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  1. added 2018-12-12
    The Conditions For Ethical Application of Restraints.Parker Crutchfield, Tyler Gibb, Michael Redinger, Dan Ferman & John Livingstone - forthcoming - Chest.
    Despite the lack of evidence for their effectiveness, the use of physical restraints for patients is widespread. The best ethical justification for restraining patients is that it prevents them from harming themselves. We argue that even if the empirical evidence supported their effectiveness in achieving this aim, their use would nevertheless be unethical, so long as well known exceptions to informed consent fail to apply. Specifically, we argue that ethically justifiable restraint use demands certain necessary and sufficient conditions. These conditions (...)
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  2. added 2018-10-02
    Deep Brain Stimulation and Revising the Mental Health Act: The Case for Intervention-Specific Safeguards.Jonathan Pugh, Tipu Aziz, Jonathan Herring & Julian Savulescu - forthcoming - British Journal of Psychiatry.
    Under the current Mental Health Act of England and Wales, it is lawful to perform deep brain stimulation in the absence of consent and independent approval. We argue against the Care Quality Commission's preferred strategy of addressing this problematic issue, and offer recommendations for deep brain stimulation-specific provisions in a revised Mental Health Act.
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  3. added 2018-09-17
    ‘Drugs That Make You Feel Bad’? Remorse-Based Mitigation and Neurointerventions.Jonathan Pugh & Hannah Maslen - 2017 - Criminal Law and Philosophy 11 (3):499-522.
    In many jurisdictions, an offender’s remorse is considered to be a relevant factor to take into account in mitigation at sentencing. The growing philosophical interest in the use of neurointerventions in criminal justice raises an important question about such remorse-based mitigation: to what extent should technologically facilitated remorse be honoured such that it is permitted the same penal significance as standard instances of remorse? To motivate this question, we begin by sketching a tripartite account of remorse that distinguishes cognitive, affective (...)
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  4. added 2018-07-03
    A Civic Republican Analysis of Mental Capacity Law.Tom O'Shea - 2018 - Legal Studies 1 (38):147-163.
    This article draws upon the civic republican tradition to offer new conceptual resources for the normative assessment of mental capacity law. The republican conception of liberty as non-domination is used to identify ways in which such laws generate arbitrary power that can underpin relationships of servility and insecurity. It also shows how non-domination provides a basis for critiquing legal tests of decision-making that rely upon ‘diagnostic’ rather than ‘functional’ criteria. In response, two main civic republican strategies are recommended for securing (...)
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  5. added 2018-04-17
    Compensation for Cures: Why We Should Pay a Premium for Participation in ‘Challenge Studies’.Jonathan Anomaly & Julian Savulescu - forthcoming - Bioethics.
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  6. added 2018-02-16
    Conflicts Among Multinational Ethical and Scientific Standards for Clinical Trials of Therapeutic Interventions.Jacob M. Kolman, Nelda P. Wray, Carol M. Ashton, Danielle M. Wenner, Anna F. Jarman & Baruch A. Brody - 2012 - Journal of Law, Medicine and Ethics 40 (1):99-121.
    Utilizing a sorted compendium of international clinical trial standards, investigators identified 15 conflicts among ethical and methodological guidance. Analysis distinguishes interpretational issues, lack of clarity, and contradiction as factors to be addressed if international trial guidance is to be improved.
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  7. added 2018-01-11
    Exercise Prescription and The Doctor's Duty of Non-Maleficence.Jonathan Pugh, Christopher Pugh & Julian Savulesu - 2017 - British Journal of Sports Medicine 51 (21):1555-1556.
    An abundance of data unequivocally shows that exercise can be an effective tool in the fight against obesity and its associated co-morbidities. Indeed, physical activity can be more effective than widely-used pharmaceutical interventions. Whilst metformin reduces the incidence of diabetes by 31% (as compared with a placebo) in both men and women across different racial and ethnic groups, lifestyle intervention (including exercise) reduces the incidence by 58%. In this context, it is notable that a group of prominent medics and exercise (...)
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  8. added 2017-10-30
    Adverse Consequences of Article 12 of the UN Convention on the Rights of Persons with Disabilities for Persons with Mental Disabilities and an Alternative Way Forward.Matthé Scholten & Jakov Gather - forthcoming - Journal of Medical Ethics.
    It is widely accepted among medical ethicists that competence is a necessary condition for informed consent. In this view, if a patient is incompetent to make a particular treatment decision, the decision must be based on an advance directive or made by a substitute decision-maker on behalf of the patient. We call this the competence model. According to a recent report of the United Nations (UN) High Commissioner for Human Rights, article 12 of the UN Convention on the Rights of (...)
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  9. added 2016-06-15
    Ethics, Antibiotics, and Public Policy.Jonny Anomaly - 2017 - Georgetown Journal of Law and Public Policy 15 (2).
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  10. added 2016-05-28
    Lekarskie prawo do sprzeciwu sumienia a odpowiedzialność prawna.Małgorzata Chudzińska, Anna Grzanka-Tykwińska & Bogusław Sygit - 2014 - Studia Prawnicze KUL 4 (60):21-41.
    Lekarski obowiązek niesienia pomocy pacjentom wynika nie tylko z zapisów Kodeksu Etyki Lekarskiej, lecz przede wszystkim z przepisu art. 30 ustawy o zawodach lekarza i lekarza dentysty (u.z.l.), nakazującego lekarzowi udzielenie pomocy „w każdym przypadku, gdy zwłoka w jej udzieleniu mogłaby spowodować niebezpieczeństwo utraty życia, ciężkiego uszkodzenia ciała lub ciężkiego rozstroju zdrowia, oraz w innych przypadkach niecierpiących zwłoki”. Zastosowania przepisu art. 30 u.z.l. nie wyłącza również klauzula sumienia, zawarta w przepisie art. 39 u.z.l. stanowiącym, iż lekarz może co prawda odmówić (...)
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  11. added 2016-05-27
    Klauzula sumienia: lekarze jak poborowi.Tomasz Żuradzki - 2015 - Filozofia W Praktyce 1 (1).
    „Skoro powszechnie przyjmuje się, że sumienie jest suwerenne, to nie wiadomo, po co lekarz miałby uzasadniać pisemnie swój światopogląd” – napisała Naczelna Izba Lekarska w skardze do Trybunału Konstytucyjnego. Trybunał tę część skargi oddalił w wyroku z 7 października 2015 r., ale stwierdził, że „Celem prowadzenia dokumentacji medycznej nie jest (…) utrwalanie na piśmie poglądów filozoficzno-prawnych lekarza”. Uznał też, że uzasadnienie „powinno mieć charakter medyczny, a nie służyć wyjaśnieniu światopoglądu lekarza, czy też wskazaniu zasady moralnej leżącej u podstaw jego zachowania”. (...)
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  12. added 2016-04-10
    Die Freiheit Zum Tode: Ein Plädoyer Für den Ärztlich-Assistierten Suizid.Edgar Dahl - 2015 - Aufklärung Und Kritik 2:130-135.
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  13. added 2016-04-10
    Ethical Arguments For and Against Sperm Sorting for Non-Medical Sex Selection.Edgar Dahl - 2013 - Reproductive Biomedicine Online 26:231-239.
    Much has been written about the ethics of sex selection. This article thoroughly explores the ethical arguments put forth in the literature both for and against non-medical sex selection using sperm sorting. While most of these arguments come from philosophers, feminist scholars, social scientists and members of the healthcare community, they are often echoed in empirical studies that have explored community values. This review is timely because the first efficacious method for sex selection via sperm sorting, MicroSort, is currently in (...)
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  14. added 2016-04-10
    Religion, Reproduction and Public Policy.Edgar Dahl - 2010 - Reproductive Biomedicine Online 21:834-837.
    Many people look to religion to help resolve the serious moral and legal issues associated with assisted reproductive technologies. Doing so presupposes that religion is the cornerstone of ethics, but this assumption is not well founded. While various faiths are entitled to articulate their views on matters of human reproduction, the contradictions involved in doing so make it unwise to rely on religion in the formulation of law and policy. These contradictions – such as the indeterminacy about what revealed truths (...)
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  15. added 2016-04-10
    Auf Leben Und Tod.Edgar Dahl - 2010 - Gehirn and Geist 7:64.
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  16. added 2016-04-10
    Die Würde des Menschen ist antastbar.Edgar Dahl - 2010 - Spektrum der Wissenschaft 3:70-73.
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  17. added 2016-04-10
    Sex Preference and Interest in Preconception Sex Selection: A Survey Among Pregnant Women in the North of Jordan.Edgar Dahl - 2009 - Human Reproduction and Genetic Ethics 24 (7):1665-1669.
    BACKGROUND Preconception sex selection for non-medical reasons is a controversial issue in bioethics. Little research has described preferences for preconception sex selection among Arab populations. This study describes the sex preference and interest in employing sex selection techniques among pregnant women in northern Jordan. -/- METHODS A self-reported questionnaire was administered to 600 pregnant women in Irbid, Jordan. χ2 test and binary logistic regression were used to examine the factors associated with interest in preconception sex selection. -/- RESULTS In general, (...)
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  18. added 2016-04-10
    Sex Selection: Sorting Sperm As a Gateway to the Sorting Society?Edgar Dahl - 2008 - In Janna Thompson (ed.), The Sorting Society: The Ethics of Genetic Screening and Therapy. Cambridge University Press. pp. 21-35.
    The Sorting Society: The Ethics of Genetic Screening and Therapy. Edited by Loane Skene & Janna Thompson, Cambridge University Press, Cambridge 2008.
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  19. added 2016-04-10
    Preconception Sex Selection: A Survey of Visitors to an Internet-Based Health Forum.Edgar Dahl - 2008 - Reproductive Biomedicine Online 16 (1):18-26.
    The aim of this survey was to explore the attitudes towards gender selection, focusing on people who were affected by infertility and also familiar with advanced technologies such as the internet. Although this survey is based almost exclusively on answers from women, it seems reasonable to conclude that a widely available service for preconception sex selection for non-medical reasons would not cause a severe gender imbalance in Germany.
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  20. added 2016-04-10
    The Original Sexist Sin.Edgar Dahl - 2007 - Journal of the Southern Medical Association 100 (1):110-111.
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  21. added 2016-04-10
    Babys Nach Maß?Edgar Dahl - 2007 - Novo 89:37.
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  22. added 2016-04-10
    Sex Selection: Morality, Harm, and the Law.Edgar Dahl - 2007 - Southern Medical Journal 100 (1):105-106.
    Given that sex selection does not harm anyone, there is no moral justification for a legal ban.
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  23. added 2016-04-10
    Gender Preferences and Demand for Preconception Sex Selection: A Survey Among Pregnant Women in Pakistan.Edgar Dahl - 2007 - Human Reproduction 22 (2):605-609.
    BACKGROUND: -/- In its recent report 'Human Reproductive Technologies and the Law', the House of Commons' Select Committee on Science and Technology called for greater efforts to establish the potential demographic impact of sex selection across all sectors of UK society. Given the well-known preference for boys over girls among some communities, there is concern that a readily available service for social sex selection may upset the balance of the sexes. Of particular interest are the gender preferences and the demand (...)
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  24. added 2016-04-10
    Dem Tod zur Hand gehen.Edgar Dahl - 2006 - Spektrum der Wissenschaft 2006 (7):116-120.
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  25. added 2016-04-10
    Evolution, Morality and the Law: On Valerie J. Grant’s Case Against Sex Selection.Edgar Dahl - 2006 - Proceedings of the First International Conference on Bioethics in Human Reproduction Research in the Muslim World 21 (12):3303-3304.
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  26. added 2016-04-10
    Preconception Sex Selection: Demand and Preferences in the United States.Edgar Dahl - 2006 - Fertility and Sterility 85 (2):468-473.
    Preconception sex selection for nonmedical reasons raises important moral, legal, and social issues. The main concern is based upon the assumption that a widely available service for sex selection will lead to a socially disruptive imbalance of the sexes. For a severe sex ratio distortion to occur, however, at least two conditions have to be met. First, there must be a significant preference for children of a particular sex, and second, there must be a considerable interest in employing sex selection (...)
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  27. added 2016-04-10
    Preconception Gender Selection: A Threat to the Natural Sex Ratio?Edgar Dahl - 2005 - Reproductive Biomedicine Online 10 (1):116-118.
    This brief paper summarizes a series of postal investigations on the acceptance of selection for X or Y spermatozoa. These were conducted mainly in Germany but also in the UK, the Netherlands and the US. Selected families were approached with a series of questions about their wish to use sperm selection, and their choice of boys or girls. In general, large majorities opposed this approach for family balancing or sex selection on the basis of cost and inconvenience of the treatment. (...)
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  28. added 2016-04-10
    The Presumption in Favour of Liberty.Edgar Dahl - 2004 - Reproductive Biomedicine Online 8 (3):266-267.
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  29. added 2016-04-10
    Attitudes Towards Preconception Sex Selection: A Representative Survey From Germany.Edgar Dahl - 2004 - Reproductive Biomedicine Online 9 (6):600-603.
    Within the next parliamentary term, the German government is expected to replace the current Embryo Protection Act with a new Human Reproductive Technology Act. Before introducing new legislation, policy makers may want to survey public attitudes towards novel applications of reproductive technology. In order to assess opinions and concerns about preconception sex selection for non-medical reasons, a social survey has been conducted in Germany. As a representative sample of the German population, 1005 men and women 18 years and older were (...)
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  30. added 2016-04-10
    Procreative Liberty: The Case for Preconception Sex Selection.Edgar Dahl - 2003 - Reproductive Biomedicine Online 7 (4):380-384.
    Preconception sex selection for non-medical reasons raises serious moral, legal and social issues. The main concerns include the threat of a sex ratio distortion due to a common preference for boys over girls, the charge of sexism, the danger of reinforcing gender stereotypical behaviour in sex selected children, and the fear of a slippery slope towards creating designer babies. This paper endeavours to show that none of the objections to preconception sex selection is conclusive and that there is no justification (...)
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  31. added 2016-04-10
    Preconception Sex Selection for Non‐Medical Reasons: A Representative Survey From the UK.Edgar Dahl - 2003 - Human Reproduction 18 (10):2231-2234.
    BACKGROUND: -/- Preconception sex selection for non-medical reasons raises serious moral, legal and social issues. The main concern is based on the assumption that a freely available service for sex selection will distort the natural sex ratio and lead to a severe gender imbalance. However, for a severe gender imbalance to happen, at least two conditions have to be met. First, there must be a significant preference for children of a particular sex, and second, there must be a considerable demand (...)
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  32. added 2016-04-10
    Sex Selection and Preimplantation Genetic Diagnosis: A Response to the Ethics Committee of the American Society for Reproductive Medicine.Edgar Dahl & Julian Savulescu - 2000 - Human Reproduction 15 (9):1879-1880.
    In its recent statement 'Sex Selection and Preimplantation Genetic Diagnosis', the Ethics Committee of the American Society of Reproductive Medicine concluded that preimplantation genetic diagnosis for sex selection for non-medical reasons should be discouraged because it poses a risk of unwarranted gender bias, social harm, and results in the diversion of medical resources from genuine medical need. We critically examine the arguments presented against sex selection using preimplantation genetic diagnosis. We argue that sex selection should be available, at least within (...)
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  33. 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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  34. added 2016-01-25
    The Double Nature of DNA: Reevaluating the Common Heritage Idea.Matthieu Queloz - 2016 - Journal of Political Philosophy 24 (1):47-66.
    DNA possesses a double nature: it is both an analog chemical compound and a digital carrier of information. By distinguishing these two aspects, this paper aims to reevaluate the legally and politically influential idea that the human genome forms part of the common heritage of mankind, an idea which is thought to conflict with the practice of patenting DNA. The paper explores the lines of reasoning that lead to the common heritage idea, articulates and motivates what emerges as the most (...)
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  35. added 2015-12-30
    Estándares múltiples de prueba en medicina y derecho.Andrés Páez - 2015 - In Hechos, evidencia y estándares de prueba. Ensayos de epistemolgía jurídica. Ediciones Uniandes. pp. 123-152.
    Varios teóricos del derecho han propuesto el uso de umbrales o estándares de prueba más flexibles y más finamente discriminados. En la medicina es común utilizar estándares que poseen estas características en los procedimientos diagnósticos y en los exámenes médicos. Esta ponencia ofrece un marco probabilístico para establecer estándares de prueba múltiples en cualquier disciplina. La tesis principal es que la evidencia es un concepto umbral con respecto a la probabilidad. Múltiples umbrales pueden ser establecidos en un marco de intervalos (...)
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  36. added 2015-10-16
    Diversion Effects, Incentive Effects, and the Goals of Research Ethics Promulgations.Danielle M. Wenner - 2015 - Journal of Law and the Biosciences.
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  37. added 2015-10-05
    Offensive Defensive Medicine: The Ethics of Digoxin Injections in Response to the Partial Birth Abortion Ban.Colleen Denny, Govind Persad & Elena Gates - 2014 - Contraception 90 (3):304.
    Since the Supreme Court upheld the partial birth abortion ban in 2007, more U.S. abortion providers have begun performing intraamniotic digoxin injections prior to uterine dilation and evacuations. These injections can cause medical harm to abortion patients. Our objective is to perform an in-depth bioethical analysis of this procedure, which is performed mainly for the provider’s legal benefit despite potential medical consequences for the patient.
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  38. added 2015-10-05
    The Tarasoff Rule: The Implications of Interstate Variation and Gaps in Professional Training.Rebecca Johnson, Govind Persad & Dominic Sisti - 2014 - Journal of the American Academy of Psychiatry and the Law Online 42 (4):469-477.
    Recent events have revived questions about the circumstances that ought to trigger therapists' duty to warn or protect. There is extensive interstate variation in duty to warn or protect statutes enacted and rulings made in the wake of the California Tarasoff ruling. These duties may be codified in legislative statutes, established in common law through court rulings, or remain unspecified. Furthermore, the duty to warn or protect is not only variable between states but also has been dynamic across time. In (...)
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  39. added 2015-03-31
    Ein bisschen Embryo? Begriffliche, ontologische und normative Überlegungen zur totipotenzbasierten Legaldefinition von 'Embryo'.Geert Keil - 2014 - In Thomas Heinemann Hans-Georg Dederer & Tobias Cantz (eds.), Entwicklungsbiologische Totipotenz in Ethik und Recht. Zur normativen Bewertung von totipotenten menschlichen Zellen. pp. 251-287.
    Im deutschen Embryonenschutz- und im Stammzellgesetz sind zwei Rechtsbegriffe von 'Embryo' definiert worden, die sich auf die Zelleigenschaft der Totipotenz stützen und dieser damit eine ontologische und normative Bedeutung beimessen, die angesichts der vielfältigen divergierenden Intuitionen und Argumente zur sogenannten Statusfrage nicht leicht zu rechtfertigen ist. Der vorliegende Beitrag diskutiert die Schwierigkeiten, den ontologischen, moralischen und rechtlichen Status totipotenter Humanzellen plausibel zu begründen, und argumentiert insbesondere, dass zwischen Grundannahmen der Substanzontologie und naturphilosophischen Kontinuitätsüberlegungen unaufhebbare Spannungen bestehen, die der Gesetzgeber durch (...)
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  40. added 2014-10-29
    A Situation of Ethical Limbo and Preimplantation Genetic Diagnosis.Tomasz Zuradzki - 2014 - Journal of Medical Ethics 40 (11):780-781.
    In my previous paper I argued that if in vitro fertilization (IVF) is legal and practiced there is no moral ground to object to legalization of preimplantation genetic diagnosis (PGD). My opponent raises an objection that my paper “fails to address the ethical argumentation of one key opponent of IVF – the Catholic Church”. In this reply I show that her/his thesis that embryos created during IVF are in ‘ethical limbo’ and “fall outside the moral universe of Christian ethics” does (...)
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  41. added 2014-09-26
    Picturing Mind Machines, An Adaptation by Janneke van Leeuwen.Simon van Rysewyk & Janneke van Leeuwen - 2014 - In Simon Peter van Rysewyk & Matthijs Pontier (eds.), Machine Medical Ethics. Springer.
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  42. added 2014-09-18
    Moral Uncertainty in Bioethical Argumentation: A New Understanding of the Pro-Life View on Early Human Embryos.Tomasz Żuradzki - 2014 - Theoretical Medicine and Bioethics 35 (6):441-457.
    In this article, I present a new interpretation of the pro-life view on the status of early human embryos. In my understanding, this position is based not on presumptions about the ontological status of embryos and their developmental capabilities but on the specific criteria of rational decisions under uncertainty and on a cautious response to the ambiguous status of embryos. This view, which uses the decision theory model of moral reasoning, promises to reconcile the uncertainty about the ontological status of (...)
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  43. added 2014-05-24
    Moving Forward with a Clear Conscience: A Model Conscientious Objection Policy for Canadian Colleges of Physicians and Surgeons.Jocelyn Downie, Carolyn McLeod & Jacquelyn Shaw - 2013 - Health Law Review 21 (3):28-32.
    A model policy for conscientious objection in medicine.
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  44. added 2014-05-21
    Machine Medical Ethics.Simon Peter van Rysewyk & Matthijs Pontier (eds.) - 2014 - Springer.
    In medical settings, machines are in close proximity with human beings: with patients who are in vulnerable states of health, who have disabilities of various kinds, with the very young or very old, and with medical professionals. Machines in these contexts are undertaking important medical tasks that require emotional sensitivity, knowledge of medical codes, human dignity, and privacy. -/- As machine technology advances, ethical concerns become more urgent: should medical machines be programmed to follow a code of medical ethics? What (...)
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  45. added 2014-03-07
    On the Relevance of Neuroscience to Criminal Responsibility.Nicole A. Vincent - 2010 - Criminal Law and Philosophy 4 (1):77-98.
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  46. added 2014-01-18
    Criticising Religious Practices.Brian D. Earp - 2013 - The Philosophers' Magazine 63:15-17.
    In 2012, a German court ruled that religious circumcision of male minors constitutes criminal bodily assault. Muslim and Jewish groups responded with outrage, with some commentators pegging the ruling to Islamophobic and anti-Semitic motivations. In doing so, these commentators failed to engage with any of the legal and ethical arguments actually given by the court in its landmark decision. In this brief commentary, I argue that a firm distinction must be drawn between criticisms of religious practices that stem from irrational (...)
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  47. added 2013-09-05
    Respecting Diversity, Respecting Complexity.Judith Andre - 2002 - Law Review of Michigan State University-Detroit College of Law 2002 (4):911-916.
    A discussion of the ethics of stem cell research, and attempts to regulate it.
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  48. added 2013-05-03
    The Health Impact Fund and the Right to Participate in the Advancement of Science.Cristian Timmermann - 2012 - European Journal of Applied Ethics 1 (1).
    Taking into consideration the extremely harsh public health conditions faced by the majority of the world population, the Health Impact Fund (HIF) proposal seeks to make the intellectual property regimes more in line with human rights obligations. While prioritizing access to medicines and research on neglected diseases, the HIF makes many compromises in order to be conceived as politically feasible and to retain a compensation character that makes its implementation justified solely on basis of negative duties. Despite that current global (...)
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  49. added 2013-02-21
    Collective Action and Individual Choice.Jonny Anomaly - 2013 - Journal of Medical Ethics 39 (4):752-756.
    Governments across the globe have squandered treasure and imprisoned millions of their own citizens by criminalising the use and sale of recreational drugs. But use of these drugs has remained relatively constant, and the primary victims are the users themselves. Meanwhile, antimicrobial drugs that once had the power to cure infections are losing their ability to do so, compromising the health of people around the world. The thesis of this essay is that policymakers should stop wasting resources trying to fight (...)
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  50. added 2012-09-19
    The Consumer Protection Model of Decisional Capacity Evaluation.Daniel D. Moseley & Gary J. Gala - 2013 - Southwest Philosophy Review 29 (1):241-248.
    Decisional capacity evaluations (DCEs) occur in clinical settings where it is unclear whether a consumer of medical services has the capacity to make an informed decision about the relevant medical options. DCEs are localized interventions, not the global loss of competence, that assign a surrogate decision maker to make the decision on behalf of the medical consumer. We maintain that one important necessary condition for a DCE to be morally justified, in cases of medical necessity, is that the health care (...)
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