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D. Robert MacDougall
New York City College of Technology (CUNY)
  1.  37
    Ethical Dilemmas in Protecting Susceptible Subpopulations From Environmental Health Risks: Liberty, Utility, Fairness, and Accountability for Reasonableness.David B. Resnik, D. Robert MacDougall & Elise M. Smith - 2018 - American Journal of Bioethics 18 (3):29-41.
    Various U.S. laws, such as the Clean Air Act and the Food Quality Protection Act, require additional protections for susceptible subpopulations who face greater environmental health risks. The main ethical rationale for providing these protections is to ensure that environmental health risks are distributed fairly. In this article, we consider how several influential theories of justice deal with issues related to the distribution of environmental health risks; show that these theories often fail to provide specific guidance concerning policy choices; and (...)
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  2.  69
    Rawls and the Refusal of Medical Treatment to Children.D. Robert MacDougall - 2010 - Journal of Medicine and Philosophy 35 (2):130-153.
    That Jehovah's Witnesses cannot refuse life-saving blood transfusions on behalf of their children has acquired the status of virtual “consensus” among bioethicists. However strong the consensus may be on this matter, this article explores whether this view can be plausibly defended on liberal principles by examining it in light of one particularly well worked-out liberal political theory, that of Rawls. It concludes that because of the extremely high priority Rawls attributes to “freedom of conscience,” and the implication from the original (...)
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  3.  16
    Sometimes Merely as a Means: Why Kantian Philosophy Requires the Legalization of Kidney Sales.D. Robert MacDougall - 2019 - Journal of Medicine and Philosophy 44 (3):314-334.
    Several commentators have tried to ground legal prohibitions of kidney sales in some form of Kant’s moral arguments against such sales. This paper reconsiders this approach to justifying laws and policies in light of Kant’s approach to law in his political philosophy. The author argues that Kant’s political philosophy requires that kidney sales be legally permitted, although contracts for such sales must remain unenforceable. The author further argues that Kant’s approach to laws, such as those governing kidney distribution, was formed (...)
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  4. Physicians' Strikes and the Competing Bases of Physicians' Moral Obligations.D. Robert MacDougall - 2013 - Kennedy Institute of Ethics Journal 23 (3):249-274.
    During the last several decades, professional medicine has undergone profound changes in its organization. In particular, the growth of managed care organizations and publicly funded medicine has increasingly standardized physician working conditions and reimbursement. While it is sometimes disputed whether the profession of medicine is suffering reduced autonomy as a whole, there is little doubt that individual physicians are losing autonomy (Burdi and Baker 1999; Harrison and Schulz 1989; Iglehart 1992). As a result, physicians are increasingly attracted to various mechanisms (...)
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  5.  15
    The Ends of Medicine and the Experience of Patients.D. Robert MacDougall - 2020 - Journal of Medicine and Philosophy 45 (2):129-144.
    The ends of medicine are sometimes construed simply as promotion of health, treatment and prevention of disease, and alleviation of pain. Practitioners might agree that this simple formulation captures much of what medical practice is about. But while the ends of medicine may seem simple or even obvious, the essays in this issue demonstrate the wide variety of philosophical questions and issues associated with the ends of medicine. They raise questions about how to characterize terms like “health” and “disease”; whether (...)
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  6.  6
    Whistleblowing and the Bioethicist’s Public Obligations.D. Robert Macdougall - 2014 - Cambridge Quarterly of Healthcare Ethics 23 (4):431-442.
    Bioethicists are sometimes thought to have heightened obligations by virtue of the fact that their professional role addresses ethics or morals. For this reason it has been argued that bioethicists ought to “whistleblow”—that is, publicly expose the wrongful or potentially harmful activities of their employer—more often than do other kinds of employees. This article argues that bioethicists do indeed have a heightened obligation to whistleblow, but not because bioethicists have heightened moral obligations in general. Rather, the special duties of bioethicists (...)
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  7. Righting Health Policy: Bioethics, Political Philosophy, and the Normative Justification of Health Law and Policy.D. Robert Macdougall - 2022 - Lexington Books.
    In Righting Health Policy, MacDougall argues that bioethics has not developed the tools best suited for justifying health law and policy. Using Kant’s practical philosophy as an example, he explores the promise of political philosophy for making normatively justified recommendations about health law and policy.
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  8.  30
    Liberalism, authority, and bioethics commissions.D. Robert MacDougall - 2013 - Theoretical Medicine and Bioethics 34 (6):461-477.
    Bioethicists working on national ethics commissions frequently think of themselves as advisors to the government, but distance themselves from any claims to actual authority. Governments however may find it beneficial to appear to defer to the authority of these commissions when designing laws and policies, and might appoint such commissions for exactly this reason. Where does the authority for setting laws and policies come from? This question is best answered from within a normative political philosophy. This paper explains the locus (...)
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  9.  43
    Innovation and the Pharmaceutical Industry: Critical Reflections on the Virtues of Profit, edited by H. Tristram Engelhardt and Jeremy R. Garrett. Salem, MA: M & M Scrivener Press; 2008. 250 pp. $69.00. [REVIEW]D. Robert MacDougall - 2010 - Cambridge Quarterly of Healthcare Ethics 19 (2):264.
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  10.  5
    Must Consent Be Informed? Patient rights, state authority, and the moral basis of the physician's duties of disclosure.D. Robert MacDougall - 2021 - Kennedy Institute of Ethics Journal 31 (3):247-270.
  11.  13
    Unjust Outcomes and Unfair Process?D. Robert MacDougall, Elise M. Smith & David B. Resnik - 2018 - American Journal of Bioethics 18 (4):10-12.
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  12.  7
    Intervention principles in pediatric health care: the difference between physicians and the state.D. Robert MacDougall - 2019 - Theoretical Medicine and Bioethics 40 (4):279-297.
    According to various accounts, intervention in pediatric decisions is justified either by the best interests standard or by the harm principle. While these principles have various nuances that distinguish them from each other, they are similar in the sense that both focus primarily on the features of parental decisions that justify intervention, rather than on the competency or authority of the parties that intervene. Accounts of these principles effectively suggest that intervention in pediatric decision making is warranted for both physicians (...)
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  13.  11
    National Obesity Rates: A Legitimate Health Policy Endpoint?D. Robert MacDougall - 2013 - Hastings Center Report 43 (3):7-8.