35 found
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  1. An Ethical Framework for Global Vaccine Allocation.Ezekiel J. Emanuel, Govind Persad, Adam Kern, Allen E. Buchanan, Cecile Fabre, Daniel Halliday, Joseph Heath, Lisa M. Herzog, R. J. Leland, Ephrem T. Lemango, Florencia Luna, Matthew McCoy, Ole F. Norheim, Trygve Ottersen, G. Owen Schaefer, Kok-Chor Tan, Christopher Heath Wellman, Jonathan Wolff & Henry S. Richardson - 2020 - Science 1:DOI: 10.1126/science.abe2803.
    In this article, we propose the Fair Priority Model for COVID-19 vaccine distribution, and emphasize three fundamental values we believe should be considered when distributing a COVID-19 vaccine among countries: Benefiting people and limiting harm, prioritizing the disadvantaged, and equal moral concern for all individuals. The Priority Model addresses these values by focusing on mitigating three types of harms caused by COVID-19: death and permanent organ damage, indirect health consequences, such as health care system strain and stress, as well as (...)
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  2. Elucidating the Concept of Vulnerability: Layers Not Labels.Florencia Luna - 2009 - International Journal of Feminist Approaches to Bioethics 2 (1):121-139.
    In this article I examine several criticisms of the concept of vulnerability. Rather than rejecting the concept, however, I argue that a sufficiently rich understanding of vulnerability is essential to bioethics. The challenges of international research in developing countries require an understanding of how new vulnerabilities arise from conditions of economic, social and political exclusion. A serious shortcoming of current conceptions of vulnerability in research ethics is the tendency to treat vulnerability as a label fixed on a particular subpopulation. My (...)
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  3.  25
    Identifying and Evaluating Layers of Vulnerability – a Way Forward.Florencia Luna - 2019 - Developing World Bioethics 19 (2):86-95.
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  4.  42
    On Moral Incoherence and Hidden Battles: Stem Cell Research in Argentina.Florencia Luna & Arleen Salles - 2010 - Developing World Bioethics 10 (3):120-128.
    In this article, the authors focus on Argentina's activity in the developing field of regenerative medicine, specifically stem cell research. They take as a starting point a recent article by Shawn Harmon (published in this journal) who argues that attempts to regulate the practice in Argentina are morally incoherent. The authors try to show first, that there is no such ‘attempt to legislate’ on stem cell research in Argentina and this is due to a number of reasons that they explain. (...)
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  5.  40
    Prenatal Diagnosis and Abortion for Congenital Abnormalities: Is It Ethical to Provide One Without the Other?Angela Ballantyne, Ainsley Newson, Florencia Luna & Richard Ashcroft - 2009 - American Journal of Bioethics 9 (8):48-56.
    This target article considers the ethical implications of providing prenatal diagnosis (PND) and antenatal screening services to detect fetal abnormalities in jurisdictions that prohibit abortion for these conditions. This unusual health policy context is common in the Latin American region. Congenital conditions are often untreated or under-treated in developing countries due to limited health resources, leading many women/couples to prefer termination of affected pregnancies. Three potential harms derive from the provision of PND in the absence of legal and safe abortion (...)
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  6.  34
    Not the Usual Suspects: Addressing Layers of Vulnerability.Florencia Luna & Sheryl Vanderpoel - 2013 - Bioethics 27 (6):325-332.
    This paper challenges the traditional account of vulnerability in healthcare which conceptualizes vulnerability as a list of identifiable subpopulations. This list of ‘usual suspects’, focusing on groups from lower resource settings, is a narrow account of vulnerability. In this article we argue that in certain circumstances middle-class individuals can be also rendered vulnerable. We propose a relational and layered account of vulnerability and explore this concept using the case study of cord blood (CB) banking. In the first section, two different (...)
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  7.  42
    'Vulnerability', an Interesting Concept for Public Health: The Case of Older Persons.Florencia Luna - 2014 - Public Health Ethics 7 (2):180-194.
    Traditional accounts of vulnerability tend to label entire populations as vulnerable. This approach is of limited utility. Instead, this article utilizes a layered approach to vulnerability, identifying multiple vulnerabilities that older people experience. It focuses on distinguishing the different layers of vulnerability that may be experienced by the elderly in middle-income countries of Latin America. In doing so, I show how the layered approach to vulnerability functions, and demonstrate why it is more interesting and useful than the traditional approach. The (...)
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  8.  23
    Bioethics and Vulnerability: A Latin American View.Florencia Luna (ed.) - 2006 - Rodopi.
    This book presents some of the challenges bioethics in Latin America faces today. It considers them through the lenses of vulnerable populations, those incapable of protecting their own interests, such as the illiterate, women in societies disrespectful of their reproductive rights, and research subjects in contexts where resources are scarce.
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  9.  7
    Poverty and Inequality: Challenges for the Iab: Iab Presidential Address.Florencia Luna - 2005 - Bioethics 19 (5-6):451-459.
  10.  22
    Is 'Best Proven' a Useless Criterion?Florencia Luna - 2001 - Bioethics 15 (4):273–288.
  11.  1
    Why Have Non-Communicable Diseases Been Left Behind?Florencia Luna & Valerie A. Luyckx - 2020 - Asian Bioethics Review 12 (1):5-25.
    Non-communicable diseases are no longer largely limited to high-income countries and the elderly. The burden of non-communicable diseases is rising across all country income categories, in part because these diseases have been relatively overlooked on the global health agenda. Historically, communicable diseases have been prioritized in many countries as they were perceived to constitute the greatest disease burden, especially among vulnerable and poor populations, and strategies for prevention and treatment, which had been successful in high-income settings, were considered feasible and (...)
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  12.  14
    Research in Developing Countries.Florencia Luna - 2009 - In Bonnie Steinbock (ed.), The Oxford Handbook of Bioethics. Oxford University Press.
    This article examines the problems that research ethics confronts in developing countries and the impact that research in developing countries has had on research ethics. In order to show this it analyzes the first paradigmatic cases that gave rise to the ‘classic’ analysis of research ethics. Hence, in this article, many of the ethical concerns apply wherever research is conducted and are not particular to developing countries. Secondly, the article describes the complex process of research by analyzing different research actors (...)
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  13.  16
    Rubens, Corsets and Taxonomies: A Response to Meek Lange, Rogers and Dodds.Florencia Luna - 2015 - Bioethics 29 (6):448-450.
    This short article is a commentary to ‘Vulnerability in Research Ethics: A way forward’ from Margaret Meek Lange, Wendy Rogers and Susan Dodds. In their article they describe and accept my criticisms of the subpopulation approach to vulnerability and my analysis of vulnerability based on layers, but they suggest going beyond it using a taxonomy to classify layers of vulnerabilty. I argue that a) we do not need a taxonomy to classify vulnerabilities, b) the authors do not provide an adequate (...)
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  14.  9
    Medical Ethics and More: Ideal Theories, Non-Ideal Theories and Conscientious Objection.Florencia Luna - 2015 - Journal of Medical Ethics 41 (1):129-133.
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  15.  27
    Paternalism and the Argument From Illiteracy.Florencia Luna - 1995 - Bioethics 9 (3):283–290.
    Throughout this essay, I will consider an argument frequently used to justify paternalistic behavior toward a specific class of persons: illiterate people. The argument states that illiterate people are uneducated, lack information and understanding, and are thus unable to make decisions. Therefore, it is argued, paternalism in their case is justified. The conclusion is that illiterate persons cannot be autonomous. The justification for this view is based on an a priori attitude: since it is impossible to communicate, physicians should decide (...)
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  16.  27
    Reproductive Health and Research Ethics: Hot Issues in Argentina.Florencia Luna - 2004 - Cambridge Quarterly of Healthcare Ethics 13 (3):267-274.
    In this article I focus on two issues concerning bioethics in Argentina: reproductive health and ethics in research. Although these topics are quite dissimilar, they share a particular feature: their special relationship with context.
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  17.  2
    Paternalism and the Argument From Illiteracy.Florencia Luna - 1995 - Bioethics 9 (3):283-290.
    Throughout this essay, I will consider an argument frequently used to justify paternalistic behavior toward a specific class of persons: illiterate people. The argument states that illiterate people are uneducated, lack information and understanding, and are thus unable to make decisions. Therefore, it is argued, paternalism in their case is justified. The conclusion is that illiterate persons cannot be autonomous. The justification for this view is based on an a priori attitude: since it is impossible to communicate, physicians should decide (...)
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  18.  8
    Vulnerable Populations and Morally Tainted Experiments.Florencia Luna - 1997 - Bioethics 11 (3-4):256-264.
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  19.  18
    Response to Open Peer Commentaries on “Prenatal Diagnosis and Abortion for Congenital Abnormalities: Is It Ethical to Provide One Without the Other?”.Angela Ballantyne, Ainsley Newson, Florencia Luna & Richard Ashcroft - 2009 - American Journal of Bioethics 9 (8):6-7.
    This target article considers the ethical implications of providing prenatal diagnosis and antenatal screening services to detect fetal abnormalities in jurisdictions that prohibit abortion for these conditions. This unusual health policy context is common in the Latin American region. Congenital conditions are often untreated or under-treated in developing countries due to limited health resources, leading many women/couples to prefer termination of affected pregnancies. Three potential harms derive from the provision of PND in the absence of legal and safe abortion for (...)
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  20. Cuestiones de Bioética En y Desde Latinoamérica.María Casado & Florencia Luna (eds.) - 2012 - Civitas.
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  21.  13
    Reproductive Health Ethics: Latin American Perspectives.Debora Diniz, Juan‐Guillermo Figueroa Perea & Florencia Luna - 2007 - Developing World Bioethics 7 (2).
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  22.  10
    Reproductive Health Ethics: Latin American Perspectives.Debora Diniz, Juan-Guillermo Figueroa Perea & Florencia Luna - 2007 - Developing World Bioethics 7 (2).
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  23. Aborto por motivos terapéuticos: artículo 86 inciso 1 del Código Penal Argentino.Florencia Luna, Martín Bohmer, Romina Faerman, Diana Maffía, Julieta Manterola, Raúl Mejía, Silvina Ramos, Natalia Righetti & Mariana Romero - 2006 - Buenos Aires, Argentina: FLACSO-CEDES.
    En este segundo documento nos ocupamos del aborto realizado por motivos terapéuticos o, dicho más brevemente, del aborto terapéutico. En la Argentina, el aborto plantea serios desafíos para la salud pública, ya que, pese a estar prohibido, se practica de forma clandestina y, muchas veces, insegura, poniendo en riesgo la vida y la salud de las mujeres. Por esta razón, creemos que la sociedad y el Estado deben debatir este problema y encontrar soluciones que resguarden los derechos de las mujeres. (...)
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  24.  22
    Corruption and Research.Florencia Luna - 1999 - Bioethics 13 (3-4):262-271.
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  25. Decisiones de vida y muerte.Florencia Luna & Arleen Salles - 1996 - Critica 28 (84):83-85.
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  26.  8
    From the Middle Ages to the 21st Century. Abortion, Assisted Reproduction Technologies and LGBT Rights in Argentina.Florencia Luna - unknown
    Despite "progressive" legislative changes concerning the LGBT collective and assisted reproductive technologies in Argentina, women and their sexual and reproductive rights have been overlooked. This article presents a critical perspective of some of these legislative modifications in the country. It addresses why some legislators and society are prepared to challenge a conservative or traditional approach for certain groups while ignoring others. Several factors are at play. There is no all-inclusive explanation. I stress that a striking double standard prevails in Argentina (...)
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  27. Pobreza en el mundo: obligaciones individuales e institucionales y derechos humanos.Florencia Luna - 2007 - Revista Latinoamericana de Filosofia 33 (2):293-314.
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  28.  7
    Public Health Agencies’ Obligations and the Case of Zika.Florencia Luna - 2017 - Bioethics 31 (8):575-581.
    This article focuses on the initial reactions to the Zika epidemic by national and international public health agencies. It presents and analyzes some responses public officials made about sexual and reproductive health at the inception of the epidemic. It also describes the different challenges and obligations faced by local and international public health agencies, as these have not been clearly outlined. The article argues that these agencies have different obligations and should fulfill them despite existing obstacles. While international agencies should (...)
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  29. ¿procrear O No Procrear?: Sida y derechos reproductivos.Florencia Luna - 1999 - Análisis Filosófico 19 (2):153-172.
    This article presents some of the ethical and theoretical problems that reproductive decisions pose. I considerer the difficult situation of HIV infected women who have to decide whether to begin or continue pregnancy, knowing about the possibility of transmitting the infection. Could reproductive freedom be limited? I discuss, among others, Parfit, Harris and Purdy´s proposals. I try to show that a paternalistic solution is inadequate and argue on behalf of the importance of responsible and informed decisions on the part of (...)
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  30.  1
    Revisiting Vulnerability: Its Development and Impact.Florencia Luna - 2019 - In Eduardo Rivera-López & Martin Hevia (eds.), Controversies in Latin American Bioethics. Springer Verlag. pp. 67-81.
    The concept of vulnerability has been hotly debated in research ethics literature. Some critics considered it a useless concept. In 2009—against some of those criticisms—I defended the importance of understanding this concept in terms of layers instead of applying it as a label given to certain subpopulations. In this paper, I present some of the limits of this analysis and I also explore the similarities and differences this approach has when compared to using a taxonomy as another answer on how (...)
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  31. Sida e investigación ¿Fin de un paradigma en investigación?Florencia Luna - 1997 - Análisis Filosófico 17 (2):209.
    In this paper I analyse changes AIDS brought to research with human beings . One of the issues I consider is the relevance of ethical codes to these new proposals in research and if we are justified to think this implies a new paradigm in research . I evaluate some of the arguments activits of AIDS have done, the relevance of considering informed consent as the only criterium and I give special importance to the benefit-risk evaluation as one of the (...)
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  32. Sida e investigación.Florencia Luna - 1998 - Isonomía. Revista de Teoría y Filosofía Del Derecho 8.
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  33.  29
    Bioethics in Argentina: A Country Report.Ruth Macklin & Florencia Luna - 1996 - Bioethics 10 (2):140-153.
  34. Un llamado ético a la inclusión de mujeres embarazadas en investigación: Reflexiones del Foro Global de Bioética en Investigación.Carla Saenz, Jackeline Alger, Juan Pablo Beca, José Belizán, María Luisa Cafferata, Julio Arturo Canario Guzman, Jesica Candanedo, Lissette Duque, Lester Figueroa, Ana Garcés, Lionel Gresh, Ida Cristina Gubert, Dirce Guilhem, Gabriela Guz, Gustavo Kaltwasser, Roxana Lescano, Florencia Luna, Alexandrina Cardelli, Ignacio Mastroleo, Irene Melamed, Agueda Muñoz del Carpio Toia, Ricardo Palacios, Gloria Palma, Sofía Salas, Xochitl Sandoval, Sergio Surugi de Siqueira, Hans Vásquez & Bertha Villela de Vega - 2017 - Revista Panamericana de Salud Pública 41 (e13):1-2.
    El Foro Global de Bioética en Investigación (GFBR por sus siglas en inglés) se reunió el 3 y 4 de noviembre en Buenos Aires, Argentina, con el objetivo de discutir la ética de la investigación con mujeres embarazadas. El GFBR es una plataforma mundial que congrega a actores clave con el objetivo de promover la investigación realizada de manera ética, fortalecer la ética de la investigación en salud, particularmente en países de ingresos bajos y medios, y promover colaboración entre países (...)
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  35. HIV Prevention Research and COVID-19: Putting Ethics Guidance to the Test.Jeremy Sugarman, Steven Wakefield, Brandon Brown, Ernest Moseki, Robert Klitzman, Florencia Luna, Leah A. Schrumpf, Wairimu Chege & Stuart Rennie - 2021 - BMC Medical Ethics 22 (1).
    BackgroundCritical public health measures implemented to mitigate the spread of the novel coronavirus disease pandemic have disrupted health research worldwide, including HIV prevention research. While general guidance has been issued for the responsible conduct of research in these challenging circumstances, the contours of the dueling COVID-19 and HIV/aids pandemics raise some critical ethical issues for HIV prevention research. In this paper, we use the recently updated HIV Prevention Trials Network Ethics Guidance Document to situate and analyze key ethical challenges related (...)
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