societies: Kitcher, Rawls and the approach of scientific significant truths.Ignacio Mastroleo - 2011 - Revista Redbioética/UNESCO 2 (4):43-60.
    This paper critically assesses the model of evaluation of scientific research for democratic societies defended by Philip Kitcher. The “significant truth” approach proposes a viable alternative to two classic images of science: that of the “critics”, who believe that science always serves the interests of the powerful and that of the “faithful”, who argue that the pursuit of scientific knowledge is always valuable and necessary. However, the democratic justification of Kitcher’s proposal is not compatible with the ethical problems generated by (...)
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  39. added 2012-12-06
    Is Obesity a Public Health Problem?Jonny Anomaly - 2012 - Public Health Ethics 5 (3):216-221.
    It is often claimed that there is an obesity epidemic in affluent countries, and that obesity is one of the most serious public health threats in the developed world. I will argue that obesity is not an 'epidemic' in any useful sense of the word, and that classifying it as a public health problem requires us to make fairly controversial moral and empirical assumptions. While evidence suggests that the prevalence of obesity is on the rise, and that obesity can lead (...)
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  40. added 2012-11-14
    Perspectives on Evidence-Based Healthcare for Women.Maya J. Goldenberg - 2010 - Journal of Women's Health 19 (7):1235-1238.
    We live in an age of evidence-based healthcare, where the concept of evidence has been avidly and often uncritically embraced as a symbol of legitimacy, truth, and justice. By letting the evidence dictate healthcare decision making from the bedside to the policy level, the normative claims that inform decision making appear to be negotiated fairly—without subjectivity, prejudice, or bias. Thus, the term ‘‘evidence-based’’ is typically read in the health sciences as the empirically adequate standard of reasonable practice and a means (...)
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  41. added 2012-11-03
    Defining Quality of Care Persuasively.Maya J. Goldenberg - 2012 - Theoretical Medicine and Bioethics 33 (4):243-261.
    As the quality movement in health care now enters its fourth decade, the language of quality is ubiquitous. Practitioners, organizations, and government agencies alike vociferously testify their commitments to quality and accept numerous forms of governance aimed at improving quality of care. Remarkably, the powerful phrase ‘‘quality of care’’ is rarely defined in the health care literature. Instead it operates as an accepted and assumed goal worth pursuing. The status of evidence-based medicine, for instance, hinges on its ability to improve (...)
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  42. added 2012-02-23
    Rawls’ Theory of Distributive Justice and the Role of Informal Institutions in Giving People Access to Health Care in Bangladesh.Azam Golam - 2008 - Philosophy and Progress 41 (2):151-167.
    The objective of the paper is to explore the issue that despite the absence of adequate formal and systematic ways for the poor and disadvantaged people to get access to health benefit like in a rich liberal society, there are active social customs, feelings and individual and collective responsibilities among the people that help the disadvantaged and poor people to have access to the minimum health care facility in both liberal and non-liberal poor countries. In order to explain the importance (...)
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  43. added 2012-02-23
    Moral Obligation of Pharmaceutical Companies Towards HIV Victims in Developing Countries.Azam Golam - 2008 - The Dhaka University Studies 64 (1):197-212.
    The objective of the paper is to analyze whether that the pharmaceutical companies producing HIV drugs have moral obligation(s) towards the HIV victims in developing countries who don‟t have access to get drug to reduce their risks. The primary assessment is that the pharmaceutical companies have minimum moral obligation(s) to the HIV patients especially in developing countries. It is because they are human beings and hence they are the subject of moral considerations. The paper argues that from the sense of (...)
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  44. added 2011-08-02
    Clarifying Capacity: Reasons and Value.Jules Holroyd - forthcoming - In Lubomira Radoilska (ed.), Autonomy and Mental Health. Oxford University Press.
    It is usually appropriate for adults to make significant decisions, such as about what kinds of medical treatment to undergo, for themselves. But sometimes impairments are suffered - either temporary or permanent - which render an individual unable to make such decisions. The Mental Capacity Act 2005 sets out the conditions under which it is appropriate to regard an individual as lacking the capacity to make a particular decision (and when provisions should be made for a decision on their behalf). (...)
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  45. added 2009-05-14
    Iconoclast or Creed? Objectivism, Pragmatism, and the Hierarchy of Evidence.Maya J. Goldenberg - 2009 - Perspectives in Biology and Medicine 52 (2):168-187.
    Because “evidence” is at issue in evidence-based medicine (EBM), the critical responses to the movement have taken up themes from post-positivist philosophy of science to demonstrate the untenability of the objectivist account of evidence. While these post-positivist critiques seem largely correct, I propose that when they focus their analyses on what counts as evidence, the critics miss important and desirable pragmatic features of the evidence-based approach. This article redirects critical attention toward EBM’s rigid hierarchy of evidence as the culprit of (...)
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