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  1. Mental Illness, Lack of Autonomy, and Physician-Assisted Death.Jukka Varelius - 2015 - In Michael Cholbi & Jukka Varelius (eds.), New Directions in the Ethics of Assisted Suicide and Euthanasia. Cham: Springer Verlag. pp. 59-77.
    In this chapter, I consider the idea that physician-assisted death might come into question in the cases of psychiatric patients who are incapable of making autonomous choices about ending their lives. I maintain that the main arguments for physician-assisted death found in recent medical ethical literature support physician-assisted death in some of those cases. After assessing several possible criticisms of what I have argued, I conclude that the idea that physicianassisted death can be acceptable in some cases of psychiatric patients (...)
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  • What does “presumed consent” might presume? Preservation measures and uncontrolled donation after circulatory determination of death.Pablo de Lora - 2014 - Medicine, Health Care and Philosophy 17 (3):403-411.
    One of the most controversial aspects in uncontrolled donation of organs after circulatory death is the initiation of preservation measures before death. I argue that in so-called opting-out systems only under very stringent conditions we might presume consent to the instauration of those measures. Given its current legal framework, I claim that this is not the case of Spain, a well-known country in which consent is presumed—albeit only formally—and where uDCD is currently practiced.
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  • Moral Enhancement Can Kill.Parker Crutchfield - 2018 - Journal of Medicine and Philosophy 43 (5):568-584.
    There is recent empirical evidence that personal identity is constituted by one’s moral traits. If true, this poses a problem for those who advocate for moral enhancement, or the manipulation of a person’s moral traits through pharmaceutical or other biological means. Specifically, if moral enhancement manipulates a person’s moral traits, and those moral traits constitute personal identity, then it is possible that moral enhancement could alter a person’s identity. I go a step further and argue that under the right conditions, (...)
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  • Lethal Organ Donation: Would the Doctor Intend the Donor’s Death?Ben Bronner - 2019 - Journal of Medicine and Philosophy 44 (4):442-458.
    Lethal organ donation is a hypothetical procedure in which vital organs are removed from living donors, resulting in their death. An important objection to lethal organ donation is that it would infringe the prohibition on doctors intentionally causing the death of patients. I present a series of arguments intended to undermine this objection. In a case of lethal organ donation, the donor’s death is merely foreseen, and not intended.
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  • Acts that Kill and Acts that Do Not — A Philosophical Analysis of the Dead Donor Rule.Cheng-Chih Tsai - 2021 - European Journal of Analytic Philosophy 17 (1):A3-31.
    In response to recent debates on the need to abandon the Dead Donor Rule (DDR) to facilitate vital-organ transplantation, I claim that, through a detailed philosophical analysis of the Uniform Determination of Death Act (UDDA) and the DDR, some acts that seem to violate DDR in fact do not, thus DDR can be upheld. The paper consists of two parts. First, standard apparatuses of the philosophy of language, such as sense, referent, truth condition, and definite description are employed to show (...)
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  • Ending Life, Morality, and Meaning.Jukka Varelius - 2013 - Ethical Theory and Moral Practice 16 (3):559-574.
    Opponents of voluntary euthanasia and physician-assisted suicide often maintain that the procedures ought not to be accepted because ending an innocent human life would both be morally wrong in itself and have unfortunate consequences. A gravely suffering patient can grant that ending his life would involve such harm but still insist that he would have reason to continue living only if there were something to him in his abstaining from ending his life. Though relatively rarely, the notion of meaning of (...)
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  • Abandoning the Dead Donor Rule.Anthony P. Smith - 2023 - Journal of Medical Ethics 49 (10):707-714.
    The Dead Donor Rule is intended to protect the public and patients, but it remains contentious. Here, I argue that we can abandon the Dead Donor Rule. Using Joel Feinberg’s account of harm, I argue that, in most cases, particularly when patients consent to being organ donors, death does not harm permanently unconscious (PUC) patients. In these cases, then, causing the death of PUC patients is not morally wrong. This undermines the strongest argument for the Dead Donor Rule—that doctors ought (...)
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  • Killing versus totally disabling: a reply to critics.Walter Sinnott-Armstrong & Franklin G. Miller - 2013 - Journal of Medical Ethics 39 (1):12-14.
    We are very grateful to the commentators for taking the time to respond to our little article, ‘What Makes Killing Wrong?’ They raise many points, so we cannot respond to them all, but we do want to head off a few misinterpretations.Our critics in this journal avoid one careless misinterpretation, but less informed readers have pressed this misinterpretation in popular venues, so we need to start by renouncing it. We do not deny that killing humans is morally wrong. To the (...)
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  • ‘Total disability’ and the wrongness of killing.Adam Omelianchuk - 2015 - Journal of Medical Ethics 41 (8):661-662.
    Walter Sinnott-Armstrong and Franklin G Miller recently argued that the wrongness of killing is best explained by the harm that comes to the victim, and that ‘total disability’ best explains the nature of this harm. Hence, killing patients who are already totally disabled is not wrong. I maintain that their notion of total disability is ambiguous and that they beg the question with respect to whether there are abilities left over that remain relevant for the goods of personhood and human (...)
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  • The inviolateness of life and equal protection: a defense of the dead-donor rule.Adam Omelianchuk - 2022 - Theoretical Medicine and Bioethics 43 (1):1-27.
    There are increasing calls for rejecting the ‘dead donor’ rule and permitting ‘organ donation euthanasia’ in organ transplantation. I argue that the fundamental problem with this proposal is that it would bestow more worth on the organs than the donor who has them. What is at stake is the basis of human equality, which, I argue, should be based on an ineliminable dignity that each of us has in virtue of having a rational nature. To allow mortal harvesting would be (...)
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  • How (not) to think of the ‘dead-donor’ rule.Adam Omelianchuk - 2018 - Theoretical Medicine and Bioethics 39 (1):1-25.
    Although much has been written on the dead-donor rule in the last twenty-five years, scant attention has been paid to how it should be formulated, what its rationale is, and why it was accepted. The DDR can be formulated in terms of either a Don’t Kill rule or a Death Requirement, the former being historically rooted in absolutist ethics and the latter in a prudential policy aimed at securing trust in the transplant enterprise. I contend that the moral core of (...)
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  • Ephemeroi - Human Vulnerability, Transhumanism, and the Meaning of Life.Michael Hauskeller - 2019 - Scientia et Fides 7 (2):9-21.
    This essay is a reflection on our lived experience of being human, or of some prominent aspects of being human, in light of rising demands to use already existing and soon to be developed technologies to fundamentally change what we are. The aspects the essay focuses on are, first, our existential vulnerability and, second, our desire to live a life that, in some way or another, matters and is in that sense meaningful.
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  • Explanatory Pluralism in Normative Ethics.Pekka Väyrynen - forthcoming - Oxford Studies in Normative Ethics.
    Some theorists of normative explanation argue that we can make sense of debates between first-order moral theories such as consequentialism and its rivals only if we understand their explanations of why the right acts are right and the wrong acts are wrong as generative (e.g. grounding) explanations. Others argue that the standard form of normative explanation is, instead, some kind of unification. Neither sort of explanatory monism can account for all the explanations of particular moral facts that moral theorists seek (...)
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