In this article, I critique the commonly accepted distinction between commercial and altruistic surrogacy arrangements. The moral legitimacy of surrogacy, I claim, does not hinge on whether it is paid (‘commercial’) or unpaid (‘altruistic’); rather, it is best determined by appraisal of virtue-abiding conditions constitutive of the surrogacy arrangement. I begin my article by problematising the prevailing commercial/altruistic distinction; next, I demonstrate that an assessment of the virtue-abiding or non-virtue-abiding features of a surrogacy is crucial to navigating questions about the (...) moral legitimacy of surrogacy; in the final part, I reject other moral heuristics that might be proposed as alternatives to the commercial/altruistic dichotomy, and reiterate that a virtue-ethical framework is the most suitable way forward. (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)

The aim of this article is to provide an overview of various discourses relevant to developing a construct of collective _phronesis_, from a (neo)-Aristotelian perspective, with implications for professional practice in general and business practice and business ethics education in particular. Despite the proliferation of interest in practical wisdom within business ethics and more general areas of both psychology and philosophy, the focus has remained mostly on the construct at the level of individual decision-making, as in Aristotle’s _Nicomachean Ethics_. However, (...) he also made intriguing remarks about _phronesis_ at the collective level in his _Politics_: remarks that have mostly eluded elaboration. The aim of this article is practical and revisionary, rather than exegetical and deferential, with respect to Aristotle. Nevertheless, just as most of the literature on individual _phronesis_ draws on Aristotle’s exposition in the _Nicomachean Ethics_, the obvious first port of call for an analysis of collective _phronesis_ is to explore the resources handed down to us by Aristotle himself. The lion’s share of this article is, therefore, devoted to making sense of Aristotle’s somewhat unsystematic remarks and the lessons we can draw from them about collective managerial _phronesis_ and business ethics education. (shrink)

As work on practical wisdom and medicine accelerates, now is a good time to outline some important challenges that any approach to developing an account of this virtue faces. More specifically, I develop five challenges having to do with the existence and nature of practical wisdom, and whether it connects with objective and general normative truths. The main goal is to provide a guide to the challenges themselves and some of the options available for tackling them, rather than trying to (...) resolve them here. (shrink)

This article defends the centrality of practical wisdom in medical practice by building on a monistic view of moral virtue, termed the “Aretai model,” according to which possession of practical wisdom is necessary and sufficient for virtuousness, grounding both moral growth and effective moral behavior. From this perspective, we argue that practical wisdom should be conceived as a cross-situational ethical expertise consisting of four skills:moral perception, moral deliberation, emotion regulation, and moral motivation. Conceiving of practical wisdom as both overall virtuousness (...) and ethical expertise makes it possible to deal adequately with the uniqueness of concrete ethically relevant situations. We contend that this becomes particularly evident in the context of medical practice, both in terms of decision-making and action-taking, especially in the most challenging or contentious clinical cases. We conclude the article by suggesting the potential implications of the Aretai model for continuing education in medical and healthcare professions. (shrink)

Virtue-based ethics prioritizes _phronesis_ (practical wisdom) because, as rules have become less action-guiding, good judgment (_phronesis_) becomes more necessary as a guiding meta-virtue. The view of _phronesis_ that MacIntyre proposed in _After Virtue_ (hereafter, AV _phronesis_) has been applied in medical ethics despite his substantial deviations from his source (Aristotle) in _After Virtue_. In this paper, we clarify the differences between the neo-Aristotelian and AV _phronesis_ views and argue for a neo-Aristotelian _phronesis_ with four functions (constitutive, adjudicative, emotion regulative, and (...) blueprint). In referring to neo-Aristotelians, we refer to the recent scholars that who hark back strongly to Aristotle and have amended some of Aristotle’s less palatable views by adding insights from current empirical science to the domains that he left vague. Then we discuss how AV _phronesis_ and neo-Aristotelian _phronesis_ differ, focusing on the distinction between technical (i.e., alterable means toward patient health such as medication choices) and _phronetic_ (i.e., actions that are inseparable from patient health) actions in medicine. This distinction is understated in AV _phronesis_, but central to neo-Aristotelian _phronesis_. Accordingly, the neo-Aristotelian approach makes an important and unique contribution to physician ethical development. (shrink)

This paper responds to the question of whether judgements generated by judges using ChatGPT can be directly adopted. It posits that it is unjust for judges to rely on and directly adopt ChatGPT-generated judgements based on virtue jurisprudence theory. This paper innovatively applies case-based empirical analysis and is the first to use virtue jurisprudence approach to analyse the question and support its argument. The first section reveals the use of generative AI-based tools in judicial practice and the existence of erroneous (...) judgements generated by ChatGPT through empirical research. The second section contends that generative AI, while mimicking virtuous behaviour, cannot produce justified beliefs according to virtue jurisprudence theory. Moreover, using AI as a decision-making entity could undermine the protection of human rights and interests. The paper concludes by suggesting normative and technical approaches for how judges should use generative AI-based tools to develop their virtues. (shrink)