10 found
Order:
  1.  17
    Manufacturing safer medics.Edwin Jesudason - 2022 - Journal of Medical Ethics 48 (10):680-681.
    How do we teach medical students to protect patients? My initial reaction to the question posed by Taylor and Goodwin was like first glimpsing ‘Jaws’: we’re going to need a bigger boat. The authors’ answer makes two important claims: first, that safety should be ethically sourced by better integration between teaching of safety and ethics; second, that teaching should encourage students to think about organisational failure rather than focusing on individual blame and personal responsibility to whistleblow.1 On the first, they (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  2.  15
    Aid in Dying Unaided?Edwin Jesudason - 2023 - American Journal of Bioethics 23 (9):38-40.
    Why would we prohibit people with disabilities from receiving the assistance needed to achieve similar goals as people without disabilities? On its face, this would seem to be a discriminatory appr...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  3.  30
    Ethical problems with kindness in healthcare.Edwin Jesudason - 2023 - Journal of Medical Ethics 49 (8):558-562.
    Kindness and its kindred concepts, compassion and empathy, are strongly valued in healthcare. But at the same time, health systems all too often treat people unfairly and cause harm. Is it possible that kindness actually contributes to these unkind outcomes? Here, I argue that, despite its attractive qualities, kindness can pose and perpetuate systemic problems in healthcare. By being discretionary, it can interfere with justice and non-maleficence. It can be problematic for autonomy too. Using the principalist lens allows us to (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  4.  21
    Fracking our humanity.Edwin Jesudason - 2023 - Journal of Medical Ethics 49 (3):181-182.
    Nietzche claimed that once we know why to live, we’ll suffer almost any how.1 Artificial intelligence (AI) is used widely for the how, but Ferrario et al now advocate using AI for the why.2 Here, I offer my doubts on practical grounds but foremost on ethical ones. Practically, individuals already vacillate over the why, wavering with time and circumstance. That AI could provide prosthetics (or orthotics) for human agency feels unrealistic here, not least because ‘answers’ would be largely unverifiable. Ethically, (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  5.  19
    Verification and trust in healthcare.Edwin Jesudason - 2023 - Journal of Medical Ethics 49 (3):223-224.
    ‘Trust but verify’ is a translation of a Russian proverb made famous by former US President Ronald Reagan. In their paper, Grahamet alappear to take an alternate view that might be summarised astrust or verify. The contrast highlights a general question: how do we come to trust in authorities? More specifically, Grahamet alclaim: (1) that UK Trusted Research Environments (TREs) are misnamed as future custodians for big health data because their promised verification systems actually negate the uncertainty that trust requires; (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  6.  10
    Surgery should be routinely videoed.Edwin Jesudason - 2023 - Journal of Medical Ethics 49 (4):235-239.
    Video recording is widely available in modern operating rooms. Here, I argue that, if patient consent and suitable technology are in place, video recording of surgery is an ethical duty. I develop this as aduty to protect,arguing for professional and institutional duties, as distinguished forduties of rescue.A professional duty to protect is described in mental healthcare. Practitioners have to take reasonable steps to prevent serious, foreseeable harm to their clients and others, even if that entails a non-consensual breach of confidentiality. (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  7.  16
    On Who Matters—and Why.Edwin Jesudason - 2023 - American Journal of Bioethics Neuroscience 14 (2):173-175.
    If “on what matters” captures Parfit’s search for objective moral truths (Parfit 2011), perhaps “on who matters (and why)” might be a working title for Shepherd’s enquiry into the moral status of n...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  8.  9
    Reducing the risk of NHS disasters.Edwin Jesudason - 2024 - Journal of Medical Ethics 50 (7):482-488.
    How could we better use public inquiries to stem the recurrence of healthcare failures? The question seems ever relevant, prompted this time by the inquiry into how former nurse Letby was able to murder newborns under National Health Service care. While criminality, like Letby’s, can be readily condemned, other factors like poor leadership and culture seem more often regretted than reformed. I would argue this is where inquiries struggle, in the space between ethics and law—with what is awful but lawful. (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  9.  6
    Consent with complications in mind.Edwin Jesudason - forthcoming - Journal of Medical Ethics.
    Parity of esteemdescribes an aspiration to see mental health valued as much as physical. Proponents point to poorer funding of mental health services, greater stigma and poorer physical health for those with mental illness. Stubborn persistence of such disparities suggests a need to do more than stipulate ethical and legal obligations toward justice or fairness. Here, I propose that we should rely more on our legal obligations toward informed consent. The latter requires clinicians to disclose information about risks in a (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  10.  14
    Disability: leaning away from the curve.Edwin Jesudason - 2022 - Journal of Medical Ethics 48 (11):888-890.
    This response to Evanset alencourages broader consideration of what constitutes disability, extending beyond a protagonist’s capabilities toward society’s fuller chorus. Three avenues are submitted to encourage this. First, Engel’s biopsychosocial paradigm of health can be helpfully applied to the question of identity in general, and disability in particular. Second, the philosophy of language (and of naming) gives useful insight into the pitfalls of trying to define disability via descriptions of capability. Third, Kennedy’s critique ‘Unmasking Medicine’ offers a sociopolitical view that (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark