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  1. Disability Justice in Public Health Emergencies.Joel Michael Reynolds & Mercer Gary (eds.) - 2024 - New York: Routledge.
    Disability Justice in Public Health Emergencies is the first book to highlight contributions from critical disability scholarship to the fields of public health ethics and disaster ethics. It takes up such contributions with the aim of charting a path forward for clinicians, bioethicists, public health experts, and anyone involved in emergency planning to better care for disabled people—and thereby for all people—in the future. Across 11 chapters, the contributors detail how existing public health emergency responses have failed and still fail (...)
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  2. Affordable pricing of CRISPR treatments is a pressing ethical imperative.Jon Rueda, Íñigo De Miguel Beriain & Lluis Montoliu - 2024 - CRISPR Journal.
    Casgevy, the world’s first approved CRISPR-based cell therapy, has been priced at $2.2 million per patient. Although this hefty price tag was widely anticipated, the extremely high cost of this and other cell and gene therapies poses a major ethical issue in terms of equitable access and global health. In this Perspective, we argue that lowering the prices of future CRISPR therapies is an urgent ethical imperative. Although we focus on Casgevy as a case study, much of our analysis can (...)
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  3. Seven insights from Albert Camus’s Plague about epidemics, public health and morality.Steven R. Kraaijeveld - forthcoming - Journal of Public Health.
    For Albert Camus, plague was both a fact of life and a powerful metaphor for the human condition. Camus engaged most explicitly and extensively with the subject of plague in his 1947 novel, The Plague (La peste), which chronicles an outbreak of what is presumably cholera in the French-Algerian city of Oran. I often thought of this novel—and what it might teach us—during the recent COVID-19 pandemic. In this article, I discuss seven important insights from The Plague about epidemics, public (...)
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  4. Wissen und Dummheit.Andrej Poleev - 2024 - Enzymes 22.
    Was ist Wissen von morgen im Vergleich mit Wissen von heute? Die geschichtliche Erfahrung zeigt diesen Übergang als ein Prozess der Weiterentwicklung der Sprache, weil menschliches Wissen an die Sprache gekoppelt ist, und seine Inhalte zu begreifen nur in sprachlichen Formen möglich ist. Während alte Sprachen vergehen, entstehen neue Sprachen: in diesem Prozess der Erneuerung von sprachlichen Formen wird das Wissen gesammelt, geklärt, und weitergegeben, und das geschieht durch Auswahl der Worte, deren Gebrauchswert ständig geprüft wird.
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  5. Digital breast tomosynthesis in breast cancer screening: an ethical perspective.Simon Rosenqvist, Johan Brännmark & Magnus Dustler - 2024 - Insights Into Imaging 15:1-5.
    Although digital breast tomosynthesis has higher sensitivity than digital mammography and at least as high specificity, digital mammography remains the most common method for conducting mammographic screening. At the same time, mammography systems are now delivered “DBT-ready” and can be used for either digital mammography or digital breast tomosynthesis. In this paper, we ask whether it is ethically permissible to use such equipment for digital mammography, given its lower sensitivity. We argue it is not, and that clinics are ethically required (...)
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  6. Hasty Generalizations and Generics in Medical Research: A Systematic Review.Uwe Peters, Henrik Røed Sherling & Benjamin Chin-Yee - forthcoming - PLoS ONE.
    It is unknown to what extent medical researchers generalize study findings beyond their samples when their sample size, sample diversity, or knowledge of conditions that support external validity do not warrant it. It is also unknown to what extent medical researchers describe their results with precise quantifications or unquantified generalizations, i.e., generics, that can obscure variations between individuals. We therefore systematically reviewed all prospective studies (n = 533) published in the top four highest ranking medical journals, Lancet, New England Journal (...)
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  7. Ectogestation for men: why aren't we talking about it?Joona Räsänen - forthcoming - Journal of Medical Ethics.
    Andrea Bidoli argues that ectogestation could be seen as an emancipatory intervention for women. Specifically, she claims that ectogestation would create unique conditions to reevaluate one’s reproductive preference, address certain specific negative social implications of gestation and childbirth, and that it is unfair to hold ectogestation to a higher standard than other innovations such as modern contraceptives and non-medical egg freezing. In this commentary, I claim that Bidoli—like so many others—unjustly bypasses men and their reproductive desires. For a long time, (...)
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  8. Institutional Responsibility is Prior to Personal Responsibility in a Pandemic.Ben Davies & Julian Savulescu - 2024 - Journal of Value Inquiry 58 (2):215-234.
    On 26 January 2021, while announcing that the country had reached the mark of 100,000 deaths within 28 days of COVID-19, UK Prime Minister Boris Johnson said that he took “full responsibility for everything that the Government has done” as part of British efforts to tackle the pandemic. The force of this statement was undermined, however, by what followed: -/- What I can tell you is that we truly did everything we could, and continue to do everything that we can, (...)
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  9. Catholic Unity on Brain Death and Organ Donation.David Tomasi - 2024 - A Call to Action 1:1-16.
    Authors: Joseph M. Eble, John A. Di Camillo, Peter J. Colosi. --- NEWS RELEASE For Immediate Release February 27, 2024 Contact: Joseph M. Eble, MD Corresponding author 919-667-5206 -/- The statement, Catholics United on Brain Death and Organ Donation: A Call to Action (HTML), was published on February 27, 2024. It was prepared by Joseph Eble, a physician and President of the Tulsa Guild of the Catholic Medical Association; John Di Camillo, an ethicist of The National Catholic Bioethics Center; and (...)
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  10. The ethical aspects of unwanted pregnancy: Cases of rape reported in the media with legal restrictions on abortion in Turkey.Sukran Sevimli - 2023 - Eubios Journal of Asian and International Bioethics 33 (1):18-26.
    This study examines the ethical and legal issues faced by girls/women requesting abortions who were victims of rape, aspects which have received little attention to date. This is a retrospective study using an approach and legal issues relating to incidents of unwanted pregnancy resulting from rape as reported in Turkish newspapers from 2010 to 2018. A total of 95 articles were discovered and categorized. These were then evaluated for content and analyzed in terms of the ethical issues related to the (...)
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  11. Is pregnancy a disease? A normative approach.Anna Smajdor & Joona Räsänen - forthcoming - Journal of Medical Ethics.
    In this paper, we identify some key features of what makes something a disease, and consider whether these apply to pregnancy. We argue that there are some compelling grounds for regarding pregnancy as a disease. Like a disease, pregnancy affects the health of the pregnant person, causing a range of symptoms from discomfort to death. Like a disease, pregnancy can be treated medically. Like a disease, pregnancy is caused by a pathogen, an external organism invading the host’s body. Like a (...)
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  12. A fair exchange: why living kidney donors in England should be financially compensated.Daniel Rodger & Bonnie Venter - 2023 - Medicine, Health Care and Philosophy 26 (4):625-634.
    Every year, hundreds of patients in England die whilst waiting for a kidney transplant, and this is evidence that the current system of altruistic-based donation is not sufficient to address the shortage of kidneys available for transplant. To address this problem, we propose a monopsony system whereby kidney donors can opt-in to receive financial compensation, whilst still preserving the right of individuals to donate without receiving any compensation. A monopsony system describes a market structure where there is only one ‘buyer’—in (...)
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  13. Dürfen Gentherapien so viel kosten? – Ethische Bewertung der hohen Preise und des performanceorientierten Erstattungsmodells.Karla Alex & Julia König - 2023 - In Boris Fehse, Hannah Schickl, Sina Bartfels & Martin Zenke (eds.), Gen- und Zelltherapie 2.023 – Forschung, klinische Anwendung und Gesellschaft. Springer. pp. 317-337.
    This chapter examines whether high prices for gene therapies are justified and whether the problems associated with high prices can be solved by the "pay for performance" (P4P) reimbursement model. To this end, we first describe how prices for new drugs, including gene therapies, are set in Germany (section 2.). P4P is then presented as an example of a reimbursement model (section 3.). The subsequent ethical analysis (section 4.) first examines whether P4P models can sustainably guarantee the right to health (...)
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  14. (3 other versions)UN MARCO ÉTICO PARA LA ASIGNACIÓN GLOBAL DE VACUNAS.Romina Rekers - 2023 - Ethic@ - An International Journal for Moral Philosophy 22 (1).
    Una vez que se desarrollen vacunas efectivas contra la enfermedad del coronavirus 2019 (COVID-19), estas serán escasas. Esto plantea la cuestión de cómo distribuirlas equitativamente entre países. La asignación de vacunas entre países plantea cuestiones complejas y controvertidas que involucran la opinión pública, la diplomacia, la economía, la salud pública y otras consideraciones. Sin embargo, muchos líderes nacionales, organizaciones internacionales y productores de vacunas reconocen que un factor central en esta toma de decisiones es la ética [1, 2]. No obstante, (...)
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  15. (3 other versions)SOBRE LA ÉTICA DEL NACIONALISMO DE LAS VACUNAS: EL CASO DEL MARCO DE PRIORIDAD JUSTA PARA LOS RESIDENTES.Romina Rekers - 2023 - Ethic@ - An International Journal for Moral Philosophy 22 (1).
    Es probable que las vacunas contra COVID-19 sean escasas en los próximos años. Muchos países, desde la India hasta el Reino Unido, han adoptado el nacionalismo de las vacunas. ¿Cuáles son los límites éticos de este nacionalismo de vacunas? Ni el nacionalismo extremo ni el cosmopolitismo extremo son éticamente justificables. En cambio, proponemos el marco de prioridad justa para quienes residen en un país (PJR, por sus siglas en español), en el que los gobiernos pueden retener las dosis de la (...)
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  16. (3 other versions)JUSTICIA PANDÉMICA GLOBAL. INTRODUCCIÓN JUSTICIA PANDÉMICA PARA Y DESDE AMERICA LATINA.Florencia Luna, Romina Rekers, Euzebiusz Jamrozik & Rachel Gur-Arie - 2023 - Ethic@ - An International Journal for Moral Philosophy 22 (1).
    Este número de acceso abierto tiene como objetivo resaltar los puntos de vista de los países latinoamericanos sobre la justicia en un contexto de pandemia y contribuir al diálogo entre estos y con la comunidad científica global. Explora los desafíos globales de la pandemia de COVID-19, las diferencias relevantes entre las medidas de salud pública y su impacto en los países de ingresos altos versus los países de ingresos bajos o medios, y cómo la injusticia global se profundizó debido a (...)
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  17. (3 other versions)GLOBAL PANDEMIC JUSTICE. INTRODUCTION PANDEMIC JUSTICE FOR AND FROM LATIN AMERICA.Florencia Luna, Romina Rekers, Euzebiusz Jamrozik & Rachel Gur-Arie - 2023 - Ethic@ - An International Journal for Moral Philosophy 22 (1).
    This open-access issue aims to highlight views about justice in a pandemic context from Latin American countries and to contribute to the dialogue between them as well as with the global scientific community. It explores the global challenges of the COVID-19 pandemic, relevant differences between public health measures and their impact on high-income countries versus low- or middle-income countries, and how global injustice deepened because of the COVID-19 pandemic. It also draws attention to experiences, outcomes, and responses to the pandemic (...)
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  18. Defending the de dicto approach to the non-identity problem.Joona Räsänen - 2023 - Monash Bioethics Review 41 (2):124-135.
    Is it wrong to create a blind child, for example by in vitro fertilization, if you could create a sighted child instead? Intuitively many people believe it is wrong, but this belief is difficult to justify. When there is a possibility to create and select either ‘blind’ or ‘sighted’ embryos choosing a set of ‘blind’ embryos seems to harm no-one since choosing ‘sighted’ embryos would create a different child altogether. So when the parents choose ‘blind’ embryos, they give some specific (...)
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  19. A trilemma for the lexical utility model of the precautionary principle.H. Orri Stefánsson - forthcoming - Philosophical Studies:1-17.
    Bartha and DesRoches (2021) and Steel and Bartha (2023) argue that we should understand the precautionary principle as the injunction to maximise lexical utilities. They show that the lexical utility model has important pragmatic advantages. Moreover, the model has the theoretical advantage of satisfying all axioms of expected utility theory except continuity. In this paper I raise a trilemma for any attempt at modelling the precautionary principle with lexical utilities: it permits choice cycles or leads to paralysis or implies that (...)
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  20. Antinatalism—Solving everything everywhere all at once?Joona Räsänen & Matti Häyry - 2023 - Bioethics 37 (9):829-830.
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  21. Shared decision-making in maternity care: Acknowledging and overcoming epistemic defeaters.Keith Begley, Deirdre Daly, Sunita Panda & Cecily Begley - 2019 - Journal of Evaluation in Clinical Practice 25 (6):1113–1120.
    Shared decision-making involves health professionals and patients/clients working together to achieve true person-centred health care. However, this goal is infrequently realized, and most barriers are unknown. Discussion between philosophers, clinicians, and researchers can assist in confronting the epistemic and moral basis of health care, with benefits to all. The aim of this paper is to describe what shared decision-making is, discuss its necessary conditions, and develop a definition that can be used in practice to support excellence in maternity care. Discussion (...)
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  22. Evidence, Testimony, and Trust: How the COVID-19 Pandemic is Exacerbating the Crisis of Trust in Science.Clarisse Paron - 2021 - The Canadian Society for Study of Practical Ethics / Société Canadienne Pour L'étude de L'éthique Appliquée 6:1-18.
    In this paper, I consider an example of fast science produced in the early stages of the pandemic and the lasting effects of the study on public safety and trust in science. Due to pressures intrinsic to contemporary science and from the pandemic to produce research on COVID quickly, studies on COVID-19 that did not meet rigorous scientific standards were used to form public health policies and recommendations. I argue that the fast science produced for COVID-19, which caused many public (...)
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  23. Partial Aggregation: What the People Think.Markus Kneer & Juri Viehoff - manuscript
    This article applies the tools of experimental philosophy to the ongoing debate about both the theoretical viability and the practical import of partially aggregative moral theories in distributive ethics. We conduct a series of three experiments (N=383): First, we document the widespread occurrence of the intuitions that motivate this position. Our study then moves beyond establishing the existence of partially aggregative intuitions in two dimensions: First, we extend experimental work in such a way as to ascertain which amongst existing versions (...)
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  24. Public Health Officials Should Almost Always Tell the Truth.Director Samuel - 2023 - Journal of Applied Philosophy (TBD):1-15.
    One of the lessons of the COVID-19 pandemic is that the lay public relies immensely on the knowledge of public health officials. At every phase of the pandemic, the testimony of public health officials has been crucial for guiding public policy and individual behavior. The reason is simple: public health officials know a lot more than you and I do about public health. As lay people, we rely on experts. This seems straightforward. But the COVID-19 pandemic has shown that public (...)
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  25. Reflexão ética sobre a doação de tecidos e órgãos: entre o respeito pela autonomia e a exigência de solidariedade.Marta Dias Barcelos & M. Patrão Neves - 2009 - Revista Portuguesa de Bioética 7:23-42.
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  26. Non-Consensual Vaccination and Medical Harassment: Giving Vaccine Refusers Their Due.Mihnea D. I. Capraru - 2023 - Journal of Controversial Ideas 3 (1):1-8.
    This article argues that non-consensual vaccination is morally impermissible, for the same reasons for which sexual assault is not permissible. Likewise, mandatory vaccination is morally akin to sexual harassment, and therefore is not to be allowed.
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  27. (1 other version)Autonomia revisitada: considerações a propósito do testamento vital.Marta Dias Barcelos - 2014 - In António Barbosa & Jorge Marques da Silva (eds.), Confluências bioéticas. Publicações da Universidade de Lisboa. pp. 91-100.
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  28. Pandemic surveillance: ethics at the intersection of information, research, and health.Daniel Susser - 2022 - In Margaret Hu (ed.), Pandemic Surveillance: Privacy, Security, and Data Ethics. Cheltenham, UK: Edward Elgar. pp. 187-196.
    This chapter provides a high-level overview of key ethical issues raised by the use of surveillance technologies, such as digital contact tracing, disease surveillance, and vaccine passports, to combat the COVID-19 pandemic. To some extent, these issues are entirely familiar. I argue that they raise old questions in new form and with new urgency, at the intersection of information ethics, research ethics, and public health. Whenever we deal with data-driven technologies, we have to ask how they fare in relation to (...)
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  29. Healthspan extension, completeness of life and justice.Michal Masny - 2023 - Bioethics 37 (3):239-245.
    Recent progress in geroscience holds the promise of significantly slowing down or even reversing ageing and age-related diseases, and thus increasing our healthspans. In this paper, I offer a novel argument in favour of developing such technology and making it unconditionally available to everyone. In particular, I argue that justice requires that each person be provided with sufficient opportunities to have a ‘complete life’, that many people currently lack such opportunities, and that we would substantially improve the status quo by (...)
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  30. The Principle of Restraint: Public Reason and the Reform of Public Administration.Gabriele Badano - 2020 - Political Studies 68 (1):110-127.
    Normative political theorists have been growing more and more aware of the many difficult questions raised by the discretionary power inevitably left to public administrators. This article aims to advance a novel normative principle, called ‘principle of restraint’, regulating reform of established administrative agencies. I argue that the ability of public administrators to exercise their power in accordance with the requirements of public reason is protected by an attitude of restraint on the part of potential reformers. Specifically, they should refrain (...)
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  31. Reductionist methodology and the ambiguity of the categories of race and ethnicity in biomedical research: an exploratory study of recent evidence.Joanna Karolina Malinowska & Tomasz Żuradzki - 2022 - Medicine, Health Care and Philosophy (1):1-14.
    In this article, we analyse how researchers use the categories of race and ethnicity with reference to genetics and genomics. We show that there is still considerable conceptual “messiness” (despite the wide-ranging and popular debate on the subject) when it comes to the use of ethnoracial categories in genetics and genomics that among other things makes it difficult to properly compare and interpret research using ethnoracial categories, as well as draw conclusions from them. Finally, we briefly reconstruct some of the (...)
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  32. Experts, Democracy, and Covid-19.Victor Karl Magnússon - 2022 - Philosophy of Medicine 3 (1).
    Two challenges have faced policymakers during the Covid-19 pandemic: First, they must determine the reliability of expert testimony in the face of uncertainty; second, they must determine the relevance of different kinds of expertise with regard to particular decisions. I argue that both these problems can be fruitfully analyzed through the lens of trust by introducing an in-depth case study of Iceland’s handling of the first wave of the Covid-19 pandemic. I contend that the problem of relevance highlights the limited (...)
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  33. Inconvenient Truth and Inductive Risk in Covid-19 Science.Eli I. Lichtenstein - 2022 - Philosophy of Medicine 3 (1):1-25.
    To clarify the proper role of values in science, focusing on controversial expert responses to Covid-19, this article examines the status of (in)convenient hypotheses. Polarizing cases like health experts downplaying mask efficacy to save resources for healthcare workers, or scientists dismissing “accidental lab leak” hypotheses in view of potential xenophobia, plausibly involve modifying evidential standards for (in)convenient claims. Societies could accept that scientists handle (in)convenient claims just like nonscientists, and give experts less political power. Or societies could hold scientists to (...)
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  34. Does overruling Roe discriminate against women (of colour)?Joona Räsänen, Claire Gothreau & Kasper Lippert-Rasmussen - 2022 - Journal of Medical Ethics 48 (12):952-956.
    On 24 July 2022, the landmark decision Roe v. Wade (1973), that secured a right to abortion for decades, was overruled by the US Supreme Court. The Court decision in Dobbs v. Jackson Women’s Health Organisation severely restricts access to legal abortion care in the USA, since it will give the states the power to ban abortion. It has been claimed that overruling Roe will have disproportionate impacts on women of color and that restricting access to abortion contributes to or (...)
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  35. Metaliteracy for Best Practices in Crisis and Risk Communication.Alireza Salehi-Nejad - 2022 - In Media and Information Literacy Seminar 2022: Nurturing Trust for Media and Information Literacy. Tehran, Tehran Province, Iran:
    The dissemination of information in times of crisis or emergency is distinctive since the affected individuals may take, process, and act on information differently. As the Centers for Disease Control and Prevention noted “the right message at the right time from the right person can save lives.” This study elaborates on the principles of crisis and emergency risk communication (CERC) in the realistic narrative, and notes that a successful CERC should be prompt, accurate, veracious, empathetic, respectful, and promote meaningful action. (...)
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  36. Charité, mon amour.Andrej Poleev - 2020 - Enzymes.
    Wie jedes Krankenhaus hat Charité ihre Geschichte, die mit dem Erlaß des preußischen Königs Friedrich I. vom 14. November 1709 zur Gründung von Lazareth-Häusern anfing, um der Ausbreitung der Pest entgegenzuwirken, wozu es allerdings in Berlin nie gekommen ist. Am 9. Januar 1727 verfügte König Friedrich Wilhelm I. die Umwandlung des vor dem Spandowischen Tor errichteten Lazareth in ein Hospital und nannte es „das Haus die Charité“ nach dem Vorbild von Hôpital de la Charité in Paris. -/- Das Wort und (...)
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  37. Coronavirus Disease (COVID-19): Socio-Economic Systems in the Post-Pandemic World: Design Thinking, Strategic Planning, Management, and Public Policy.Andrzej Klimczuk, Eva Berde, Delali A. Dovie, Magdalena Klimczuk-Kochańska & Gabriella Spinelli (eds.) - 2022 - Lausanne: Frontiers Media.
    On 11 March 2020, the World Health Organization declared a pandemic of the COVID-19 coronavirus disease that was first recognized in China in late 2019. Among the primary effects caused by the pandemic, there was the dissemination of health preventive measures such as physical distancing, travel restrictions, self-isolation, quarantines, and facility closures. This includes the global disruption of socio-economic systems including the postponement or cancellation of various public events (e.g., sporting, cultural, or religious), supply shortages and fears of the same, (...)
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  38. Developing the Silver Economy and Related Government Resources for Seniors: A Position Paper.Maristella Agosti, Moira Allan, Ágnes Bene, Kathryn L. Braun, Luigi Campanella, Marek Chałas, Cheah Tuck Wing, Dragan Čišić, George Christodoulou, Elísio Manuel de Sousa Costa, Lucija Čok, Jožica Dorniž, Aleksandar Erceg, Marzanna Farnicka, Anna Grabowska, Jože Gričar, Anne-Marie Guillemard, An Hermans, Helen Hirsh Spence, Jan Hively, Paul Irving, Loredana Ivan, Miha Ješe, Isaac Kabelenga, Andrzej Klimczuk, Jasna Kolar Macur, Annigje Kruytbosch, Dušan Luin, Heinrich C. Mayr, Magen Mhaka-Mutepfa, Marian Niedźwiedziński, Gyula Ocskay, Christine O’Kelly, Nancy Papalexandri, Ermira Pirdeni, Tine Radinja, Anja Rebolj, Gregory M. Sadlek, Raymond Saner, Lichia Saner-Yiu, Bernhard Schrefler, Ana Joao Sepúlveda, Giuseppe Stellin, Dušan Šoltés, Adolf Šostar, Paul Timmers, Bojan Tomšič, Ljubomir Trajkovski, Bogusława Urbaniak, Peter Wintlev-Jensen & Valerie Wood-Gaiger - manuscript
    The precarious rights of senior citizens, especially those who are highly educated and who are expected to counsel and guide the younger generations, has stimulated the creation internationally of advocacy associations and opinion leader groups. The strength of these groups, however, varies from country to country. In some countries, they are supported and are the focus of intense interest; in others, they are practically ignored. For this is reason we believe that the creation of a network of all these associations (...)
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  39. Position paper on ethical, legal and social challenges linked to audio- and video-based AAL solutions.Alin Ake-Kob, Slavisa Aleksic, Zoltán Alexin, Aurelija Blaževičiene, Anto Čartolovni, Liane Colonna, Carina Dantas, Anton Fedosov, Eduard Fosch-Villaronga, Francisco Florez-Revuelta, Zhicheng He, Aleksandar Jevremović, Andrzej Klimczuk, Maksymilian Kuźmicz, Lambros Lambrinos, Christoph Lutz, Anamaria Malešević, Renata Mekovec, Cristina Miguel, Tamar Mujirishvili, Zada Pajalic, Rodrigo Perez Vega, Barbara Pierscionek, Siddharth Ravi, Pika Sarf, Agusti Solanas & Aurelia Tamo-Larrieux - 2022 - Https:https://Goodbrother.Eu/.
    In this position paper, we have used Alan Cooper’s persona technique to illustrate the utility of audio- and video-based AAL technologies. Therefore, two primary examples of potential audio- and video-based AAL users, Anna and Irakli, serve as reference points for describing salient ethical, legal and social challenges related to use of AAL. These challenges are presented on three levels: individual, societal, and regulatory. For each challenge, a set of policy recommendations is suggested.
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  40. Moralization and Mismoralization in Public Health.Steven R. Kraaijeveld & Euzebiusz Jamrozik - 2022 - Medicine, Health Care and Philosophy 25 (4):655-669.
    Moralization is a social-psychological process through which morally neutral issues take on moral significance. Often linked to health and disease, moralization may sometimes lead to good outcomes; yet moralization is often detrimental to individuals and to society as a whole. It is therefore important to be able to identify when moralization is inappropriate. In this paper, we offer a systematic normative approach to the evaluation of moralization. We introduce and develop the concept of ‘mismoralization’, which is when moralization is metaethically (...)
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  41. The Value of a Life-Year and the Intuition of Universality.Marc Fleurbaey & Gregory Ponthiere - 2022 - Journal of Ethics and Social Philosophy 22 (3):355-381.
    When considering the social valuation of a life-year, there is a conflict between two basic intuitions: on the one hand, the intuition of universality, according to which the value of an additional life-year should be universal, and, as such, should be invariant to the context considered; on the other hand, the intuition of complementarity, according to which the value of a life-year should depend on what this extra-life-year allows for, and, hence, on the quality of that life-year, because the quantity (...)
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  42. 16 The logic of lockdowns: a game of modeling and evidence.Wesley J. Park - 2022 - BMJ Evidence-Based Medicine 27 (Suppl 1):A59.
    Lockdowns, or modern quarantines, involve the use of novel restrictive non-pharmaceutical interventions (NPIs) to suppress the transmission of COVID-19. In this paper, I aim to critically analyze the emerging history and philosophy of lockdowns, with an emphasis on the communication of health evidence and risk for informing policy decisions. I draw a distinction between evidence-based and modeling-based decision-making. I argue that using the normative framework of evidence-based medicine would have recommended against the use of lockdowns. I first review the World (...)
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  43. COVID-19 and the unseen pandemic of child abuse.Wesley J. Park & Kristen A. Walsh - 2022 - BMJ Paediatrics Open 6 (1).
    For children, the collateral damage of the COVID-19 pandemic response has been considerable. In this paper, we use the framework of evidence-based medicine to argue that child abuse is another negative side effect of COVID-19 lockdowns. While it was certain that school closures would have profound social and economic costs, it remains uncertain whether they have any effect on COVID-19 transmission. There is emerging evidence that lockdowns significantly worsened child abuse on a global scale. Low-income and middle-income countries are particularly (...)
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  44. Trust, epistemic norms, & vaccine hesitancy in Black communities.Maddox Larson - manuscript
    This essay offers a philosophical analysis of the increased rates of hesitancy among Black Americans regarding treatment for Covid-19. I argue that public health researchers have identified epistemic norms pertaining to the credibility and trustworthiness of public health institutions in Black communities. In other words, norms of credibility have developed in Black communities as a result of the mistreatment of Black Americans by public health institutions and organizations. To make this argument, Section 2 argues that the “origin” or historical circumstances (...)
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  45. Systemising Triage: COVID-19 Guidelines and Their Underlying Theories of Distributive Justice.Lukas J. Meier - 2022 - Medicine, Health Care and Philosophy 25 (4):703-714.
    The COVID-19 pandemic has been overwhelming public health-care systems around the world. With demand exceeding the availability of medical resources in several regions, hospitals have been forced to invoke triage. To ensure that this difficult task proceeds in a fair and organised manner, governments scrambled experts to draft triage guidelines under enormous time pressure. Although there are similarities between the documents, they vary considerably in how much weight their respective authors place on the different criteria that they propose. Since most (...)
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  46. TOMS Shoes: Effective Altruism?Garrett Pendergraft - 2021 - SAGE Business Cases.
    In the one-for-one business model, a purchaser of, for example, a pair of shoes simultaneously purchases a pair of shoes for a child in need. This model, popularized by TOMS shoe company in 2006, has been remarkably successful. The driving force behind the success is most likely the emotional appeal of the one-for-one idea. The TOMS model has been criticized, however—not just for being less effective than advertised, but for arguably doing more harm than good. Whether or not this latter (...)
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  47. The Ethics of Killing in a Pandemic: Unintentional Virus Transmission, Reciprocal Risk Imposition, and Standards of Blame.Jeremy Davis - 2022 - Journal of Applied Philosophy 39 (3):471-486.
    The COVID-19 global pandemic has shone a light on several important ethical questions, ranging from fairness in resource allocation to the ethical justification of government mandates. In addition to these institutional issues, there are also several ethical questions that arise at the interpersonal level. This essay focuses on several of these issues. In particular, I argue that, despite the insistence in public health messaging that avoiding infecting others constitutes ‘saving lives’, virus transmission that results in death constitutes an act of (...)
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  48. Algorithms for Ethical Decision-Making in the Clinic: A Proof of Concept.Lukas J. Meier, Alice Hein, Klaus Diepold & Alena Buyx - 2022 - American Journal of Bioethics 22 (7):4-20.
    Machine intelligence already helps medical staff with a number of tasks. Ethical decision-making, however, has not been handed over to computers. In this proof-of-concept study, we show how an algorithm based on Beauchamp and Childress’ prima-facie principles could be employed to advise on a range of moral dilemma situations that occur in medical institutions. We explain why we chose fuzzy cognitive maps to set up the advisory system and how we utilized machine learning to train it. We report on the (...)
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  49. Relaxing Mask Mandates in New Jersey: A Tale of Two Universities.Wesley J. Park - 2022 - Voices in Bioethics 8.
    The ethical question is whether university mask mandates should be relaxed. I argue that the use of face masks by healthy individuals has uncertain benefits, which potential harms may outweigh, and should therefore be voluntary. Systematic reviews by the World Health Organization (WHO) and Cochrane Acute Respiratory Infections concluded that the use of face masks by healthy individuals in the community lacks effectiveness in reducing viral transmission based on moderate-quality evidence. The only two randomized controlled trials of face masks published (...)
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  50. The Art of Medicine: From small beginnings: to build an anti-eugenic future.Benedict Ipgrave, Miroslava Chavez-Garcia, Marcy Darnovsky, Subhadra Das, Charlene Galarneau, Rosemarie Garland-Thomson, Nora Ellen Groce, Tony Platt, Milton Reynolds, Marius Turda & Robert A. Wilson - 2022 - The Lancet 10339 (399):1934-1935.
    Short overview of the From Small Beginnings Project and its relevance for resisting eugenics in contemporary society.
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