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Organised Assistance to Suicide in England?

Abstract  Guidelines provided by the Director of Public Prosecutions suggest that anyone assisting another to commit suicide in England and Wales, or elsewhere, will not be prosecuted provided there...

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Goals of Clinical Ethics Support: Perceptions of Dutch Healthcare Institutions

Abstract  In previous literature, ethicists mention several goals of Clinical Ethics Support (CES). It is unknown what key persons in healthcare institutions see as main–—and sub-goals of CES. This...

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Comparing the Burden: What Can We Learn by Comparing Regulatory Frameworks in...

Abstract  In the UK, regulation of clinical services is being restructured. We consider two clinical procedures, abortion and IVF treatment, which have similar ethical and political sensitivities. We...

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Mutuality, Empowerment and the Health-Wealth Model: The Scottish Context

Abstract  This paper will offer an alternative paradigm to healthcare delivery by introducing the concept of mutuality and empowerment into the existing health-wealth model. The backdrop is provided by...

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Necessary Health Care and Basic Needs: Health Insurance Plans and Essential...

Abstract  According to HealthCare.gov, by improving access to quality health for all Americans, the Affordable Care Act (ACA) will reduce disparities in health insurance coverage. One way this will...

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The Fallacy of Choice in the Common Law and NHS Policy

Abstract  Neither the English courts nor the National Health Service (NHS) have been immune to the modern mantra of patient choice. This article examines whether beneath the rhetoric any form of real...

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Who Cares? Moral Obligations in Formal and Informal Care Provision in the...

Abstract  An aging population is often taken to require a profound reorganization of the prevailing health care system. In particular, a more cost-effective care system is warranted and ICT-based home...

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Balancing Risk Prevention and Health Promotion: Towards a Harmonizing...

Abstract  Many older people in western countries express a desire to live independently and stay in control of their lives for as long as possible in spite of the afflictions that may accompany old...

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Therapeutic Misconception: Hope, Trust and Misconception in Paediatric Research

Abstract  Although the therapeutic misconception (TM) has been well described over a period of approximately 20 years, there has been disagreement about its implications for informed consent to...

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“I Stand Alone.” An Ethnodrama About the (dis)Connections Between a Client...

Abstract  Client participation in elderly care organizations requires shifting traditional power relations and establishing communicative action that involves the lifeworlds of clients and...

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Empirical Fallacies in the Debate on Substituted Judgment

Abstract  According to the Substituted Judgment Standard a surrogate decision maker ought to make the decision that the incompetent patient would have made, had he or she been competent. This standard...

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For an Ethnomethodology of Healthcare Ethics

Abstract  This paper considers the utility of Ethnomethodology (EM) for the study of healthcare ethics as part of the empirical turn in Bioethics. I give a brief introduction to EM through its...

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The Need to Know—Therapeutic Privilege: A Way Forward

Abstract  Providing patients with information is fundamental to respecting autonomy. However, there may be circumstances when information may be withheld to prevent serious harm to the patient, a...

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Social Responsibility: A New Paradigm of Hospital Governance?

Abstract  Changes in modern societies originate the perception that ethical behaviour is essential in organization’s practices especially in the way they deal with aspects such as human rights. These...

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Inadequate Treatment for Elderly Patients: Professional Norms and Tight...

Abstract  We have studied ethical considerations of care among health professionals when treating and setting priorities for elderly patients in Norway. The views of medical doctors and nurses were...

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Philosophy, Medicine and Healthcare: Insights from the Italian Experience

Abstract  To contribute to our understanding of the relationship between philosophical ideas and medical and healthcare models. A diachronic analysis is put in place in order to evaluate, from an...

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Barriers to Reforming Healthcare: The Italian Case

Abstract  Using the conceptual lenses offered by the ideational and cultural path taken in the health care arena, this article attempts to explain the trajectory of recent major health care reforms in...

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Advance Directives in English and French Law: Different Concepts, Different...

Abstract  In Western societies advance directives are widely recognised as important means to extend patient self-determination under circumstances of incapacity. Following other countries, England and...

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A Philosophical Analysis of the General Methodology of Qualitative Research:...

Abstract  Philosophical discussion of the general methodology of qualitative research, such as that used in some health research, has been inductivist or relativist to date, ignoring critical...

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Science, Practice and Mythology: A Definition and Examination of the...

Abstract  Scientism is a philosophy which purports to define what the world ‘really is’. It adopts what the philosopher Thomas Nagel called ‘an epistemological criterion of reality’, defining what is...

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Exploring the Positions of German and Israeli Patient Organizations in the...

Abstract  Patient organizations are increasingly involved in national and international bioethical debates and health policy deliberations. In order to examine how and to what extent cultural factors...

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Making the Improbable Probable: Communication across Models of Medical Practice

Abstract  Cooperation and conversation in the public sphere may overcome historical and other barriers to rational argumentation. As an alternative to evidence-based medicine (EBM) and patient-centered...

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Autonomy and Dignity: A Discussion on Contingency and Dominance

Abstract  With dying increasingly becoming a medicalised experience in old age, we are witnessing a shift from concern over death itself to an interest in dying ‘well’. Fierce discussions about...

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Ulysses Arrangements in Psychiatric Treatment: Towards Proposals for Their...

Abstract  A ‘Ulysses arrangement’ (UA) is an agreement where a patient may arrange for psychiatric treatment or non-treatment to occur at a later stage when she expects to change her mind. In this...

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Why Bariatric Surgery Should be Given High Priority: An Argument from Law and...

Abstract  In recent years, bariatric surgery has become an increasingly popular treatment of obesity. The amount of resources spent on this kind of surgery has led to a heated debate among health care...

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Remote Monitoring or Close Encounters? Ethical Considerations in Priority...

Abstract  The proportion of elderly in society is growing rapidly, leading to increasing health care costs. New remote monitoring technologies are expected to lower these costs by reducing the number...

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From ‘Implications’ to ‘Dimensions’: Science, Medicine and Ethics in Society

Abstract  Much bioethical scholarship is concerned with the social, legal and philosophical implications of new and emerging science and medicine, as well as with the processes of research that...

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What’s the Point of Philosophical Bioethics?

Abstract  Many people working in bioethics take pride in the subject’s embrace of a wide range of disciplines. This invites questions of what in particular is added by each. In this paper, I focus on...

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Enhancement Technology and Outcomes: What Professionals and Researchers Can...

Abstract  This text presents an overview of the bioethical debate on pediatric cochlear implants and pays particular attention to the analysis of the Deaf critique of implantation. It dismisses the...

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In Sport and Social Justice, Is Genetic Enhancement a Game Changer?

Abstract  The possibility of genetic enhancement to increase the likelihood of success in sport and life’s prospects raises questions for accounts of sport and theories of justice. These questions...

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Introduction: Telos, Culture, and Enhancement Technologies

Introduction: Telos, Culture, and Enhancement Technologies Content Type Journal ArticleCategory EditorialPages 1-9DOI 10.1007/s10728-012-0223-2Authors Michael C. Brannigan, Department of Philosophy and...

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Challenging the Moral Status of Blood Donation

Abstract  The World Health Organisation encourages that blood donation becomes voluntary and unremunerated, a system already operated in the UK. Drawing on public documents and videos, this paper...

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Procreative Liberty, Enhancement and Commodification in the Human Cloning Debate

Abstract  The aim of this paper is to scrutinize a contemporary standoff in the American debate over the moral permissibility of human reproductive cloning in its prospective use as a eugenic...

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Seeking Connections, Creating Movement: The Power of Altruistic Action

Abstract  Participation of older people in designing and improving the care and services provided in residential care settings is limited. Traditional forms of democratic representation, such as client...

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Cognitive Enhancements and the Values of Higher Education

Abstract  Drugs developed to treat cognitive impairments are proving popular with healthy college students seeking to boost their focus and productivity. Concerned observers have called these practices...

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Regulating Health: Transcending Disciplinary Boundaries

Abstract  Health and health care problems can be addressed from multiple disciplinary perspectives. This raises challenges for how to do cross-disciplinary scholarship in ways that are still robust,...

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Ethical Consequences of the Positive Views of Enhancement in Asia

Abstract  There are positive views towards use of science and technology in all Asian countries, and positive views towards use of enhancement in China, India and Thailand. After considering of the...

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Paternalism and Utilitarianism in Research with Human Participants

Abstract  In this article I defend a rule utilitarian approach to paternalistic policies in research with human participants. Some rules that restrict individual autonomy can be justified on the...

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Ethical Considerations on Methods Used in Abortions

Abstract  There is a fundamental inconsistency in Western society’s treatment of non-human animals on the one hand, and of human foetuses on the other. While most Western countries allow the butchering...

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A Declaration of Healthy Dependence: The Case of Home Care

Abstract  Aging populations have become a major concern in the developed world and are expected to require novel care strategies. Public policies, health-care regimes and technology developers alike...

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The Troubled Identity of the Bioethicist

Abstract  This paper raises questions about bioethical knowledge and the bioethical ‘expert’ in the context of contestation over methods. Illustrating that from the perspective of the development of...

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