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  1. Epistemic Solidarity in Medicine and Healthcare.Mirjam Pot - 2022 - Medicine, Health Care and Philosophy 25 (4):681-692.
    In this article, I apply the concept of solidarity to collective knowledge practices in healthcare. Generally, solidarity acknowledges that people are dependent on each other in many respects, and it captures those support practices that people engage in out of concern for others in whom they recognise a relevant similarity. Drawing on the rich literature on solidarity in bioethics and beyond, this article specifically discusses the role that epistemic solidarity can play in healthcare. It thus focuses, in particular, on solidarity’s (...)
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  • The Strange Case of Mr. H. Starting Dialysis at 90 Years of Age: Clinical Choices Impact on Ethical Decisions.Giorgina Barbara Piccoli, Andreea Corina Sofronie & Jean-Philippe Coindre - 2017 - BMC Medical Ethics 18 (1):61.
    Starting dialysis at an advanced age is a clinical challenge and an ethical dilemma. The advantages of starting dialysis at “extreme” ages are questionable as high dialysis-related morbidity induces a reflection on the cost- benefit ratio of this demanding and expensive treatment in a person that has a short life expectancy. Where clinical advantages are doubtful, ethical analysis can help us reach decisions and find adapted solutions. Mr. H is a ninety-year-old patient with end-stage kidney disease that is no longer (...)
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  • Precision Medicine and the Fragmentation of Solidarity.Leonard M. Fleck - 2022 - Medicine, Health Care and Philosophy 25 (2):191-206.
    Solidarity is a fundamental social value in many European countries, though its precise practical and theoretical meaning is disputed. In a health care context, I agree with European writers who take solidarity normatively to mean roughly equal access to effective health care for all. That is, solidarity includes a sense of justice. Given that, I will argue that precision medicine represents a potential weakening of solidarity, albeit not a unique weakening. Precision medicine includes 150 targeted cancer therapies, all of which (...)
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