Applied Ethics

Edited by Ezio Di Nucci (University of Copenhagen)
Assistant editor: Heather Stewart (University of Western Ontario)
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  1. casistica.Sergio Volodia Marcello Cremaschi - 1996 - In Virgilio Melchiorre (ed.), Enciclopedia della Filosofia e delle Scienze Umane. Novara, Italy: DeAgostini. pp. 144-145.
    A short reconstruction of the method of casuistry in Medieval and early Modern moral theology.
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  2. Adaptation and Validation of a Test of Ethical Sensitivity in Teaching.Bruce Maxwell, Helen Boon, Nicolas Tanchuk & Bryan Rauwerda - forthcoming - Journal of Moral Education:1-26.
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  3. Justice, Migration & Mercy. Michael Blake, 2020, Oxford, Oxford University Press, Ix+266 £22.99.Daniel Sharp - forthcoming - Journal of Applied Philosophy.
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  4. Emergency Declarations for Public Health Issues: Expanding Our Definition of Emergency.Gregory Sunshine, Nancy Barrera, Aubrey Joy Corcoran & Matthew Penn - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):95-99.
    Emergency declarations are a vital legal authority that can activate funds, personnel, and material and change the legal landscape to aid in the response to a public health threat. Traditionally, declarations have been used against immediate and unforeseen threats such as hurricanes, tornadoes, wildfires, and pandemic influenza. Recently, however, states have used emergency declarations to address public health issues that have existed in communities for months and years and have risk factors such as poverty and substance misuse. Leaders in these (...)
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  5. Legal and Policy Responses to Vaccine-Preventable Disease Outbreaks.Leila Barraza, Dorit Reiss & Patricia Freeman - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):11-14.
    Laws and policies are vital tools in preventing outbreaks and limiting the further spread of disease, but they can vary in content and implementation. This manuscript provides insight into challenges in responding to recent vaccine-preventable disease outbreaks by examining legislative changes in California, policy changes on certain university campuses, and the laws implicated in a measles outbreak in Minnesota.
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  6. Responding to Public Health Emergencies at the Local Level: Administrative Preparedness Challenges, Strategies, and Resources.Geoffrey Seta Mwaungulu & Katherine Schemm Dwyer - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):72-75.
    This manuscript summarizes the most common barriers to effective administrative preparedness and how to surmount them through the use of promising practices, strategies, and NACCHO developed resources focused on addressing unique jurisdictional requirements and needs.
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  7. Civil Rights Law and the Determinants of Health: How Some States Have Utilized Civil Rights Laws to Increase Protections Against Discrimination.Dawn Pepin & Samantha Bent Weber - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):76-79.
    One fundamental barrier to eliminating health disparities, particularly with regard to the determinants of health, is the persistence of discrimination. Civil rights law is the primary legal mechanism used to address discrimination. Federal civil rights laws have been the subject of wider analyses as a determinant of health as well as a tool to address health disparities. The research on state civil rights laws, while more limited, is growing. This article will highlight a few examples of how some states are (...)
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  8. Building the Legal Capacity of the Public Health Workforce: Introducing the Public Health Law Academy.Montrece McNeill Ransom, Rebecca Johnson, Marice Ashe, Matthew Penn, F. Abigail Ferrell & Kelsey Baffour - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):80-82.
    Knowledge of the law and its impact on health outcomes is increasingly important in public health practice. The CDC's Public Health Law Academy helps satisfy this need by providing online trainings, facilitator toolkits, and legal epidemiology tools to aid practitioners in learning about the law's role in promoting public health.
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  9. New Liver Allocation Policy: Flawed Moral and Empirical Foundations.Prabhakar Baliga & Robert M. Sade - 2019 - Journal of Law, Medicine and Ethics 47 (2):320-322.
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  10. The Role of Advocacy in Public Health Law.Micah L. Berman, Elizabeth Tobin-Tyler & Wendy E. Parmet - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):15-18.
    This article discusses how advocacy can be taught to both law and public health students, as well as the role that public health law faculty can play in advocating for public health. Despite the central role that advocacy plans in translating public health research into law, policy advocacy skills are rarely explicitly taught in either law schools or schools of public health, leaving those engaged in public health practice unclear about whether and how to advocate for effective policies. The article (...)
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  11. Food Waste: Addressing Our 160 Billion Pound Public Health Challenge with Policy and Business Interventions.Mathew Swinburne & Katie Sandson - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):100-103.
    The United States wastes approximately 40% of its food supply. This article will examine the implications of this waste for food insecurity and climate change. It will also explore how the law and social entrepreneurship can be used to confront this public health challenge.
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  12. Public Health Surveillance: Electronic Reporting as a Point of Reference.Jennifer Black, Rachel Hulkower, Walter Suarez, Shreya Patel & Brandon Elliott - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):19-22.
    Federal, state, and local laws shape the use of health information for public health purposes, such as the mandated collection of data through electronic disease reporting systems. Health professionals can leverage these data to better anticipate and plan for the needs of communities, which is seen in the use of electronic case reporting.
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  13. Implementing Regulatory Broad Consent Under the Revised Common Rule: Clarifying Key Points and the Need for Evidence.Holly Fernandez Lynch, Leslie E. Wolf & Mark Barnes - 2019 - Journal of Law, Medicine and Ethics 47 (2):213-231.
    The revised Common Rule includes a new option for the conduct of secondary research with identifiable data and biospecimens: regulatory broad consent. Motivated by concerns regarding autonomy and trust in the research enterprise, regulators had initially proposed broad consent in a manner that would have rendered it the exclusive approach to secondary research with all biospecimens, regardless of identifiability. Based on public comments from both researchers and patients concerned that this approach would hinder important medical advances, however, regulators decided to (...)
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  14. Appraising Harm in Phase I Trials: Healthy Volunteers' Accounts of Adverse Events.Lisa McManus, Arlene Davis, Rebecca L. Forcier & Jill A. Fisher - 2019 - Journal of Law, Medicine and Ethics 47 (2):323-333.
    While risk of harm is an important focus for whether clinical research on humans can and should proceed, there is uncertainty about what constitutes harm to a trial participant. In Phase I trials on healthy volunteers, the purpose of the research is to document and measure safety concerns associated with investigational drugs, and participants are financially compensated for their enrollment in these studies. In this article, we investigate how characterizations of harm are narrated by healthy volunteers in the context of (...)
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  15. Putting Local All-Ages Bicycle Helmet Ordinances in Context.Alison Bateman-House & Kathleen Bachynski - 2019 - Journal of Law, Medicine and Ethics 47 (2):291-293.
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  16. Public Health Data Collection and Implementation of the Revised Common Rule.Lisa M. Lee - 2019 - Journal of Law, Medicine and Ethics 47 (2):232-237.
    For the first time, the revised Common Rule specifies that public health surveillance activities are not research. This article reviews the historical development of the public health surveillance exclusion and implications for other foundational public health practices.
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  17. Learning Health Systems and the Revised Common Rule.Joshua A. Rolnick - 2019 - Journal of Law, Medicine and Ethics 47 (2):238-246.
    Quality improvement is an important function of learning health systems, and public policy should promote QI activities. Use of systematic methodologies in QI has prompted substantial confusion regarding when QI is human subjects research under the Common Rule, and this confusion persists with the revised Rule. Difficulty distinguishing research from QI imposes costs on the quality improvement process. I offer guidance to IRBs to mitigate these costs and suggest a new regulatory exclusion for minimal risk quality improvement activities.
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  18. Underestimation of Harms in Phase I Trials.Karolina Strzebonska & Marcin Waligora - 2019 - Journal of Law, Medicine and Ethics 47 (2):334-335.
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  19. Striving for Health Equity Through Medical, Public Health, and Legal Collaboration.Joel B. Teitelbaum, Joanna Theiss & Colleen Healy Boufides - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):104-107.
    This article discusses the ways in which law functions as a determinant of health, historical collaborations between the health and legal professions, the benefits of creating medical-public health-legal collaborations, and how viewing law through a collaborative, population health lens can lead to health equity.
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  20. Broadband Access as a Public Health Issue: The Role of Law in Expanding Broadband Access and Connecting Underserved Communities for Better Health Outcomes.Brittney Crock Bauerly, Russell F. McCord, Rachel Hulkower & Dawn Pepin - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):39-42.
    Broadband internet access is a super-determinant of health that plays an important role in healthcare and public health outcomes. Laws and policies shape implementation and use of broadband for healthcare and public health. Connecting broadband and telehealth laws with their health impacts, through legal epidemiological research, enables states to make evidence-based decisions to improve health outcomes for underserved populations.
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  21. Introduction.Carl H. Coleman - 2019 - Journal of Law, Medicine and Ethics 47 (2):189-193.
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  22. Emerging Public Health Law and Policy Issues Concerning State Medical Cannabis Programs.William C. Tilburg, James G. Hodge & Camille Gourdet - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):108-111.
    Thirty-four states, the District of Columbia, and Puerto Rico have legalized medical cannabis. While no two state medical cannabis programs are alike, public health concerns related to advertising, packaging and labeling, pesticide use, scientific research, and the role of medical cannabis in the opioid crisis are emerging across the country. This article examines these issues, the policy approaches states are adopting to protect patients and the public, and an assessment of the underlying federal legal landscape.
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  23. State Approaches to Addressing the Overdose Epidemic: Public Health Focus Needed.Corey Davis, Traci Green, Lindsay LaSalle & Leo Beletsky - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):43-46.
    States have implemented a variety of legal and policy approaches to address the overdose epidemic. Some approaches, like increasing access to naloxone and connecting overdose survivors with evidence-based treatment, have a strong public health foundation and a compelling evidence base. Others, like increasing reliance on punitive criminal justice approaches, have neither. This article examines law and policy changes that are likely to be effective in reducing overdose-related harm as well as those that are likely to increase it.
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  24. Health Equity, School Discipline Reform, and Restorative Justice.Thalia González, Alexis Etow & Cesar De La Vega - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):47-50.
    Every day, students from marginalized communities disproportionately face adversity and trauma. It is well documented that exposure to adverse childhood experiences can impact children's ability to focus, learn, and even regulate their emotions. Many schools, rather than providing multi-tiered systems of support to address the root causes of behavior, place these students at greater risk of experiencing health disparities through the use of exclusionary school discipline practices. ESDs not only deny students important educational opportunities, but also can compound existing social, (...)
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  25. Public Health and the Four P's of Marketing: Alcohol as a Fundamental Example.Cassandra Greisen, Elyse R. Grossman, Michael Siegel & Mellissa Sager - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):51-54.
    This article examines how public health addresses alcohol use through marketing — place, product, promotion, and price. The article reviews current product trends and how restrictions on certain products designs may reduce youth consumption; how product availability may be restricted through zoning; and the current advertising landscape.
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  26. Letter From The Editor.Courtney McClellan - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):1-1.
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  27. Learning From the Flint Water Crisis: Restoring and Improving Public Health Practice, Accountability, and Trust.Colleen Healy Boufides, Lance Gable & Peter D. Jacobson - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):23-26.
    The Flint water crisis demonstrates the importance of adequate legal preparedness in dealing with complicated legal arrangements and multiple statutory responsibilities. It also demonstrates the need for alternative accountability measures when public officials fail to protect the public's health and explores mechanisms for restoring community trust in governmental public health.
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  28. Healthy Spaces: Legal Tools, Innovations, and Partnerships.Rita-Marie A. Brady, Joanna L. Stettner & Liz York - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):27-30.
    This article explores innovative legal tools in built environment settings. Using tangible examples, the discussion will leverage the authors' expertise in the law, public health, and architecture to explore strategies in domestic and international settings to explain how healthy spaces make a direct public health impact on people's lives.
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  29. Public Health Law Strategies for Suicide Prevention Using the Socioecological Model.Catherine Cerulli, Amy Winterfeld, Monica Younger & Jill Krueger - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):31-35.
    Suicide is a public health problem which will require an integrated cross-sector approach to help reduce prevalence rates. One strategy is to include the legal system in a more integrated way with suicide prevention efforts. Caine explored a public health approach to suicide prevention, depicting risk factors across the socio-ecological model. The purpose of this paper is to examine laws that impact suicide prevention at the individual, relational, community, and societal levels. These levels are fluid, and some interventions will fall (...)
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  30. A Public Health Approach to Gun Violence, Legally Speaking.Michael R. Ulrich - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):112-115.
    The call for a public health approach to gun violence has largely ignored what role the nascent Second Amendment jurisprudence will play in hindering change. Given the state interest for infringing on Second Amendment rights is nearly always public safety, public health law doctrine provides an apt framework for analysis.
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  31. Equity in Action: Operationalizing Processes in State Governance.Susan Weisman, Karen Ben-Moshe, Vayong Moua & Sarah Hernandez - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):116-120.
    This article takes a birds-eye view of equity in action, showcasing efforts to embed an equity lens in legislated and non-legislated policies and practices in three states. Authors from California, Colorado, and Minnesota provide state-specific examples of how equity has been advanced and operationalized in state-level governance. The article describes progress and lessons learned and offers guidance to others.
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  32. Opioid-Related Legislation in Kentucky and West Virginia: Assessing Policy Impact.Julia F. Costich & Dana Quesinberry - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):36-38.
    Kentucky and West Virginia are among the states most severely affected by opioid poisonings and deaths. The legislatures of both states have enacted a broad range of bills intended to address related issues. We present an overview of legislation enacted in 2017 and 2018, along with an approach to analysis of practitioner response to one type of legislation.
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  33. Public Health Law and Policy Implications: Justice Kavanaugh.James G. Hodge, Wendy E. Parmet, Georges Benjamin, Sarah Somers & Chelsea Gulinson - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):59-62.
    Following the confirmation of U.S. Supreme Court Justice Brett Kavanaugh in one of the most sensational jurisprudence events of the modern era, we examine potential repercussions across multiple themes in public health, law, and policy stemming from his ideology and the confirmation process.
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  34. The Reasonable Person Standard for Research Disclosure: A Reasonable Addition to the Common Rule.Rebecca Dresser - 2019 - Journal of Law, Medicine and Ethics 47 (2):194-202.
    The revised Common Rule adopts the reasonable person standard to guide research disclosure. Some members of the research community contend that the standard is confusing and ill-suited to the research oversight system. Yet the revised rule is not as radical as it might seem. During the 1970s, judges started using the standard to evaluate negligence claims brought by injured patients who said doctors had failed to obtain informed consent to the harmful procedures. In its influential Belmont Report, the National Commission (...)
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  35. Key Information in the New Common Rule: Can It Save Research Consent?Nancy M. P. King - 2019 - Journal of Law, Medicine and Ethics 47 (2):203-212.
    Informed consent in clinical research is widely regarded as broken, but essential nonetheless. The most recent attempt to reform it comes as part of the first revisions to the Common Rule since it became truly “common” in 1991. This change, the addition of a “key information” requirement for most consent forms, is intended to support and promote a reasoned decision-making process by potential subjects. The key information requirement is both promising and problematic. It is promising because it encourages clarity and (...)
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  36. Healthy People: The Role of Law and Policy in the Nation's Public Health Agenda.Angela K. McGowan, K. T. Kramer & Joel B. Teitelbaum - 2019 - Journal of Law, Medicine and Ethics 47 (2_suppl):63-67.
    Each decade since 1979, the Healthy People initiative establishes the national prevention agenda and provides the foundation for disease prevention and health promotion policies and programs. Law and policy have been included in Healthy People objectives from the start, but not integrated into the overall initiative as well as possible to potentially leverage change to meet Healthy People targets and goals. This article provides background on the Healthy People initiative and its use among various stakeholder groups, describes the work of (...)
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  37. Rethinking the Regulatory Triggers for Prospective Ethics Review.Carl H. Coleman - 2019 - Journal of Law, Medicine and Ethics 47 (2):247-253.
    Under the Common Rule, federally-supported activities involving human participants are presumptively required to undergo prospective ethics review if they are “designed to develop or contribute to generalizable knowledge.” However, the “generalizable knowledge” standard is inherently ambiguous; moreover, it is both over- and under-inclusive of the type of activities that warrant prospective ethical oversight. Rather than conditioning prospective ethics review on an ethically irrelevant criterion like the generalizable knowledge standard, this article proposes that prior ethics review should be required when some (...)
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  38. Geographic Location and Moral Arbitrariness in the Allocation of Donated Livers.Douglas MacKay & Samuel Fitz - 2019 - Journal of Law, Medicine and Ethics 47 (2):308-319.
    The federal system for allocating donated livers in the United States is often criticized for allowing geographic disparities in access to livers. Critics argue that such disparities are unfair on the grounds that where one lives is morally arbitrary and so should not influence one's access to donated livers. They argue instead that livers should be allocated in accordance with the equal opportunity principle, according to which US residents who are equally sick should have the same opportunity to receive a (...)
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  39. Regulatory Landscape of International Direct-to-Participant Genomic Research: Time to Untie the Gordian Knot?Mark A. Rothstein, Ma'N. H. Zawati & Bartha Maria Knoppers - 2019 - Journal of Law, Medicine and Ethics 47 (2):336-341.
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  40. Immunization Laws and Policies Among U.S. Institutes of Higher Education.Leila Barraza, James G. Hodge, Chelsea L. Gulinson, Drew Hensley & Michelle Castagne - 2019 - Journal of Law, Medicine and Ethics 47 (2):342-346.
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  41. Orphan Drug Designation and Exclusivity for “Same Drugs”.Phebe Hong, Ameet Sarpatwari & Aaron S. Kesselheim - 2019 - Journal of Law, Medicine and Ethics 47 (2):347-349.
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  42. Vexed Again: Social Scientists and the Revision of the Common Rule, 2011-2018.Zachary M. Schrag - 2019 - Journal of Law, Medicine and Ethics 47 (2):254-263.
    In revising the Federal Policy for the Protection of Human Subjects between 2009 and 2018, regulators devoted the vast bulk of their attention to debates over biomedical research. They lacked both expertise in and concern about the social sciences and humanities, yet they imposed their will on experts in those fields. The revision process was secretive, spasmodic, and unrepresentative, especially compared to rulemaking in Canada, where social scientists participate in the process, and revisions take place every few years. The result (...)
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  43. Requiring a Single IRB for Cooperative Research in the Revised Common Rule: What Lessons Can Be Learned From the UK and Elsewhere?Edward S. Dove - 2019 - Journal of Law, Medicine and Ethics 47 (2):264-282.
    This article argues in general support of the sIRB rule, but also draws on recent empirical research to highlight several residual weaknesses in the US regulatory structure for research ethics review, and suggests ways in which these weaknesses might be addressed in future regulatory reforms to improve upon the sIRB rule.
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  44. Local All-Age Bicycle Helmet Ordinances in the United States: A Review and Analysis.Molly Merrill-Francis, Jon S. Vernick & Keshia M. Pollack Porter - 2019 - Journal of Law, Medicine and Ethics 47 (2):283-291.
    Bicycle helmets protect against head injury. Mandatory helmet laws likely increase their use. Although 21 states and Washington, DC have mandatory helmet laws for youth bicyclists, no U.S. state has a mandatory helmet law that applies to all ages; however, some localities have all-age helmet laws for bicyclists. This study abstracted local helmet laws applicable to all-ages to examine their elements.
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  45. Nobody Puts Baby in the Container: The Foetal Container Model at Work in Medicine and Commercial Surrogacy.Teresa Baron - 2018 - Journal of Applied Philosophy 36 (3):491-505.
    This article argues that a particular metaphysical model permeates cultural practices surrounding pregnancy: the foetal container model. Widespread uncritical reliance on this view of pregnancy has been highly detrimental to women's liberty and reproductive autonomy. In this article, I extend existing critiques of the medical treatment of pregnant women to the context of the burgeoning commercial surrogacy industry. In doing so, I aim to show that our philosophical analysis in both spheres is constrained by the presupposition that the foetus and (...)
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  46. Denying Services to Prevent Regret.Mollie Gerver - 2019 - Journal of Applied Philosophy 36 (3):471-490.
    Sometimes the majority of individuals accepting a service regret their decision, and we can predict that future recipients will feel similarly. For example, a hospital might learn that the majority of patients regret accepting a given medical intervention, and a UN agency might learn that most refugees it has helped repatriate regret returning home. I argue that agents providing services that lead to likely regret have one pro tanto reason to discontinue their services, and this reason is weighty if the (...)
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