Applied Ethics

In this paper, I examine why moral exemplars are useful and even necessary in moral education despite several critiques from researchers and educators. To support my point, I review recent AI research demonstrating that exemplar-based learning is superior to rule-based learning in model performance in training neural networks, such as large language models. I particularly focus on why education aiming at promoting the development of multifaceted moral functioning can be done effectively by using exemplars, which is similar to exemplar-based learning (...) in AI model training. Furthermore, I discuss the potential limitations and issues related to exemplar-applied moral education with findings from recent studies in AI research raising concerns about model biases and toxic outcomes. I attempt to propose ways to address the concerns regarding employing moral exemplars as well. As remedies, I suggest that autonomy-supporting deliberative and reflective learning processes should be utilized. Furthermore, based on the discussion, I examine how macroscopic socio-cultural aspects influence the effectiveness of exemplar-applied moral education. Suggestions for moral educators and future directions for research in moral education are briefly discussed. (shrink)

This paper analyzes perceptions of responsible leadership in eight Asia-based firms during the first year of the COVID-19 pandemic. The focal firms were a mixture of multinational corporations (MNCs), large-sized enterprises, and small and medium enterprises (SMEs). In all eight focal firms, we found that the responsible decision-making of leaders during the pandemic was perceived to be guided by five main moral principles. These comprised equity-based justice for employees, meeting employees’ basic needs, ethics of care for employees, concern for non-employee (...) stakeholders, and interactional justice for employees. We developed a conceptual map of how these principles related to aspects of four ethics-oriented leadership theories. Our analysis also identified four types of responsible leadership policies and practices. These comprised prioritizing the health and safety of stakeholders, flexible work arrangements, meeting employees’ and customers’ special needs, and financial and psychological support for employees. (shrink)

Background Autism self-advocates’ views regarding genetic tests for autism are important, but critical questions about their perspectives arise.Methods We interviewed 11 autism self-advocates, recruited through autism self-advocacy websites, for 1 h each.Results Interviewees viewed genetic testing and its potential pros and cons through the lens of their own indiviudal perceived challenges, needs and struggles, especially concerning stigma and discrimination, lack of accommodations and misunderstandings from society about autism, their particular needs for services, and being blamed by others and by themselves (...) for autistic traits. Their views of genetic testing tended not to be binary, but rather depended on how the genetic test results would be used. Interviewees perceived pros of genetic testing both in general and with regard to themselves (e.g., by providing “scientific proof” of autism as a diagnosis and possibly increasing availability of services). But they also perceived disadvantages and limitations of testing (e.g., possible eugenic applications). Participants distinguished between what they felt would be best for themselves and for the autistic community as a whole. When asked if they would undergo testing for themselves, if offered, interviewees added several considerations (e.g., undergoing testing because they support science in general). Interviewees were divided whether a genetic diagnosis would or should reduce self-blame, and several were wary of testing unless treatment, prevention or societal attitudes changed. Weighing these competing pros and cons could be difficult.Conclusions This study, the first to use in-depth qualitative interviews to assess views of autism self-advocates regarding genetic testing, highlights key complexities. Respondents felt that such testing is neither wholly good or bad in itself, but rather may be acceptable depending on how it is used, and should be employed in beneficial, not harmful ways. These findings have important implications for practice, education of multiple stakeholders, research, and policy. (shrink)

In this paper, we offer a defense of non-punitive measures as morally justified responses to crime within a framework of society as a fair system of cooperation among free and equal individuals. Our argument proceeds in three steps. First, we elaborate on the premises of our argument: we situate criminal acts within a model of society as a fair system of cooperation, identify the types of unfair disadvantages crimes bring about, and consider the social aim of the criminal justice system. (...) Next, we reject the claim defended by fair-play retributivists that fairness considerations make punishment a necessary response to criminal acts. In the last step, we demonstrate that it is rather non-punitive responses to crime that are warranted under the principle of fairness and, as such, are morally justified. We conclude the paper by rejecting two possible objections to our defense: the “responsibility gap” and the “victims’ claim to justice” objections. (shrink)

In the current geopolitical environment, liberal democracies vie for influence and prosperity with autocratic governments, such as those of China and Russia. While the great powers do not shy away from using aggressive force, much of their rivalry today takes place below the threshold of armed conflict, in a conceptual and practical 'grey zone' between war and peace. Autocratic states operate in this grey zone to target the vulnerabilities of liberal democracies, creating hybrid threats that rely on instruments ranging from (...) economic, diplomatic, legal, and informational pressure all the way to military coercion. -/- Law plays a critical role in this context. In the ethically and legally ambiguous grey zone, international law serves as a normative, yet malleable, framework within which geopolitical rivals compete. State and non-State actors invoke the law as the source of authority, while simultaneously hoping to shape the international legal order in their own strategic interests. -/- Hybrid Threats and Grey Zone Conflict offers the first in-depth assessment of the legal and ethical aspects of hybrid threats and grey zone conflict. It explores the responses available to democratic nations for countering hybrid and grey zone threats whilst adhering to liberal democratic values and the rule of law. Bringing together diverse scholarly and practitioner perspectives, the volume introduces readers to the conceptual and practical difficulties arising in this area, the rich debates the topic has generated, and the challenges that countering hybrid threats and grey zone conflict poses for liberal democracies. (shrink)

What grounds the pro tanto obligation to not destroy heritage? In other words, why is it by default wrong to destroy heritage without justification? The property rights view answers: people, communities and cultures own heritage. The reverence view answers: we are obliged to respect things with non-instrumental value. The moral rights view answers: our predecessors, contemporaries and successors have rights to have their cherishings respected and cultural and epistemic goods protected. The moral harm view answers: destroying heritage causes morally significant (...) harm. I argue that these views all fail to account for the basic obligation to not destroy heritage. I propose that heritage essentially gives us experiences of connections to historically significant things, and these experiences are aesthetically valuable and irreplaceable. Destroying heritage is pro tanto wrong because it leads to the extinction of these precious and vulnerable experiences. My account makes sense of genuineness as an aesthetic property, vindicates the idea of purely aesthetic obligations, and entails that heritage may be of the present and future, not only the past. (shrink)

Living with chronic illness can involve fluctuating between radically different bodily states depending on whether you are experiencing flareups of illness symptoms. What you can do in these bodily states can differ drastically from one another. Sometimes, these fluctuations in abilities lead to fluctuations in your values. That is, your evaluative perspective can shift when you are experiencing flareups of the illness. This can give rise to a puzzle for planning, since it is unclear what you should plan on doing (...) when you do not have a stable set of preferences guiding your plans. This paper argues that one way to navigate this puzzle is for the agent to adopt an overarching plan that mediates the conflict between her differing perspectives. (shrink)

Language, metaphysics and environmental ethics are specific and universal aspects of culture. Language and critical thinking are phenomenal means of communicating and rationalising environmental and metaphysical issues, among other existential concerns in general. This study argues that language and critical thinking are vehicles of metaphysics and environmental ethics. It also argues that the kind of metaphysics and environmental ethics inherent to a people determine their attitude towards the environment. As some scholars affirm in the literature, this is where continental philosophy (...) comes into environmentalism, because no philosophy is independent of culture and a larger number of environmental issues are peculiar to a place, while a few others obtain across places as universals. Thus, environmentalists look at environmental issues and metaphysical concerns from both specific and general contexts. It is realised that upon giving the issues at stake critical reflections, ethical principles are made or advanced using language constructively to express, disseminate and sustain them across ages. The study concludes that despite being neglected in metaphysical and environmental discourses, language plays a critical role in them, as (mis)representation of the two depends on how language is used to express and disseminate (un)critically constructed thoughts on environment and metaphysics. (shrink)

With the world grappling with continued spread of monkeypox internationally, vaccines play a crucial role in mitigating the harms from infection and preventing spread. However, countries with the greatest need - particularly historically endemic countries with the highest monkeypox case-fatality rates - are not able to acquire scarce vaccines. This is unjust, and requires rectification through equitable allocation of vaccines globally. We propose applying the Fair Priority Model for such allocation, which emphasizes three key principles: 1) preventing harm; 2) prioritizing (...) the disadvantaged; and 3) treating people with equal moral concern. Post-exposure prophylaxis (PEPV) has the most potential to mitigate harm, and so ensuring countries have sufficient supply for PEPV should be the first priority. And historically endemic countries, which face disadvantages that compound potential harms from monkeypox, should be the first recipients of such vaccines. Once sufficient supply is allocated for countries to apply PEPV, global allocation could move on to pre-exposure prophylaxis (PrEP), again prioritizing historically endemic countries first before distribution to the rest of the global community, based on projected number of cases and vulnerability to harm. (shrink)

COVID-19 patients with hospital delirium exhibit high level of metabolic problems (low level of sodium concentration) and severe anxieties of psychotic problems were observed during the COVID-19 pandemic period. In this qualitative study, researcher explored, the perceptions of medical professionals such as, doctors, nurses, laboratory technicians, microbiologists, and other healthcare workers regarding delirium during COVID-19. Interviews and field notes were collected from the Karur Government Medical College Hospital, Karur, Tamil Nadu, India. Most of the professionals observed that the ICU psychosis (...) affected patients with dementia problems in the COVID-19 pandemic. The patients were affected by delirium with COVID-19 infection is higher prevalence than delirium without COVID-19 infection. Further, the patients exhibited a number of other diseases such as diabetes, hypertension and other ailments had correlation with delirium diseases. Denying some services to the delirium patients would be an infringement of their basic human rights. This research report witnessed by the ethical value of medical professionals in Karur Government Medical College Hospital, India, during the COVID-19 pandemic period. (shrink)

The gross violation of environmental ethics implies the outright destruction of the environment, which in turn poses severe threat to humanity. This study aims at highlighting the effects of Oruka’s punishment abolition on environmental ethics. It argues that Oruka’s punishment abolition, if practiced, is a challenge to environmental ethics, since breaching environmental laws would become the order of the day. It will be so because it is to avert the wrath of the law (i.e. punishment) that environmental laws, which constitute (...) environmental ethics, are kept. In view of the pitfalls of Oruka’s theory of punishment, this study faults Oruka for demanding the abolition of punishment. Contrarily, it insists that punishment should never be abolished in any human society to avoid anarchy, crime prevalence and recurrence, and the destruction of human environment. (shrink)

With the colossal strides recorded in the arena of Genetic Engineering, conviction in Orí, among traditional Yorùbás, as the bearer of an individual’s destiny and life course among the Yorùbá wanes. Through critical analysis and hermeneutical interpretation, the present study scrutinizes the relation between physiognomy and destiny in traditional Yorùbá idea of Orí. The cumulative traditional Yorùbá allegorical account depicts Òrìṣàńlá as the primordial divinity casting Ara (human body) from clay or sand; Olódùmarè, the Higher God, providing Ẹ̀mí (life-force) and (...) Àjàlá, another primordial divinity, the maker of Orí (destiny) which must be acquired pre-natally. Hence, it seems on first showing, that it is impossible for the Yorùbá, as portrayed in the allegory, to believe in Orí, on one hand and genetically modified individuals on the other hand. As a consequence, this paper proposes to reconstruct a type of Orí acquisition that is consistent with Yorùbá thought system and loyal to the overwhelming and undeniable achievements of Genetic Engineering. (shrink)

The issues and questions generated by euthanasia have informed divergent views among scholars. Some uphold the sanctity of human life and oppose euthanasia regardless of the situation. Some contend rational and morally sound inferences for euthanasia. It seems the debates vitiate the consent and ‘unique’ situation of peoples who find themselves seeking the plausibility and applicability of Physician Assisted Suicide (PAS). Through the method of philosophical analysis, this research seeks to argue if euthanasia can be morally permissible on some grounds. (...) This research employs Robert Young’s outlook on the discourse in order to justify grounds upon which active euthanasia and physician assisted suicide may be permissible. What are these grounds? Are these grounds morally permissible? Does Young’s submission take into consideration the autonomy of the patient and beneficence of the physician? These are the primary questions that this research seeks to engage. (shrink)

This book contains 86 essays and papers by the Russian sculptor and hermeneutic philosopher Vladimir Zimmerling (1931-2017) addressed the issues in aesthetics, ethics and cultural history. The apparatus includes the introductory article, the commentary, the name and the subject indexes prepared by the book editor, Anton Zimmerling. The appendix contains 70 pictures of Vladimir Zimmerling's sculptures. Vladimir Zimmerling's conception is build on the combination of the empiricism principle with the elements of hermeneutics and metalinguistic criticism. His essays and papers focus (...) on the foundations of aesthetics and ethics. Vladimir Zimmerling was one of the pioneers of the analytic approach to the poetics of Ossip Mandelstam with his paper "Промер" ["The Measurement"], (1974-1975) devoted to 10 difficult Mandelstam's poems including "Грифельная Ода", "Слепая ласточка бросается к ногам", "Я слово позабыл, что я хотел сказать". (shrink)

International regulation of autonomous weapon systems (AWS) is increasingly conceived as an exercise in risk management. This requires a shared approach for assessing the risks of AWS. This paper presents a structured approach to risk assessment and regulation for AWS, adapting a qualitative framework inspired by the Intergovernmental Panel on Climate Change (IPCC). It examines the interactions among key risk factors—determinants, drivers, and types—to evaluate the risk magnitude of AWS and establish risk tolerance thresholds through a risk matrix informed by (...) background knowledge of event likelihood and severity. Further, it proposes a methodology to assess community risk appetite, emphasizing that such assessments and resulting tolerance levels should be determined through deliberation in a multistakeholder forum. The paper highlights the complexities of applying risk-based regulations to AWS internationally, particularly the challenge of defining a global community for risk assessment and regulatory legitimization. (shrink)

The forfeiture thesis is posed as an independent thesis in moral philosophy according to which agents forfeit (or lose) rights if they perform certain act-types. According to many, this thesis plays a crucial role in the justification of (legal) punishment. In this paper, I argue that the forfeiture thesis is unnecessary – we can simply dismiss it without any substantive loss. Echoing an aspect of the specificationist approach to rights, the reason is that we may replace the forfeiture thesis with (...) an exception clause in the very content of the right not to be subjected to hard treatment: P has no right not to be subjected to hard treatment simpliciter, but a right not to be subjected to hard treatment unless P performs an act-type φ – e.g., murdering an innocent person. This alternative has substantive advantages over the forfeiture thesis, which, in turn, shows that the former cannot be reduced to the latter. (shrink)

Limited aggregationists argue that when deciding between competing claims to aid we are sometimes required and sometimes forbidden from aggregating weaker claims to outweigh stronger claims. Joe Horton presents a ‘fatal dilemma’ for these views. Views that land on the First Horn of his dilemma suggest that a previously losing group strengthened by fewer and weaker claims can be more choice-worthy than the previously winning group strengthened by more and stronger claims. Views that land on the Second Horn suggest that (...) combining two losing groups together and two winning groups together can turn the losing groups into the winning groups and the winning groups into the losing groups. This paper demonstrates that the ‘fatal dilemma’ is neither fatal nor a dilemma. The First Horn is devastating but avoidable and the Second Horn is unavoidable but not devastating. Nevertheless, Horton’s argument does help to narrow down the acceptable range of views. (shrink)

Glucagon-like peptide-1 (GLP-1) receptor agonists, such as semaglutide, and dual GLP-1 and glucose-dependent insulinotropic polypeptide (GIP) receptor agonists, such as tirzepatide, have been found to be effective for treating obesity and diabetes, significantly reducing weight and the risk or predicted risk of adverse cardiovascular events. There is a global shortage of these medications that could last several years and raises questions about how limited supplies should be allocated. We propose a fair-allocation framework that enables evaluation of the ethics of current (...) practices and could guide governments, professional societies, and physicians in allocation decisions. (shrink)

Der Artikel zeigt, dass die naturalistische Tugendethik der Nachhaltigkeit einen besonderen, fundamentalen normativen Status zugestehen kann, sodass die Einbindung in eine nachhaltige Lebensform als eine Art Funktionsbedingung tugendhaften Konsumierens überhaupt gelten kann. Daraus ergibt sich im Rahmen der Konsumethik eine Basis für ein vertieftes Verständnis der Beziehung von biologischer und gesellschaftlicher Ebene der Lebensform, die beide auf unterschiedliche, miteinander konfligierende Formen von Funktionalität drängen können. -/- The article demonstrates that naturalistic virtue ethics can grant sustainability a special, fundamental normative status. (...) This implies that the integration into a sustainable life form has to be seen as a kind of foundational requirement for virtuous consumption in general. Within the framework of consumer ethics, this provides a basis for a more profound understanding of the relationship between the biological and social dimensions of life forms, both of which can tend toward different, and at times conflicting, forms of functionality. (shrink)

This essay, based on data referring to Brazil and Spain, addresses aspects relevant to the scenario of organ donation and transplantation, such as the relationship between supply and demand, current legislation, costs, and possible improvements to increase donation rates and performance in the transplantation process as a whole. The objective is to present current empirical data that increase the relevant empirical knowledge for the bioethical evaluation in an organized way. The two countries stand out when it comes to transplants, Brazil, (...) because it has the largest public system of organ transplants in the world; Spain, for decades the highest rate of effective donor per million inhabitants. Our initial data analyses suggest the need to deal more explicitly with the interests of those affected and with the public opinion, within a systemic articulation between legislation, evidence-based public policies, and research. (shrink)

Although self‐testing apps, a form of mobile health (mHealth) apps, are often marketed as empowering, it is not obvious how exactly they can empower their users—and in which sense of the word. In this article, I discuss two conceptualisations of empowerment as polar opposites—one in health promotion/mHealth and one in feminist theory—and demonstrate how both their applications to individually used self‐testing apps run into problems. The first, prevalent in health promotion and mHealth, focuses on internal states and understands empowerment as (...) an individual process. However, this version of empowerment has been accused of paternalism and responsibilisation. The second, feminist version considers structural conditions and foregrounds collective, political change, whose realisation is not obviously attainable for an individually used app. By pointing out the flaws of the positions that focus on either internal states or external conditions, and by engaging with theory from critical phenomenology, I argue that the interplay between them is where empowerment can take place. I propose to formulate empowerment in phenomenological terms as a shift in being‐in‐the‐world and discuss how this conceptualisation of empowerment would avoid the criticism of previous empowerment narratives while being realisable by self‐testing apps. (shrink)

In response to the increasing number of mentally ill people experiencing homelessness, some policy‐makers have called for the expanded use of involuntary commitment, even for individuals who are not engaging in behaviors that are immediately life‐threatening. Yet there is no evidence that involuntary commitment offers long‐term benefits, and significant reasons to believe that expanding the practice will cause harm. In addition, these proposals ignore research showing that most people with mental illness have the capacity to make medical decisions for themselves. (...) Rather than expanding the use of involuntary commitment, policy‐makers should support approaches proven to decrease the prevalence of homelessness, such as supportive housing. In addition, states should reevaluate their commitment standards for persons who pose no risk of harm to others. One promising approach is Northern Ireland's Mental Health Capacity Act of 2016, which establishes a uniform standard for imposing nonconsensual health care interventions, without any distinction between mental illnesses and other conditions in which capacity might be compromised. (shrink)

Although the field of surgical ethics focuses primarily on informed consent, surgical decision‐making, and research ethics, some surgeons have started to consider ethical questions regarding justice and solidarity with poor and minoritized populations. To date, those calling for social justice in surgical care have emphasized increased diversity within the ranks of the surgical profession. This article, in contrast, foregrounds the agency of those most affected by injustice by bringing to bear an ethic of accompaniment. The ethic of accompaniment is born (...) from a theological tradition that has motivated work to improve health outcomes in those at the margins through its emphasis on listening, solidarity against systemic drivers of disease, and proximity to individuals and communities. Through a review of surgical ethics and exploration of a central patient case, we argue for applying an ethic of accompaniment to the care of surgical patients and their communities. (shrink)

The authors respond to a letter by Mitchell Berger in the March‐April 2024 issue of the Hastings Center Report concerning their essay “Securing the Trustworthiness of the FDA to Build Public Trust in Vaccines.”.

Although considerable attention has been devoted to the concepts of “visible” and “invisible” victims in general medical practice, especially in relation to resource allocation, far less consideration has been devoted to these concepts in behavioral health. Distinctive features of mental health care in the United States help explain this gap. This essay explores three specific ways in which the American mental health care system protects potentially “visible” individuals at the expense of “invisible victims” and otherwise fails to meet the needs (...) of great numbers of people with serious psychiatric conditions: prioritization of the wrong patients, incentivization of excessive caution among providers, and a narrow definition of psychiatry's purview. While each of these practices has been discussed elsewhere in the literature, they are rarely considered as part of an interrelated and systemic problem. Reconceptualizing these three issues as aspects of the larger conflict between the interests of “visible” and “invisible” victims may prove a path toward reform. (shrink)

On September 1, 2023, Texas made important revisions to it its decades‐old statute granting legal safe harbor immunity to physicians who withhold or withdraw life‐sustaining treatment over the objection of critically ill patients’ surrogate decision‐makers. However, lawmakers left untouched glaring flaws in a key safeguard for patients—the transfer option. The transfer option is ethically important because, when no hospital is willing to accept the patient in transfer, that fact is taken as strong evidence that the surrogates’ treatment requests fall outside (...) accepted medical practice. But there are serious shortcomings in how the transfer option is carried out in Texas and many other states, which undermines the ethical usefulness of the process. We identify these shortcomings and recommend revisions to state statutes and professional guidelines to overcome them. (shrink)

Two sources of possible disagreement in bioethics may be associated with pessimism about what bioethics can achieve. First, pluralism implies that bioethics engages with interlocutors who hold divergent moral beliefs. Pessimists might believe that these disagreements significantly limit the extent to which bioethics can provide normatively robust guidance in relevant areas. Second, the interdisciplinary nature of bioethics suggests that interlocutors may hold divergent views on the nature of bioethics itself—particularly its practicality. Pessimists may suppose that interdisciplinary disagreements could frustrate the (...) goals of bioethics. In this article, I explore how wonder may alleviate the concerns of the first group of pessimists regarding problems associated with pluralism, provided that we are willing to accept some interdisciplinary frustrations. Then, I invite readers of this issue of The Journal of Medicine & Philosophy to test these intuitions by considering the role of wonder in these articles. (shrink)

This letter responds to the essay “Securing the Trustworthiness of the FDA to Build Public Trust in Vaccines,” by Leah Z. Rand, Daniel P. Carpenter, Aaron S. Kesselheim, Anushka Bhaskar, Jonathan J. Darrow, and William B. Feldman, in the special report “Time to Rebuild: Essays on Trust in Health Care and Science,” in the September‐October 2023 issue of the Hastings Center Report.

Background In May 2020, England moved to an opt-out organ donation system, meaning adults are presumed to be an organ donor unless within an excluded group or have opted-out. This change aims to improve organ donation rates following brain or circulatory death. Healthcare staff in the UK are supportive of organ donation, however, both healthcare staff and the public have raised concerns and ethical issues regarding the change. The #options survey was completed by NHS organisations with the aim of understanding (...) awareness and support of the change. This paper analyses the free-text responses from the survey. Methods The #options survey was registered as a National Institute of Health Research (NIHR) portfolio trial [IRAS 275992] 14 February 2020, and was completed between July and December 2020 across NHS organisations in the North-East and North Cumbria, and North Thames. The survey contained 16 questions of which three were free-text, covering reasons against, additional information required and family discussions. The responses to these questions were thematically analysed. Results The #options survey received 5789 responses from NHS staff with 1404 individuals leaving 1657 free-text responses for analysis. The family discussion question elicited the largest number of responses (66%), followed by those against the legislation (19%), and those requiring more information (15%). Analysis revealed six main themes with 22 sub-themes. Conclusions The overall #options survey indicated NHS staff are supportive of the legislative change. Analysis of the free-text responses indicates that the views of the NHS staff who are against the change reflect the reasons, misconceptions, and misunderstandings of the public. Additional concerns included the rationale for the change, informed decision making, easy access to information and information regarding organ donation processes. Educational materials and interventions need to be developed for NHS staff to address the concepts of autonomy and consent, organ donation processes, and promote family conversations. Wider public awareness campaigns should continue to promote the positives and refute the negatives thus reducing misconceptions and misunderstandings. Trial registration National Institute of Health Research (NIHR) [IRAS 275992]. (shrink)

The standard of care in the United States favors stabilizing any adult who arrives in an emergency department after a failed suicide attempt, even if he appears decisionally capacitated and refuses life‐sustaining treatment. I challenge this ubiquitous practice. Emergency clinicians generally have a moral obligation to err on the side of stabilizing even suicide attempters who refuse such interventions. This obligation reflects the fact that it is typically infeasible to determine these patients’ level of decisional capacitation—among other relevant information—in this (...) unique setting. Nevertheless, I argue, stabilizing suicide attempters over their objection sometimes violates a basic yet insufficiently appreciated right of theirs—the right against bodily invasion. In such cases, it is at least prima facie wrong to stabilize a patient who wants to die even if they lack a contrary advance directive or medical order and suffer from no terminal physical illness. (shrink)

I consider the question of what moral obligations prospective parents owe to their future children. It is taken as an almost axiomatic premise of a wide range of philosophical arguments that prospective parents have a moral obligation to take such steps as ensuring their own financial stability or waiting until they are emotionally mature before conceiving. This is because it is assumed that parents have a moral obligation to lay the groundwork for their children's lives to go well. While at (...) first glance such a premise seems benign, I will argue that when it is applied to arguments in assisted reproductive technology, as it is in Julian Savulescu's procreative beneficence argument or as it is in Daniel Groll's recent argument for open gamete donation, we see problems with this premise. Problems in Groll's argument also become apparent when it is scrutinized in connection with this premise. (shrink)

Este artigo tem como objetivo fornecer uma visão ampla acerca da complexidade do xenotransplante, técnica que consiste no uso de animais não-humanos como fornecedores de órgãos para seres humanos. Nesse sentido, pretende-se auxiliar na análise ética dos potenciais benefícios da técnica, à luz dos questionamentos inerentes à sua pesquisa e possível implementação. Por um lado, o xenotransplante apresenta o potencial de solucionar a escassez crônica de órgãos humanos para transplantes, reduzindo as mortes decorrentes da falta de órgãos e as filas (...) de espera. Por outro lado, levanta várias questões que devem ser amplamente analisadas e democraticamente debatidas pela sociedade, tais como: o risco de xenozoonoses, o uso de animais não-humanos, a limitação da privacidade dos receptores de órgãos de origem animal, os protocolos de captação do consentimento livre e informado e o uso de pacientes com morte cerebral em experimentos. Desse modo, conclui-se que, mesmo que no futuro sejam superados os obstáculos clínicos e seja possível realizar xenotransplantes de órgãos com sucesso, é imprescindível avaliar cuidadosamente os prós e contras antes de decidirmos sobre sua continuidade. (shrink)

Entre as alternativas investigadas para suprir o déficit de órgãos disponíveis para transplante está o uso de animais não-humanos como fornecedores de órgãos, técnica conhecida como xenotransplante. Embora os primeiros experimentos desse tipo remontem a mais de um século, e as pesquisas tenham progredido nas últimas décadas impulsionadas pelos avanços em manipulação genética, o procedimento ainda permanece desconhecido para grande parte da população, com escassa discussão acerca de seus desafios e implicações éticas. Desta forma, este estudo tem uma dupla finalidade: (...) (a) consolidar dados relevantes que evidenciam a complexidade que transcende a execução clínica do procedimento, proporcionando elementos para uma análise ética da xenotransplantação, e (b) fomentar a reflexão crítica e encorajar outras pessoas a se engajarem em uma discussão rigorosa e detalhada sobre o assunto. Refletindo esta preocupação, o trabalho foi estruturado em duas seções. A primeira seção, de caráter descritivo, reúne informações técnico-científicas. O Capítulo 1 debruça-se sobre as complexidades, desafios e limitações do sistema tradicional de transplantes. Já no Capítulo 2 é traçado um panorama histórico da xenotransplantação, priorizando o xenotransplante de órgãos. A segunda seção apresenta os dilemas éticos advindos da xenotransplantação. No Capítulo 3 abordo o equilíbrio entre os (possíveis) direitos individuais dos pacientes a receberem órgãos de origem animal e os riscos coletivos associados às xenozoonoses; preocupações relativas ao monitoramento e potencial invasão de privacidade dos pacientes xenotransplantados e seus entes próximos; desafios e limitações no processo de consentimento livre e informado dos pacientes; a postura do sistema de saúde face aos pacientes que declinarem de órgãos de origem animal ou que optarem pelo xenotransplante; os recentes casos de uso de pacientes com morte encefálica em experimentos de xenotransplantação de órgãos e suas possíveis repercussões; e, por fim, nos dedicamos à reflexão sobre a utilização de animais não-humanos, com foco nas justificativas que buscam legitimar este uso. Os capítulos foram estruturados de modo que, juntos, estabeleçam uma narrativa contínua, em que a análise de conceitos, argumentos e preocupações em um capítulo conduzem ao tema subsequente. Ao término, espero que delineiem um panorama abrangente das questões envolvidas, e forneçam uma argumentação fundamentada e coerente que respalde a conclusão de que a prática de xenotransplantação de órgãos deve ser abandonada e avaliada como moralmente errada. (shrink)

Este trabalho pretende defender a necessidade de se trabalhar conteúdos relacionados a ética animal nos ambientes escolares, visando descontruir a visão antropocêntrica predominante nas sociedades ocidentais. Assim como evoluímos no combate ao racismo e ao sexismo, é necessário avançarmos para a superação do especismo. Por isso, considerando o papel da escola na formação de práticas e costumes em nossa sociedade, temos a responsabilidade de conduzir nossas crianças e jovens a uma compreensão mais justa e inclusiva de sociedade. Se faz necessário, (...) assim, uma reestruturação das práticas curriculares vigentes, elevando o ensino a um novo paradigma de educação integral, justa, inclusiva e igualitária, possível apenas por meio de uma educação não-especista. Começamos apresentando alguns conceitos importantes sobre ética animal, seguidos de uma argumentação a favor da superação do especismo. Por fim, discutimos as possibilidades de um conteúdo programático crítico, que propague a ética animal de modo transversal e interdisciplinar. (shrink)

Tradução do capítulo "Animals" (Capítulo 39, páginas 525 a 536), escrito por Jeff McMahan e publicado no livro "A Companion to Applied Ethics", obra organizada por R.G. Frey e Christopher Heath Wellman.

Entrevista concedida a partir da presença da filósofa em encontro realizado no dia 12 de dezembro de 2020 a convite do Grupo de Pesquisa, Ensino e Extensão em Ética Animal da Universidade Federal de Uberlândia para apresentação e discussão de sua obra “Galactolaria: mau deleite” (2012). Em nome da Revista Primordium, os discentes do curso de graduação e pós-graduação em Filosofia da UFU, Laís Oliveira Rios e Gustavo Henrique de Freitas Coelho, prepararam e conduziram a entrevista.

B-roll video footage from the KXAS-TV/NBC station in Fort Worth, Texas, to accompany a news story.

Temporal discounting is a technical operation in climate change economics. When discount rates are positive, economic evaluation treats future benefits as less important than equivalent present benefits. This chapter explains and critically evaluates four different reasons economists have given for tying discount rates to the interest rates we observe in real-world markets. I suggest that while philosophers have correctly criticized three of these reasons, their criticisms of the fourth miss the mark. This is because philosophers have not taken heed of (...) the distinct analytical framework in which the fourth reason arises. (shrink)

As the price of pharmaceuticals and biologicals rises so does the number of patients who cannot afford them. In this article, we argue that physicians have a moral duty to help patients access affordable medicines. We offer three grounds to support our argument: (i) the aim of prescribing is to improve health and well-being which can only be realized with secure access to treatment; (ii) there is no morally significant difference between medicines being unavailable and medicines being unaffordable, so the (...) steps physicians are willing to take in the first case should extend to the second; and (iii) as the primary stakeholder with a duty to put the individual patient’s interests first, the medical professional has a duty to address cost-barriers to patient care. In articulating this duty, we take account of important epistemic and control conditions that must be met for the attribution of this duty to be justified. (shrink)

Slippery slope argumentation features prominently in debates over assisted suicide. The jurisdiction of Oregon features prominently too, especially as regards parliamentary scrutiny of assisted suicide proposals. This paper examines Oregon’s public data (including certain official pronouncements) on assisted suicide in light of the two basic versions of the slippery slope argument, the empirical and moral-logical versions. Oregon’s data evidences some normatively interesting shifts in its assisted suicide practice which in turn prompts consideration of two elements of moral-logical slippage that are (...) not widely discussed. One is slippage from an initial autonomy-based public justification for assisted suicide which does not include burden-based concerns within its operative account of voluntariness to an evolved public justification that does. The other is an expansion of a terminal illness ground to include chronic illnesses effectively rendered terminal via a refusal of treatment. (shrink)

It is often assumed that, except perhaps in a few rare cases, people with addiction can be aptly held responsible for having acquired the condition. In this chapter, I consider the argument that supports this view and draw attention to a number of challenges that can be raised against it. Assuming that early decisions to use drugs were made in possession of normal-range psychological capacities, I consider the key question of whether drug users who later became addicted should have known (...) that addiction was a likely outcome of their decisions to use drugs in a way that makes them blameworthy for their lack of foresight. I focus on three different points of contention surrounding this claim: how likely the outcome to be predicted was, how tolerable risk should be weighed against the expected value of decisions to use, and how reliable the relevant predictive abilities of the average person are. Once we consider in some detail what would have to be true in order for someone to be aptly held responsible for becoming addicted, the prospects for making a convincing case to that effect look, I argue, somewhat more uncertain than they might at first appear. (shrink)

An anthropocentric scope for clinical medical ethics (CME) has largely separated this area of bioethics from environmental concerns. In this article, we first identify and reconcile the ethical issues imposed on CME by climate change including the dispersion of related causes and effects, the transdisciplinary and transhuman nature of climate change, and the historic divorce of CME from the environment. We then establish how several moral theories undergirding modern CME, such as virtue ethics, feminist ethics, and several theories of justice, (...) promote both a flourishing of human medical practice and the environment. We conclude by defining an expanded the scope of CME as inclusive of not only patients, families, physicians, and other health professionals but other humans, non-humans, and their shared environment. We then apply this scope and theory to a widely used framework for applying CME, the Four Topics model, to construct a climate conscious approach to CME. (shrink)

New technologies regularly bring about profound changes in our daily lives. Romantic relationships are no exception to these transformations. Some philosophers expect the emergence in the near future of love drugs: a theoretically achievable biotechnological intervention that could be designed to strengthen and maintain love in romantic relationships. We investigated laypeople’s resistance to the use of such technologies and its sources. Across two studies (Study 1, French and Peruvian university students, N after exclusion = 186; Study 2, Amazon Mechanical Turk (...) sample, N after exclusion = 693, pre-registered), we found that the use of love drugs designed to strengthen and maintain love in romantic relationships are considered as more morally problematic than psychological therapy with the same aim. In Study 2, we show that this last effect is partially due to the fact that the love resulting from the use of love drugs is perceived as less authentic, intense, and durable. We discuss the specific role of authenticity in the relative moral disapproval of love drugs. (shrink)

Marshall et al. (2024) identify a potential ethical conflict between the principles of beneficence and respect for patient autonomy when patients refuse to remain in an emergency department (ED) fo...

Marshall and colleagues (2024) bring to broader academic and public attention a genuine and difficult dilemma to which emergency physicians are confronted with. The dilemma could be summarized as:r...

Of all the five senses losing sight is the one that individuals fear the most. Worldwide blindness has afflicted tens of millions of people each year. Historically, this has inspired researchers an...

Marshall and colleagues (2024) contribute to the literature on autonomy and decision-making capacity by focusing on the case of individuals with opioid use disorder who refuse to remain in the hosp...