There is an ongoing increase in the use of mobile health technologies that patients can use to monitor health-related outcomes and behaviours. While the dominant narrative around mHealth focuses on patient empowerment, there is potential for mHealth to fit into a growing push for patients to take personal responsibility for their health. I call the first of these uses ‘medical monitoring’, and the second ‘personal health surveillance’. After outlining two problems which the use of mHealth might seem to enable us (...) to overcome—fairness of burdens and reliance on self-reporting—I note that these problems would only really be solved by unacceptably comprehensive forms of personal health surveillance which applies to all of us at all times. A more plausible model is to use personal health surveillance as a last resort for patients who would otherwise independently qualify for responsibility-based penalties. However, I note that there are still a number of ethical and practical problems that such a policy would need to overcome. The prospects of mHealth enabling a fair, genuinely cost-saving policy of patient responsibility are slim. (shrink)

Technology corporations and the emerging digital health market are exerting increasing influence over the public healthcare agendas forming around the application of mobile medical devices. By promising quick and cost-effective technological solutions to complex healthcare problems, they are attracting the interest of funders, researchers, and policymakers. They are also shaping the public facing discourse, advancing an overwhelmingly positive narrative predicting the benefits of wearable medical devices to include personalised medicine, improved efficiency and quality of care, the empowering of under-resourced communities, (...) and delivery of health services previously unavailable to the citizens of developing countries. Typically techno-optimist in their description, the key barriers to this impending inflection point in healthcare are identified as technical issues such as short battery life and a lack of data protection. However, this tech innovation narrative is consistent with problematic ethical, social, and political assumptions that have practical and normative effects, and risk, one, undermining the real clinical potential of wearable devices and, two, designing social inequality and injustice into our mobile health interventions in global healthcare. I argue that the foundational assumptions dealing with the just distribution of healthcare ‘goods’, the individual as part of society, and the political framing of future healthcare policy devalue equity and despite what they promise cannot meet the distinctive needs of individuals and groups that do not conform to a standardised concept of care-receiver. (shrink)

I argue that wrong of plagiarism does not primarily stem from the plagiarist’s illicit misappropriation of academic credit from the person she plagiarized. Instead, plagiarism is wrongful to the degree to which it runs counter to the purpose of academic work. Given that this is to increase knowledge and further understanding plagiarism will be wrongful to the extent that it impedes the achievement of these ends. This account of the wrong of plagiarism has two surprising (and related) implications. First, it (...) follows from this account of the wrong of plagiarism that replication plagiarism might not be an academic wrong at all. (Replication plagiarism consists of the direct quotation or paraphrase of another’s work without attribution. The replication plagiarist thus plagiarizes primary sources, purloining for her own benefit the ideas of their authors). Second, even if replication plagiarism is still held to be an academic wrong, it will be a lesser wrong than bypass plagiarism. (Bypass plagiarism occurs when one quotes from, or provides a paraphrase of, a primary source, but although one cites the primary source one did not identify the quotation or provide the initial paraphrase oneself. Instead, one took the quotation, or drew upon an existing paraphrase, from a secondary source—and one did so without citing the secondary source to credit it as the source of one’s information about the primary source). Holding that bypass plagiarism is worse than replication plagiarizes reverses the usual assessment of the relative wrong of these two types of plagiarism. (shrink)