Pure quality of will theories claim that ‘the ultimate object’ of our responsibility responses (i.e., praise and blame) is the quality of our will. Any such theory is false—or so I argue. There is a second dimension of (moral) responsibility, independent of quality of will, that our responsibility responses track and take as their object—namely, how adroitly we are able to translate our will into action; I call this competence of will. I offer a conjectural explanation of the two dimensions (...) of (moral) responsibility: it matters to us that people actually perform adequately well because of how much it matters to us that we are able to live and work together successfully. (shrink)

Objective: There are benefits and risks of giving patients more granular control of their personal health information in electronic health record (EHR) systems. When designing EHR systems and policies, informaticists and system developers must balance these benefits and risks. Ethical considerations should be an explicit part of this balancing. Our objective was to develop a structured ethics framework to accomplish this. -/- Methods: We reviewed existing literature on the ethical and policy issues, developed an ethics framework called a “Points to (...) Consider” (P2C) document, and convened a national expert panel to review and critique the P2C. -/- Results: We developed the P2C to aid informaticists designing an advanced query tool for an electronic health record (EHR) system in Indianapolis. The P2C consists of six questions (“Points”) that frame important ethical issues, apply accepted principles of bioethics and Fair Information Practices, comment on how questions might be answered, and address implications for patient care. -/- Discussion: The P2C is intended to clarify whatis at stake when designers try to accommodate potentially competing ethical commitments and logistical realities. The P2C was developed to guide informaticists who were designing a query tool in an existing EHR that would permit patient granular control. While consideration of ethical issues is coming to the forefront of medical informatics design and development practices, more reflection is needed to facilitate optimal collaboration between designers and ethicists. This report contributes to that discussion. (shrink)

Excerpts and paraphrases of this memoir appeared in 2008 and 2009. I posted it in full here in happy memory of Peter Hare and my joyful years with him. -/- 2008. Remembering Peter Hare 1935–2008. Philosophy Now. Co-authors: T. Madigan and A. Razin. Issue 66 March/April 2008. Pages 50–2. PDF -/- 2009. Remembering My Life with Peter Hare. Remembering Peter Hare 1935–2008. Ed. J. Campbell. Society for the Advancement of American Philosophy. pp. 9–16. http://american-philosophy.org/documents/RememberingPeterHare_final.pdf -/- Peter H. Hare, Distinguished (...) Professor Emeritus of Philosophy at the University of Buffalo (SUNY at Buffalo), died peacefully in his sleep on Thursday, January 3, 2008. I would like to share my memories of my life with him. Others have eulogized him, enumerated his virtues and accomplishments, and written his obituaries. I am revisiting my personal relationship with him. These memories are as much about me as about him. (shrink)