Fricker shows that virtue epistemology provides a general epistemological idiom in which these issues can be forcefully discussed.

Miranda Fricker's book Epistemic Injustice is an original and stimulating contribution to contemporary epistemology. Fricker's main aim is to illustrate the ethical aspects of two of our basic epistemic practices, namely conveying knowledge to others and making sense of our own social experiences. In particular, she wishes to investigate the idea that there are prevalent and distinctively epistemic forms of injustice related to these aspects of our epistemic lives, injustices which reflect the fact that our actual epistemic practices are socially (...) situated. Most of the book focuses on two such forms – Testimonial Injustice and Hermeneutical Injustice – and on the epistemic virtues required to counteract them.Testimonial Injustice occurs when a hearer fails, because of prejudice, to give due credit to the word of a speaker. For instance, in the novel To Kill a Mockingbird, the jury in the trial of Tom Robinson fail to regard his testimony as credible because he …. (shrink)

Background There are numerous ethical challenges that can impact patients and families in the health care setting. This paper reports on the results of a study conducted with a panel of clinical bioethicists in Toronto, Ontario, Canada, the purpose of which was to identify the top ethical challenges facing patients and their families in health care. A modified Delphi study was conducted with twelve clinical bioethicist members of the Clinical Ethics Group of the University of Toronto Joint Centre for Bioethics. (...) The panel was asked the question, what do you think are the top ten ethical challenges that Canadians may face in health care? The panel was asked to rank the top ten ethical challenges throughout the Delphi process and consensus was reached after three rounds. Discussion The top challenge ranked by the group was disagreement between patients/families and health care professionals about treatment decisions. The second highest ranked challenge was waiting lists. The third ranked challenge was access to needed resources for the aged, chronically ill, and mentally ill. Summary Although many of the challenges listed by the panel have received significant public attention, there has been very little attention paid to the top ranked challenge. We propose several steps that can be taken to help address this key challenge. (shrink)