Shared Decision-Making is a widely accepted model of the physician–patient relationship providing an ethical environment in which physician beneficence and patient autonomy are respected. It acknowledges the moral responsibility of physician and patient by promoting a deliberative collaboration in which their individual expertise—complementary in nature, equal in importance—is emphasized, and personal values and preferences respected. Its goal coincides with Pellegrino and Thomasma’s proximate end of medicine, that is, a technically correct and morally good healing decision for and with a particular (...) patient. We argue that by perfecting the intellectual ability to apprehend the complexity of clinical situations, and through a perfection of the application of the first principles of practical reason, prudence is able to point toward the right and good shared medical decision. A prudent shared medical decision is therefore always in keeping with the kind of person the physician and the patient have chosen to be. (shrink)

This article conducts a normative evaluation of Operation Iraqi Freedom undertaken in 2003 by employing principles of prudence to enquire whether the use of force could be described as an action by a responsible great power. Along with relating the principles of prudence to the concept of great power responsibility, it highlights two pillars of prudent decision-making: circumspection and awareness of one's limits. This normative framework is then utilised to evaluate the invasion of Iraq from the perspective of these specific (...) aspects of prudence. The conclusion shows that on the basis of this normative yardstick, it is not possible to classify Operation Iraqi Freedom as a prudent action by a responsible great power. (shrink)

Many experts have emphasised that chatbots are not sufficiently mature to be able to technically diagnose patient conditions or replace the judgements of health professionals. The COVID-19 pandemic, however, has significantly increased the utilisation of health-oriented chatbots, for instance, as a conversational interface to answer questions, recommend care options, check symptoms and complete tasks such as booking appointments. In this paper, we take a proactive approach and consider how the emergence of task-oriented chatbots as partially automated consulting systems can influence (...) clinical practices and expert–client relationships. We suggest the need for new approaches in professional ethics as the large-scale deployment of artificial intelligence may revolutionise professional decision-making and client–expert interaction in healthcare organisations. We argue that the implementation of chatbots amplifies the project of rationality and automation in clinical practice and alters traditional decision-making practices based on epistemic probability and prudence. This article contributes to the discussion on the ethical challenges posed by chatbots from the perspective of healthcare professional ethics. (shrink)

Good (ethical and effective) global public leadership—by national politicians, intergovernmental and nongovernmental international organizational leaders, multinational corporate leaders, and technoscientists—will make a significant positive difference in our global system’s capacity to solve contemporary and futuristic global problems. High levels of social, economic, political, and ethical vision; expert communication; strategic thinking; and contextual and emotional intelligence by leaders and followers will be needed to interpret global problematic situations and contexts, determine the probable causal mechanisms at work in bringing about global problems, (...) and arrive at global, national, and local solutions. We live in dangerous times. For our globalizing—disseminating and converging—technologies present problems and system-destroying possibilities that challenge the common goods of all humanity, other species, and the biosphere. In these uncertain and complex times, the need for effective and ethical democratic leaders, advised by ethical and creative technoscientific leaders, is greater than ever. The contextual intelligence and other excellent (virtuous) qualities of these leaders, and the lack of bad leadership, will help our globalizing human societies avoid the greatest systemic dangers we face. (shrink)