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  1. 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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  2. added 2018-12-03
    Justice and Solidarity: Compound, Confound, Confuse.Thomas Nys - 2015 - Diametros 43:72-78.
    In response to Ruud ter Meulen’s contribution, it is argued that, although the relationship between these concepts is both tight and complex, solidarity should be carefully distinguished from justice. Although ter Meulen wants to defend a normative conception of solidarity, the relation to its descriptive component is not always very clear. As a normative concept it should not collapse into that of justice; and as a descriptive notion it is obviously defective. In order to successfully navigate between these unhappy alternatives, (...)
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  3. added 2018-12-03
    Solidarity: Its Levels of Operation, Relationship to Justice, and Social Causes.Wojciech Załuski - 2015 - Diametros 43:96-102.
    The paper provides an analysis of the relationship between the concepts of justice and solidarity. The point of departure of the analysis is Ruud ter Meulen’s claim that these concepts are different but mutually complementary, i.e. are two sides of the same coin. In the paper two alternative accounts of the relationship are proposed. According to the first one, solidarity can be defined in terms of justice, i.e. is a special variety of liberal justice, viz. social liberal justice, which, apart (...)
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  4. added 2017-10-03
    Global Obligations and the Human Right to Health.Bill Wringe - forthcoming - In Tracy Isaacs, Kendy Hess & Violetta Igneski (eds.), Collective Obligation: Ethics, Ontology and Applications.
    In this paper I attempt to show how an appeal to a particular kind of collective obligation - a collective obligation falling on an unstructured collective consisting of the world’s population as a whole – can be used to undermine recently influential objections to the idea that there is a human right to health which have been put forward by Gopal Sreenivasan and Onora O’Neill. -/- I take this result to be significant both for its own sake and because it (...)
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  5. added 2017-10-02
    The Case for Resource Sensitivity: Why It Is Ethical to Provide Cheaper, Less Effective Treatments in Global Health.Govind C. Persad & Ezekiel J. Emanuel - 2017 - Hastings Center Report 47 (5):17-24.
    We consider an ethical dilemma in global health: is it ethically acceptable to provide some patients cheaper treatments that are less effective or more toxic than the treatments other patients receive? We argue that it is ethical to consider local resource constraints when deciding what interventions to provide. The provision of cheaper, less effective health care is frequently the most effective way of promoting health and realizing the ethical values of utility, equality, and priority to the worst off.
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  6. added 2017-03-30
    Communication Behaviors and Patient Autonomy in Hospital Care: A Qualitative Study.Zackary Berger - 2017 - Patient Education and Counseling 2017.
    BACKGROUND: Little is known about how hospitalized patients share decisions with physicians. METHODS: We conducted an observational study of patient-doctor communication on an inpatient medicine service among 18 hospitalized patients and 9 physicians. A research assistant (RA) approached newly hospitalized patients and their physicians before morning rounds and obtained consent. The RA audio recorded morning rounds, and then separately interviewed both patient and physician. Coding was done using integrated analysis. RESULTS: Most patients were white (61%) and half were female. Most (...)
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  7. added 2017-02-21
    Post‐Trial Obligations in the Declaration of Helsinki 2013: Classification, Reconstruction and Interpretation.Ignacio Mastroleo - 2016 - Developing World Bioethics 16 (2):80-90.
    The general aim of this article is to give a critical interpretation of post-trial obligations towards individual research participants in the Declaration of Helsinki 2013. Transitioning research participants to the appropriate health care when a research study ends is a global problem. The publication of a new version of the Declaration of Helsinki is a great opportunity to discuss it. In my view, the Declaration of Helsinki 2013 identifies at least two clearly different types of post-trial obligations, specifically, access to (...)
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  8. added 2016-12-08
    Borrowed Beauty? Understanding Identity in Asian Facial Cosmetic Surgery.Yves Saint James Aquino & Norbert Steinkamp - 2016 - Medicine, Health Care and Philosophy 19 (3):431-441.
    This review aims to identify (1) sources of knowledge and (2) important themes of the ethical debate related to surgical alteration of facial features in East Asians. This article integrates narrative and systematic review methods. In March 2014, we searched databases including PubMed, Philosopher’s Index, Web of Science, Sociological Abstracts, and Communication Abstracts using key terms “cosmetic surgery,” “ethnic*,” “ethics,” “Asia*,” and “Western*.” The study included all types of papers written in English that discuss the debate on rhinoplasty and blepharoplasty (...)
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  9. added 2016-12-08
    The Duty to Take Rescue Precautions.Tina Rulli & David Wendler - 2016 - Journal of Applied Philosophy 33 (3):240-258.
    There is much philosophical literature on the duty to rescue. Individuals who encounter and could save, at relatively little cost to themselves, a person at risk of losing life or limb are morally obligated to do so. Yet little has been said about the other side of the issue. There are cases in which the need for rescue could have been reasonably avoided by the rescuee. We argue for a duty to take rescue precautions, providing an account of the circumstances (...)
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  10. 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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  11. added 2016-06-10
    Three Case Studies in Making Fair Choices on the Path to Universal Health Coverage.Alex Voorhoeve, Tessa Edejer, Kapiriri Lydia, Ole Frithjof Norheim, James Snowden, Olivier Basenya, Dorjsuren Bayarsaikhan, Ikram Chentaf, Nir Eyal, Amanda Folsom, Rozita Halina Tun Hussein, Cristian Morales, Florian Ostmann, Trygve Ottersen, Phusit Prakongsai & Carla Saenz - 2016 - Health and Human Rights 18 (2):11-22.
    The goal of achieving Universal Health Coverage (UHC) can generally be realized only in stages. Moreover, resource, capacity and political constraints mean governments often face difficult trade-offs on the path to UHC. In a 2014 report, Making fair choices on the path to UHC, the WHO Consultative Group on Equity and Universal Health Coverage articulated principles for making such trade-offs in an equitable manner. We present three case studies which illustrate how these principles can guide practical decision-making. These case studies (...)
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  12. added 2016-03-30
    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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  13. added 2015-12-14
    Faire Des Choix Justes Pour Une Couverture Sanitaire Universelle.Ole Frithjof Norheim, Trygve Ottersen, Bona Chitah, Richard Cookson, Norman Daniels, Frehiwot Defaye, Nir Eyal, Walter Flores, Axel Gosseries, Daniel Hausman, Samia Hurst, Lydia Kapiriri, Toby Ord, Shlomi Segall, Gita Sen, Alex Voorhoeve, Daniel Wikler, Alicia Yamin, Tessa T. T. Edejer, Andreas Reis, Ritu Sadana & Carla Saenz - 2015 - World Health Organization.
    This report from the WHO Consultative Group on Equity and Universal Health Coverage offers advice on how to make progress fairly towards universal health coverage.
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  14. added 2015-09-02
    La obligación de continuidad de tratamiento beneficioso hacia los sujetos de investigación.Ignacio Mastroleo - 2012 - Dissertation, Universidad de Buenos Aires
    Todos los días se prueban nuevos psicofármacos, tratamientos para el VIH/SIDA o el cáncer, entre otras enfermedades. Algunos de esos tratamientos son lo suficientemente exitosos como para cronificar enfermedades antes consideradas mortales, como los antirretrovirales para el VIH/SIDA o el imatinib para la leucemia mieloide a principios del 2000. No obstante, antes de que puedan ser comercializados o estar disponibles en los sistemas de salud pública, deben pasar por una serie de rigurosas pruebas de calidad, seguridad y eficacia. Estas pruebas (...)
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  15. added 2015-06-22
    Normative and Non-Normative Concepts: Paternalism and Libertarian Paternalism.Kalle Grill - 2013 - In Daniel Strech, Irene Hirschberg & Georg Marckmann (eds.), Ethics in Public Health and Health Policy. Springer. pp. 27-46.
    This chapter concerns the normativity of the concepts of paternalism and libertarian paternalism. The first concept is central in evaluating public health policy, but its meaning is controversial. The second concept is equally controversial and has received much attention recently. It may or may not shape the future evaluation of public health policy. In order to facilitate honest and fruitful debate, I consider three approaches to these concepts, in terms of their normativity. Concepts, I claim, may be considered nonnormative, normatively (...)
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  16. added 2014-11-19
    Limiting and Facilitating Access to Innovations in Medicine and Agriculture: A Brief Exposition of the Ethical Arguments.Cristian Timmermann - 2014 - Life Sciences, Society and Policy 10 (1):1-20.
    Taking people’s longevity as a measure of good life, humankind can proudly say that the average person is living a much longer life than ever before. The AIDS epidemic has however for the first time in decades stalled and in some cases even reverted this trend in a number of countries. Climate change is increasingly becoming a major challenge for food security and we can anticipate that hunger caused by crop damages will become much more common. -/- Since many of (...)
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  17. added 2014-07-23
    Introduction: Pourquoi l’éthique de la santé publique devrait-elle s’intéresser à l’impact des politiques publiques sur la santé?Michel Désy - 2010 - Les ateliers de l'éthique/The Ethics Forum 5 (1):101-104.
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  18. added 2014-07-12
    Ethical Considerations of Medical Cannabis Prescription.Cole Zachary - manuscript
    Despite analgesic and emetogenic benefits, cannabis has been banned from prescription in a number of western countries. Although some benefits are shared by drugs already available, the options of prescription are limited to the physician. The negative side-effects of cannabis do not justify this limitation on freedom and autonomy. Recreational use warrants limitations, as the search for euphoria is regularly believed to be a non-autonomous behavior. Medical prescriptions serve an analgesic and emetogenic purpose comparable to other prescribed drugs. This vindicates (...)
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  19. added 2014-07-02
    Le comité d'éthique, la vie privée et l'intimité. Interpréter les droits des usagers.Michèle Clément & Éric Gagnon - 2013 - Les ateliers de l'éthique/The Ethics Forum 8 (1):70-90.
    Le respect de la vie privée et de l’intimité est un droit reconnu aux usagers des services de santé et des services sociaux par différents codes d’éthique, par la Charte des droits et libertés de la personne du Québec et par la Loi sur les services de santé et les services sociaux. Pour autant, la signification que prend ce droit demeure incertaine. Il n’y a pas une signification, mais bien des significations. S’appuyant sur un important travail d’observation dans deux comités (...)
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  20. added 2013-12-05
    Consideraciones sobre las obligaciones posinvestigación en la Declaración de Helsinki 2013.Ignacio Mastroleo - 2014 - Revista de Bioética y Derecho 31:51-65.
    El problema de la transición de los participantes desde una investigación hacia la atención de la salud apropiada es un problema global. La publicación de una nueva versión de la Declaración de Helsinki es una excelente oportunidad para repensar este problema. Según mi interpretación, la Declaración de Helsinki 2013 introduce dos tipos diferentes de obligaciones posinvestigación, a saber, (1) obligaciones de acceso a atención de la salud y (2) obligaciones de acceso a información. Los beneficiarios pretendidos de estas obligaciones son (...)
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  21. 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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  22. added 2013-10-03
    Guías para los comités de ética de investigación del Reino Unido sobre atención de la salud después de la investigación: un comentario crítico sobre la traducción al español del borrador versión 8.0.Ignacio Mastroleo - 2012 - Perspectivas Bioéticas 17 (33):71-81.
    Este trabajo es un comentario sobre la primera traducción al español de las guías del Reino Unido “Atención después de la investigación: un marco para los comités de ética de investigación del NHS (borrador versión 8.0)”. El comentario se divide en tres partes. En la primera parte, se busca resumir la información básica necesaria para mejorar la lectura comprensiva de la traducción de las guías. En la segunda parte, se analiza una selección de la normativa argentina que trata sobre atención (...)
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  23. added 2013-06-07
    Gesundheit – hohes oder höchstes Gut? Über den Wert und Stellenwert der Gesundheit.Ulrich Diehl - 2005 - In Hermes Andreas Kick (ed.), Gesundheitswesen zwischen Wirtschaftlichkeit und Menschlichkeit. LIST. pp. 10--113.
    Was kann ein Philosoph dazu beitragen, dass wir uns nicht nur ein adäquates Bild vom tatsächlichen Gesundheitswesen machen, sondern auch verstehen, wie in der Gesundheitspolitik ökonomische Rationalität dem übergeordneten Ziel der Realisierung humaner Verhältnisse dienen könnte? Wenn er kein weltfremder Utopist ist, dann wird er zunächst einmal anerkennen, dass die ökonomische Rationalität und die rechtsstaatliche Regulierung des Gesundheitswesens selbst schon notwendige Bedingungen für die Realisierung von Humanität sind. Denn humane Verhältnisse im Gesundheitswesen sind unter den Realbedingungen von mehr oder weniger (...)
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  24. added 2013-01-13
    Adult Children and Eldercare: The Moral Considerations of Filial Obligations.H. Theixos - 2013 - Michigan Family Review 17 (1).
    This essay investigates the demands on adult children to provide care for their elderly/ill parents from a socio-moral perspective. In order to narrow the examination, the question pursued here is agent-relative: What social and moral complexities are involved for the adult child when her parent(s) need care? First, this article examines our society’s expectation that adult children are morally obligated to provide care for their parents. Second, the essay articulates how transgressing against this normative expectation can inure significant moral criticism. (...)
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  25. 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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