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Alberto Giubilini [40]A. Giubilini [3]
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Alberto Giubilini
Charles Sturt University
  1.  1
    The Ethics of Vaccination.Alberto Giubilini - 2019 - Springer Verlag.
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  2. After-Birth Abortion: Why Should the Baby Live?A. Giubilini & F. Minerva - 2013 - Journal of Medical Ethics 39 (5):261-263.
    Abortion is largely accepted even for reasons that do not have anything to do with the fetus' health. By showing that (1) both fetuses and newborns do not have the same moral status as actual persons, (2) the fact that both are potential persons is morally irrelevant and (3) adoption is not always in the best interest of actual people, the authors argue that what we call ‘after-birth abortion’ (killing a newborn) should be permissible in all the cases where abortion (...)
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  3. The Paradox of Conscientious Objection and the Anemic Concept of 'Conscience': Downplaying the Role of Moral Integrity in Health Care.Alberto Giubilini - 2014 - Kennedy Institute of Ethics Journal 24 (2):159-185.
    Conscientious objection in health care is a form of compromise whereby health care practitioners can refuse to take part in safe, legal, and beneficial medical procedures to which they have a moral opposition (for instance abortion). Arguments in defense of conscientious objection in medicine are usually based on the value of respect for the moral integrity of practitioners. I will show that philosophical arguments in defense of conscientious objection based on respect for such moral integrity are extremely weak and, if (...)
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  4.  55
    The Artificial Moral Advisor. The “Ideal Observer” Meets Artificial Intelligence.Alberto Giubilini & Julian Savulescu - 2018 - Philosophy and Technology 31 (2):169-188.
    We describe a form of moral artificial intelligence that could be used to improve human moral decision-making. We call it the “artificial moral advisor”. The AMA would implement a quasi-relativistic version of the “ideal observer” famously described by Roderick Firth. We describe similarities and differences between the AMA and Firth’s ideal observer. Like Firth’s ideal observer, the AMA is disinterested, dispassionate, and consistent in its judgments. Unlike Firth’s observer, the AMA is non-absolutist, because it would take into account the human (...)
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  5.  2
    Exploring Models for an International Legal Agreement on the Global Antimicrobial Commons: Lessons from Climate Agreements.Susan Rogers Van Katwyk, Alberto Giubilini, Claas Kirchhelle, Isaac Weldon, Mark Harrison, Angela McLean, Julian Savulescu & Steven J. Hoffman - forthcoming - Health Care Analysis:1-22.
    An international legal agreement governing the global antimicrobial commons would represent the strongest commitment mechanism for achieving collective action on antimicrobial resistance. Since AMR has important similarities to climate change—both are common pool resource challenges that require massive, long-term political commitments—the first article in this special issue draws lessons from various climate agreements that could be applicable for developing a grand bargain on AMR. We consider the similarities and differences between the Paris Climate Agreement and current governance structures for AMR, (...)
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  6.  67
    What in the World Is Moral Disgust?Alberto Giubilini - 2016 - Australasian Journal of Philosophy 94 (2):227-242.
    I argue that much philosophical discussion of moral disgust suffers from two ambiguities: first, it is not clear whether arguments for the moral authority of disgust apply to disgust as a consequence of moral evaluations or instead to disgust as a moralizing emotion; second, it is not clear whether the word ‘moral’ is used in a normative or in a descriptive sense. This lack of clarity generates confusion between ‘fittingness’ and ‘appropriateness’ of disgust. I formulate three conditions that arguments for (...)
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  7.  50
    What in the World Is Collective Responsibility?Alberto Giubilini & Neil Levy - 2018 - Dialectica 72 (2):191-217.
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  8. Impartiality and Infectious Disease: Prioritizing Individuals Versus the Collective in Antibiotic Prescription.Bernadine Dao, Thomas Douglas, Alberto Giubilini, Julian Savulescu, Michael Selgelid & Nadira S. Faber - 2019 - Ajob Empirical Bioethics 10 (1):63-69.
    Antimicrobial resistance (AMR) is a global public health disaster driven largely by antibiotic use in human health care. Doctors considering whether to prescribe antibiotics face an ethical conflict between upholding individual patient health and advancing public health aims. Existing literature mainly examines whether patients awaiting consultations desire or expect to receive antibiotic prescriptions, but does not report views of the wider public regarding conditions under which doctors should prescribe antibiotics. It also does not explore the ethical significance of public views (...)
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  9. Why and How to Compensate Living Organ Donors: Ethical Implications of the New Australian Scheme.Alberto Giubilini - 2015 - Bioethics 29 (4):283-290.
    The Australian Federal Government has announced a two-year trial scheme to compensate living organ donors. The compensation will be the equivalent of six weeks paid leave at the rate of the national minimum wage. In this article I analyse the ethics of compensating living organ donors taking the Australian scheme as a reference point. Considering the long waiting lists for organ transplantations and the related costs on the healthcare system of treating patients waiting for an organ, the 1.3 million AUD (...)
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  10. Conscientious Objection to Vaccination.Steve Clarke, Alberto Giubilini & Mary Jean Walker - 2017 - Bioethics 31 (3):155-161.
    Vaccine refusal occurs for a variety of reasons. In this article we examine vaccine refusals that are made on conscientious grounds; that is, for religious, moral, or philosophical reasons. We focus on two questions: first, whether people should be entitled to conscientiously object to vaccination against contagious diseases ; second, if so, to what constraints or requirements should conscientious objection to vaccination be subject. To address these questions, we consider an analogy between CO to vaccination and CO to military service. (...)
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  11. The Ethics of Human Enhancement.Alberto Giubilini & Sagar Sanyal - 2015 - Philosophy Compass 10 (4):233-243.
    Ethical debate surrounding human enhancement, especially by biotechnological means, has burgeoned since the turn of the century. Issues discussed include whether specific types of enhancement are permissible or even obligatory, whether they are likely to produce a net good for individuals and for society, and whether there is something intrinsically wrong in playing God with human nature. We characterize the main camps on the issue, identifying three main positions: permissive, restrictive and conservative positions. We present the major sub-debates and lines (...)
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  12. Abortion and the Argument From Potential: What We Owe to the Ones Who Might Exist.A. Giubilini - 2012 - Journal of Medicine and Philosophy 37 (1):49-59.
    Next SectionI challenge the idea that the argument from potential (AFP) represents a valid moral objection to abortion. I consider the form of AFP that was defended by Hare, which holds that abortion is against the interests of the potential person who is prevented from existing. My reply is that AFP, though not unsound by itself, does not apply to the issue of abortion. The reason is that AFP only works in the cases of so-called same number and same people (...)
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  13.  14
    Enhancing Equality.Alberto Giubilini & Francesca Minerva - 2019 - Journal of Medicine and Philosophy 44 (3):335-354.
    The range of opportunities people enjoy in life largely depends on social, biological, and genetic factors for which individuals are not responsible. Philosophical debates about equality of opportunities have focussed mainly on addressing social determinants of inequalities. However, the introduction of human bioenhancement should make us reconsider what our commitment to equality entails. We propose a way of improving morally relevant equality that is centred on what we consider a fair distribution of bioenhancements. In the first part, we identify three (...)
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  14.  19
    Normality, Therapy, and Enhancement.Alberto Giubilini - 2015 - Cambridge Quarterly of Healthcare Ethics 24 (3):347-354.
  15.  34
    Objection to Conscience: An Argument Against Conscience Exemptions in Healthcare.Alberto Giubilini - 2017 - Bioethics 31 (4):400-408.
    I argue that appeals to conscience do not constitute reasons for granting healthcare professionals exemptions from providing services they consider immoral. My argument is based on a comparison between a type of objection that many people think should be granted, i.e. to abortion, and one that most people think should not be granted, i.e. to antibiotics. I argue that there is no principled reason in favour of conscientious objection qua conscientious that allows to treat these two cases differently. Therefore, I (...)
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  16. Don't Mind the Gap: Intuitions, Emotions, and Reasons in the Enhancement Debate.Alberto Giubilini - 2015 - Hastings Center Report 45 (5):39-47.
    Reliance on intuitive and emotive responses is widespread across many areas of bioethics, and the current debate on biotechnological human enhancement is particularly interesting in this respect. A strand of “bioconservatives” that has explicitly drawn connections to the modern conservative tradition, dating back to Edmund Burke, appeals explicitly to the alleged wisdom of our intuitions and emotions to ground opposition to some biotechnologies or their uses. So-called bioliberals, those who in principle do not oppose human bioenhancement, tend to rely on (...)
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  17. Euthanasia.Alberto Giubilini - 2013 - International Journal of Applied Philosophy 27 (1):35-46.
    The current impasse in the old debate about the morality of euthanasia is mainly due to the fact that the actual source of conflict has not been properly identified—or so I shall argue. I will first analyse the two different issues involved in the debate, which are sometimes confusingly mixed up, namely: (a) what is euthanasia?, and (b) why is euthanasia morally problematic? Considering documents by physicians, philosophers and the Roman Catholic Church, I will show that (a) ‘euthanasia’ is defined (...)
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  18.  42
    Quarantine, Isolation and the Duty of Easy Rescue in Public Health.Alberto Giubilini, Thomas Douglas, Hannah Maslen & Julian Savulescu - 2018 - Developing World Bioethics 18 (2):182-189.
    We address the issue of whether, why and under what conditions, quarantine and isolation are morally justified, with a particular focus on measures implemented in the developing world. We argue that the benefits of quarantine and isolation justify some level of coercion or compulsion by the state, but that the state should be able to provide the strongest justification possible for implementing such measures. While a constrained form of consequentialism might provide a justification for such public health interventions, we argue (...)
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  19.  36
    Guest Editorial: Conscientious Objection in Healthcare: Problems and Perspectives.Alberto Giubilini & Julian Savulescu - 2017 - Cambridge Quarterly of Healthcare Ethics 26 (1):3-5.
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  20.  34
    Taxing Meat: Taking Responsibility for One’s Contribution to Antibiotic Resistance.Hannah Maslen, Julian Savulescu, Thomas Douglas, Patrick Birkl & Alberto Giubilini - 2017 - Journal of Agricultural and Environmental Ethics 30 (2):179-198.
    Antibiotic use in animal farming is one of the main drivers of antibiotic resistance both in animals and in humans. In this paper we propose that one feasible and fair way to address this problem is to tax animal products obtained with the use of antibiotics. We argue that such tax is supported both by deontological arguments, which are based on the duty individuals have to compensate society for the antibiotic resistance to which they are contributing through consumption of animal (...)
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  21.  24
    Antibiotic Resistance as a Tragedy of the Commons: An Ethical Argument for a Tax on Antibiotic Use in Humans.Alberto Giubilini - 2019 - Bioethics 33 (7):776-784.
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  22.  9
    Defending After-Birth Abortion: Responses to Some Critics.Alberto Giubilini & Francesca Minerva - 2012 - Monash Bioethics Review 30 (2):49-61.
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  23. The Ethics of Human Enhancement: Understanding the Debate.Steve Clarke, Julian Savulescu, C. A. J. Coady, Alberto Giubilini & Sagar Sanyal (eds.) - 2016 - Oxford University Press.
    An international team of ethicists refresh the debate about human enhancement by examining whether resistance to the use of technology to enhance our mental and physical capabilities can be supported by articulated philosophical reasoning, or explained away, e.g. in terms of psychological influences on moral reasoning.
     
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  24.  9
    Nudging Immunity: The Case for Vaccinating Children in School and Day Care by Default.Alberto Giubilini, Lucius Caviola, Hannah Maslen, Thomas Douglas, Anne-Marie Nussberger, Nadira Faber, Samantha Vanderslott, Sarah Loving, Mark Harrison & Julian Savulescu - 2019 - HEC Forum 31 (4):325-344.
    Many parents are hesitant about, or face motivational barriers to, vaccinating their children. In this paper, we propose a type of vaccination policy that could be implemented either in addition to coercive vaccination or as an alternative to it in order to increase paediatric vaccination uptake in a non-coercive way. We propose the use of vaccination nudges that exploit the very same decision biases that often undermine vaccination uptake. In particular, we propose a policy under which children would be vaccinated (...)
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  25.  20
    Clarifications on the Moral Status of Newborns and the Normative Implications.A. Giubilini & F. Minerva - 2013 - Journal of Medical Ethics 39 (5):264-265.
    In this paper we clarify some issues related to our previous article ‘After-birth abortion: why should the baby live?’.
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  26.  7
    Vaccination, Risks, and Freedom: The Seat Belt Analogy.Alberto Giubilini & Julian Savulescu - forthcoming - Public Health Ethics:phz014.
    We argue that, from the point of view public health ethics, vaccination is significantly analogous to seat belt use in motor vehicles and that coercive vaccination policies are ethically justified for the same reasons why coercive seat belt laws are ethically justified. We start by taking seriously the small risk of vaccines’ side effects and the fact that such risks might need to be coercively imposed on individuals. If millions of individuals are vaccinated, even a very small risk of serious (...)
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  27.  12
    Conscientious Objection and Medical Tribunals.Alberto Giubilini - 2016 - Journal of Medical Ethics 42 (2):78-79.
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  28.  15
    Demandingness and Public Health Ethics.Julian Savulescu & Alberto Giubilini - 2019 - Moral Philosophy and Politics 6 (1):65-87.
    Public health policies often require individuals to make personal sacrifices for the sake of protecting other individuals or the community at large. Such requirements can be more or less demanding for individuals. This paper examines the implications of demandingness for public health ethics and policy. It focuses on three possible public health policies that pose requirements that are differently demanding: vaccination policies, policy to contain antimicrobial resistance, and quarantine and isolation policies. Assuming the validity of the ‘demandingness objection’ in ethics, (...)
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  29. Stop Wishing. Start Doing!Alberto Giubilini - 2015 - American Journal of Bioethics Neuroscience 6 (1):29-31.
  30.  22
    Harms to Vendors: We Should Discourage, Not Prohibit Organ Sales.Alberto Giubilini - 2014 - American Journal of Bioethics 14 (10):25-27.
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  31.  26
    Reasons and Freedom.Alberto Giubilini & Francesca Minerva - 2013 - Hastings Center Report 43 (1):4-5.
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  32.  1
    Governing the Global Antimicrobial Commons: Introduction to Special Issue.Steven J. Hoffman, Julian Savulescu, Alberto Giubilini, Claas Kirchhelle, Susan Rogers Van Katwyk, Isaac Weldon, Brooke Campus, Mark Harrison, Hannah Maslen & Angela McLean - forthcoming - Health Care Analysis:1-8.
    Antimicrobial resistance is one of the greatest public health crises of our time. The natural biological process that causes microbes to become resistant to antimicrobial drugs presents a complex social challenge requiring more effective and sustainable management of the global antimicrobial commons—the common pool of effective antimicrobials. This special issue of Health Care Analysis explores the potential of two legal approaches—one long-term and one short-term—for managing the antimicrobial commons. The first article explores the lessons for antimicrobial resistance that can be (...)
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  33.  1
    Making Use of Existing International Legal Mechanisms to Manage the Global Antimicrobial Commons: Identifying Legal Hooks and Institutional Mandates.Susan Rogers Van Katwyk, Isaac Weldon, Alberto Giubilini, Claas Kirchhelle, Mark Harrison, Angela McLean, Julian Savulescu & Steven J. Hoffman - forthcoming - Health Care Analysis:1-16.
    Antimicrobial resistance is an urgent threat to global public health and development. Mitigating this threat requires substantial short-term action on key AMR priorities. While international legal agreements are the strongest mechanism for ensuring collaboration among countries, negotiating new international agreements can be a slow process. In the second article in this special issue, we consider whether harnessing existing international legal agreements offers an opportunity to increase collective action on AMR goals in the short-term. We highlight ten AMR priorities and several (...)
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  34.  27
    Influenza Vaccination Strategies Should Target Children.Ben Bambery, Thomas Douglas, Michael J. Selgelid, Hannah Maslen, Alberto Giubilini, Andrew J. Pollard & Julian Savulescu - 2018 - Public Health Ethics 11 (2):221-234.
    Strategies to increase influenza vaccination rates have typically targeted healthcare professionals and individuals in various high-risk groups such as the elderly. We argue that they should focus on increasing vaccination rates in children. Because children suffer higher influenza incidence rates than any other demographic group, and are major drivers of seasonal influenza epidemics, we argue that influenza vaccination strategies that serve to increase uptake rates in children are likely to be more effective in reducing influenza-related morbidity and mortality than those (...)
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  35.  11
    Regulating Genome Editing: For an Enlightened Democratic Governance.Giulia Cavaliere, Katrien Devolder & Alberto Giubilini - 2019 - Cambridge Quarterly of Healthcare Ethics 28 (1):76-88.
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  36.  20
    The Moral Obligation to Be Vaccinated: Utilitarianism, Contractualism, and Collective Easy Rescue.Alberto Giubilini, Thomas Douglas & Julian Savulescu - 2018 - Medicine, Health Care and Philosophy 21 (4):547-560.
    We argue that individuals who have access to vaccines and for whom vaccination is not medically contraindicated have a moral obligation to contribute to the realisation of herd immunity by being vaccinated. Contrary to what some have claimed, we argue that this individual moral obligation exists in spite of the fact that each individual vaccination does not significantly affect vaccination coverage rates and therefore does not significantly contribute to herd immunity. Establishing the existence of a moral obligation to be vaccinated (...)
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  37.  22
    From Assistive to Enhancing Technology: Should the Treatment-Enhancement Distinction Apply to Future Assistive and Augmenting Technologies?Francesca Minerva & Alberto Giubilini - 2017 - Journal of Medical Ethics:medethics-2016-104014.
    The treatment-enhancement distinction is often used to delineate acceptable and unacceptable medical interventions. It is likely that future assistive and augmenting technologies will also soon develop to a level that they might be considered to provide users, in particular those with disabilities, with abilities that go beyond natural human limits, and become in effect an enhancing technology. In this paper, we describe how this process might take place, and discuss the moral implications of such developments. We argue that such developments (...)
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  38.  2
    An Argument for Compulsory Vaccination: The Taxation Analogy.Alberto Giubilini - forthcoming - Journal of Applied Philosophy.
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  39.  40
    Normality, Therapy, and Enhancement - What Should Bioconservatives Say About the Medicalization of Love?Alberto Giubilini - 2015 - Cambridge Quarterly of Healthcare Ethics 24 (3):347-354.
    According to human enhancement advocates, it is morally permissible (and sometimes obligatory) to use biomedical means to modulate or select certain biological traits in order to increase people’s welfare, even when there is no pathology to be treated or prevented. Some authors have recently proposed to extend the use of biomedical means to modulate lust, attraction, and attachment. I focus on some conceptual implications of this proposal, particularly with regard to bioconservatives’ understanding of the notions of therapy and enhancement I (...)
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  40.  20
    Antimicrobial Resistance and Antimicrobial Stewardship Programmes: Benefiting the Patient or the Population?Alberto Giubilini - 2017 - Journal of Medical Ethics 43 (10):653-654.
    Antimicrobial resistance kills people. According to a recent estimate, ‘7 00 000 people die of resistant infections every year’, and ‘by 2050 10 million lives a year are at risk due to drug resistant infections, as are 100 trillion USD of economic output’.1 Today, ‘bacteria are resistant to nearly all antibiotics that were earlier active against them’.2 For all these reasons, antimicrobial resistance is considered a ‘slowly emerging disaster’3 and a ‘global health security issue’.4 The prospect we are facing is (...)
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  41.  11
    Stop Wishing. Start Doing!: Motivational Enhancement Is Already in Use.Alberto Giubilini & Steve Clarke - 2015 - American Journal of Bioethics Neuroscience 6 (1):29-31.
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  42.  7
    Teaching and Learning Guide For: The Ethics of Human Enhancement.Alberto Giubilini - 2015 - Philosophy Compass 10 (6):424-426.
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  43. The Ethics of Human Enhancement: Understanding the Debate.Steve Clarke, Julian Savulescu, Tony Coady, Alberto Giubilini & Sagar Sanyal (eds.) - 2016 - Oxford University Press UK.
    We humans can enhance some of our mental and physical abilities above the normal upper limits for our species with the use of particular drug therapies and medical procedures. We will be able to enhance many more of our abilities in more ways in the near future. Some commentators have welcomed the prospect of wide use of human enhancement technologies, while others have viewed it with alarm, and have made clear that they find human enhancement morally objectionable. The Ethics of (...)
     
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