25 found
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  1. Sex Rights for the Disabled?Jacob M. Appel - 2010 - Journal of Medical Ethics 36 (3):152-154.
    The public discourse surrounding sex and severe disability over the past 40 years has largely focused on protecting vulnerable populations from abuse. However, health professionals and activists are increasingly recognising the inherent sexuality of disabled persons and attempting to find ways to accommodate their intimacy needs. This essay explores several ethical issues arising from such efforts.
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  2. Neonatal Euthanasia: Why Require Parental Consent? [REVIEW]Jacob M. Appel - 2009 - Journal of Bioethical Inquiry 6 (4):477-482.
    The Dutch rules governing neonatal euthanasia, known as the Groningen Protocol, require parental consent for severely disabled infants with poor prognoses to have their lives terminated. This paper questions whether parental consent should be dispositive in such cases, and argues that the potential suffering of the neonate or pediatric patient should be the decisive factor under such unfortunate circumstances.
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  3.  33
    Safeguarding Confidentiality in Electronic Health Records.Akhil Shenoy & Jacob M. Appel - 2017 - Cambridge Quarterly of Healthcare Ethics 26 (2):337-341.
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  4.  94
    A Suicide Right for the Mentally Ill? A Swiss Case Opens a New Debate.Jacob M. Appel - 2007 - Hastings Center Report 37 (3):21-23.
  5.  56
    The Importance of Patient–Provider Communication in End-of-Life Care.Timothy R. Rice, Yuriy Dobry, Vladan Novakovic & Jacob M. Appel - 2012 - Journal of Bioethical Inquiry 9 (4):439-441.
    Successful formulation and implementation of end-of-life care requires ongoing communication with the patient. When patients, for reasons of general medical or psychiatric illness, fail to verbally communicate, providers must be receptive to messages conveyed through alternate avenues of communication. We present the narrative of a man with schizophrenia who wished to forgo hemodialysis as a study in the ethical importance of attention to nonverbal communication. A multilayered understanding of the patient, as may be provided by both behavioral and motivational models, (...)
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  6.  22
    Medical Repatriation Does Not Justify Hospital Entanglement in Nonmedical Matters.Jacob M. Appel - 2012 - American Journal of Bioethics 12 (9):9-11.
    The American Journal of Bioethics, Volume 12, Issue 9, Page 9-11, September 2012.
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  7.  72
    May Doctors Refuse Infertility Treatments to Gay Patients?Jacob M. Appel - 2006 - Hastings Center Report 36 (4):20-21.
  8.  39
    Toward an Ethical Eugenics.Jacob M. Appel - 2012 - Jona’s Healthcare Law, Ethics, and Regulation 14 (1):7-13.
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  9.  37
    Castration Anxiety: Physicians, “Do No Harm,” and Chemical Sterilization Laws.Jacob M. Appel - 2012 - Journal of Bioethical Inquiry 9 (1):85-91.
    Chemical castration laws, such as one recently adopted in the U.S. State of Louisiana, raise challenging ethical concerns for physicians. Even if such interventions were to prove efficacious, which is far from certain, they would still raise troubling concerns regarding the degree of medical risk that may be imposed upon prisoners in the name of public safety as well as the appropriate role for physicians and other health care professionals in the administration of pharmaceuticals to competent prisoners over the inmates’ (...)
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  10.  25
    Smoke and Mirrors: One Case for Ethical Obligations of the Physician as Public Role Model.Jacob M. Appel - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (1):95.
    As a result of workplace clean air regulations and strict guidelines imposed by the Joint Commission on Accreditation of Healthcare Organizations in 1993, most hospitals in the United States are now virtually smoke free. Although evidence suggests that these restrictions both cause smoking employees to consume fewer cigarettes per day and induce some employees to quit smoking entirely, the policies have also driven many healthcare providers—including physicians—onto the public sidewalks for their cigarette breaks. Patients entering many hospitals pass white-coated medical (...)
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  11.  19
    Ethics: English High Court Orders Separation of Conjoined Twins.Jacob M. Appel - 2000 - Journal of Law, Medicine and Ethics 28 (3):312-313.
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  12.  27
    Ethics: English High Court Orders Separation of Conjoined Twins.Jacob M. Appel - 2000 - Journal of Law, Medicine and Ethics 28 (3):312-318.
  13.  5
    Case Study: Organ Solicitation on the Internet: Every Man for Himself?Jacob M. Appel & Mark D. Fox - 2005 - Hastings Center Report 35 (3):14.
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  14.  49
    “How Hard It Is That We Have to Die”.Jacob M. Appel - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (4):527-536.
  15.  6
    If It Ducks Like a Quack: Balancing Physician Freedom of Expression and the Public Interest.Jacob M. Appel - forthcoming - Journal of Medical Ethics:medethics-2021-107256.
    Physicians expressing opinions on medical matters that run contrary to the consensus of experts pose a challenge to licensing bodies and regulatory authorities. While the right to express contrarian views feeds a robust marketplace of ideas that is essential for scientific progress, physicians advocating ineffective or dangerous cures, or actively opposing public health measures, pose a grave threat to societal welfare. Increasingly, a distinction has been made between professional speech that occurs during the physician-patient encounter and public speech that transpires (...)
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  16.  13
    Medical School: The Wrong Applicant Pool?Jacob M. Appel - 2019 - Hastings Center Report 49 (2):6-8.
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  17. Organ Solicitation on the Internet: Every Man for Himself: Commentary.Jacob M. Appel - 2005 - Hastings Center Report 35 (3):14-15.
  18.  43
    Privacy Versus History.Jacob M. Appel - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (1):51-63.
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  19.  24
    Research Guidelines: Changes Urged.Jacob M. Appel - 2001 - Journal of Law, Medicine and Ethics 28 (s4):103-104.
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  20.  14
    Research Guidelines: Changes Urged.Jacob M. Appel - 2001 - Journal of Law, Medicine and Ethics 28 (4_suppl):103-104.
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  21. Research Guidelines: Changes Urged.Jacob M. Appel - 2001 - Journal of Law, Medicine and Ethics 29 (1):103-104.
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  22.  3
    Review of Bioethics in Action Baylis, Francoise and Dreger, Alice, Eds. Bioethics in Action. Cambridge: Cambridge University Press, 2018. Vii + 177 Pp. $29.00. [REVIEW]Jacob M. Appel - 2021 - American Journal of Bioethics 21 (3):W1-W2.
    Practitioners of bioethics engage in a wide range of endeavors from hospital-based clinical consultation to commentary in both academic and broader public forums. “Impact ethics” is either an orien...
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  23.  1
    Trial by Triad: Substituted Judgment, Mental Illness and the Right to Die.Jacob M. Appel - forthcoming - Journal of Medical Ethics:medethics-2020-107154.
    Substituted judgment has increasingly become the accepted standard for rendering decisions for incapacitated adults in the USA. A broad exception exists with regard to patients with diminished capacity secondary to depressive disorders, as such patients’ previous wishes are generally not honoured when seeking to turn down life-preserving care or pursue aid-in-dying. The result is that physicians often force involuntary treatment on patients with poor medical prognoses and/or low quality of life as a result of their depressive symptoms when similarly situated (...)
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  24.  3
    Death, Taxes and Uncertainty: Economic Motivations in End-of-Life Decision Making.George Slade Mellgard & Jacob M. Appel - forthcoming - Clinical Ethics:147775092110114.
    Economic motivations are key drivers of human behavior. Unfortunately, they are largely overlooked in literature related to medical decisionmaking, particularly with regard to end-of-life care. It is widely understood that the directions of a proxy acting in bad faith can be overridden. But what of cases in which the proxy or surrogate appears to be acting in good faith to effectuate the patient’s values, yet doing so directly serves the decision-maker’s financial interests? Such situations are not uncommon. Many patients care (...)
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  25.  4
    Tainted Largess: A Moral Framework For Medical School Donations.Charles Sanky & Jacob M. Appel - 2020 - Cambridge Quarterly of Healthcare Ethics 29 (3):437-445.
    Rather than being a neutral phenomenon, the authors propose that medical school donations should be viewed as a social good for advancing education and improving healthcare. Seen in this light, they aim to offer a framework for analysis that will be useful to medical institutions and their stakeholders in addressing proposed donations from contentious or divisive sources, and in managing those donations that subsequently appear controversial.
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