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  1. Ethics as Usual? Unilateral Withdrawal of Treatment in a State of Exception.Jason T. Eberl - 2020 - American Journal of Bioethics 20 (7):210-211.
    Do extraordinary crisis situations requiring life-and-death decisions create a “state of exception” in which ordinary social, political, and ethical norms must be altered or suspended altogether? Daniel Sulmasy contends that the extraordinary circumstances of a pandemic do not require abandoning or altering ethical values and principles. Rather, “ethics as usual” ought to guide policy formation and clinical decision-making. One critical question raised by the current pandemic, and which stresses ordinary ethical standards, is whether ventilators or other scarce life-sustaining resources may (...)
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  • Withdrawal Aversion and the Equivalence Test.Julian Savulescu, Ella Butcherine & Dominic Wilkinson - 2019 - American Journal of Bioethics 19 (3):21-28.
    If a doctor is trying to decide whether or not to provide a medical treatment, does it matter ethically whether that treatment has already been started? Health professionals sometimes find it harder to stop a treatment (withdraw) than to refrain from starting the treatment (withhold). But does that feeling correspond to an ethical difference? In this article, we defend equivalence—the view that withholding and withdrawal of treatment are ethically equivalent when all other factors are equal. We argue that preference for (...)
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  • Withholding and Withdrawing Life-Sustaining Treatment: Ethically Equivalent?Lars Øystein Ursin - 2019 - American Journal of Bioethics 19 (3):10-20.
    Withholding and withdrawing treatment are widely regarded as ethically equivalent in medical guidelines and ethics literature. Health care personnel, however, widely perceive moral differences between withholding and withdrawing. The proponents of equivalence argue that any perceived difference can be explained in terms of cognitive biases and flawed reasoning. Thus, policymakers should clear away any resistance to accept the equivalence stance by moral education. To embark on such a campaign of changing attitudes, we need to be convinced that the ethical analysis (...)
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  • A Morally Permissible Moral Mistake? Reinterpreting a Thought Experiment as Proof of Concept.Nathan Emmerich & Bert Gordjin - 2018 - Journal of Bioethical Inquiry 15 (2):269-278.
    This paper takes the philosophical notion of suberogatory acts or morally permissible moral mistakes and, via a reinterpretation of a thought experiment from the medical ethics literature, offers an initial demonstration of their relevance to the field of medical ethics. That is, at least in regards to this case, we demonstrate that the concept of morally permissible moral mistakes has a bearing on medical decision-making. We therefore suggest that these concepts may have broader importance for the discourse on medical ethics (...)
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  • Withholding and withdrawing life-prolonging treatment--moral implications of a thought experiment.R. Gillon - 1994 - Journal of Medical Ethics 20 (4):203-222.
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  • Children's informed consent to treatment: is the law an ass?D. Dickenson - 1994 - Journal of Medical Ethics 20 (4):205-222.
    Anomaly in English law between age of children's permitted consent to treatment and much lower age of criminal responsibility.
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  • A Costly Separation Between Withdrawing and Withholding Treatment in Intensive Care.Dominic Wilkinson & Julian Savulescu - 2012 - Bioethics 28 (3):127-137.
    Ethical analyses, professional guidelines and legal decisions support the equivalence thesis for life-sustaining treatment: if it is ethical to withhold treatment, it would be ethical to withdraw the same treatment. In this paper we explore reasons why the majority of medical professionals disagree with the conclusions of ethical analysis. Resource allocation is considered by clinicians to be a legitimate reason to withhold but not to withdraw intensive care treatment. We analyse five arguments in favour of non-equivalence, and find only relatively (...)
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  • Is withdrawing treatment really more problematic than withholding treatment?James Cameron, Julian Savulescu & Dominic Wilkinson - 2021 - Journal of Medical Ethics 47 (11):722-726.
    There is a concern that as a result of COVID-19 there will be a shortage of ventilators for patients requiring respiratory support. This concern has resulted in significant debate about whether it is appropriate to withdraw ventilation from one patient in order to provide it to another patient who may benefit more. The current advice available to doctors appears to be inconsistent, with some suggesting withdrawal of treatment is more serious than withholding, while others suggest that this distinction should not (...)
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