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Alberto Giubilini
Charles Sturt University
  1. 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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  2.  9
    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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  3.  36
    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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  4.  54
    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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  5.  83
    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.
  6.  41
    What in the World Is Collective Responsibility?Alberto Giubilini & Neil Levy - 2018 - Dialectica 72 (2):191-217.
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  7. 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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  8.  11
    Antibiotic Resistance as a Tragedy of the Commons: An Ethical Argument for a Tax on Antibiotic Use in Humans.Alberto Giubilini - forthcoming - Bioethics.
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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14.  17
    Normality, Therapy, and Enhancement.Alberto Giubilini - 2015 - Cambridge Quarterly of Healthcare Ethics 24 (3):347-354.
  15.  28
    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.  6
    Defending After-Birth Abortion.Alberto Giubilini & Francesca Minerva - 2012 - Monash Bioethics Review 30 (2):49-61.
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  17.  4
    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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  18.  9
    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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  19. Stop Wishing. Start Doing!Alberto Giubilini - 2015 - American Journal of Bioethics Neuroscience 6 (1):29-31.
  20.  12
    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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  21.  32
    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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  22.  20
    Reasons and Freedom.Alberto Giubilini & Francesca Minerva - 2013 - Hastings Center Report 43 (1):4-5.
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  23.  20
    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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  24.  21
    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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  25.  28
    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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  26.  17
    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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  27.  16
    From Assistive to Enhancing Technology: Should the Treatment-Enhancement Distinction Apply to Future Assistive and Augmenting Technologies?Francesca Minerva & Alberto Giubilini - forthcoming - 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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  28.  10
    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.
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  29.  35
    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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  30.  8
    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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  31.  11
    Conscientious Objection and Medical Tribunals.Alberto Giubilini - 2016 - Journal of Medical Ethics 42 (2):78-79.
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  32.  4
    Teaching and Learning Guide For: The Ethics of Human Enhancement.Alberto Giubilini - 2015 - Philosophy Compass 10 (6):424-426.
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  33. 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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