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  1.  44
    The Harm Principle Cannot Replace the Best Interest Standard: Problems With Using the Harm Principle for Medical Decision Making for Children.Johan Christiaan Bester - 2018 - American Journal of Bioethics 18 (8):9-19.
    For many years the prevailing paradigm for medical decision making for children has been the best interest standard. Recently, some authors have proposed that Mill’s “harm principle” should be used to mediate or to replace the best interest standard. This article critically examines the harm principle movement and identifies serious defects within the project of using Mill’s harm principle for medical decision making for children. While the harm principle proponents successfully highlight some difficulties in present-day use of the best interest (...)
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  2.  14
    Beneficence, Interests, and Wellbeing in Medicine: What It Means to Provide Benefit to Patients.Johan Christiaan Bester - 2020 - American Journal of Bioethics 20 (3):53-62.
    Beneficence is a foundational ethical principle in medicine. To provide benefit to a patient is to promote and protect the patient’s wellbeing, to promote the patient’s interests. But there are different conceptions of wellbeing, emphasizing different values. These conceptions of wellbeing are contrary to one another and give rise to dissimilar ideas of what it means to benefit a patient. This makes the concept of beneficence ambiguous: is a benefit related to the patient’s goals and wishes, or is it a (...)
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  3.  27
    The Best Interest Standard and Children: Clarifying a Concept and Responding to its Critics.Johan Christiaan Bester - 2019 - Journal of Medical Ethics 45 (2):117-124.
    This work clarifies the role of the best interest standard as ethical principle in the medical care of children. It relates the BIS to the ethical framework of medical practice. The BIS is shown to be a general principle in medical ethics, providing grounding to prima facie obligations. The foundational BIS of Kopelman and Buchanan and Brock are reviewed and shown to be in agreement with the BIS here defended. Critics describe the BIS as being too demanding, narrow, opaque, not (...)
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  4.  93
    Vaccine Refusal and Trust: The Trouble With Coercion and Education and Suggestions for a Cure.Johan Christiaan Bester - 2015 - Journal of Bioethical Inquiry 12 (4):555-559.
    There can be little doubt about the ethical imperative to ensure adequate vaccination uptake against certain infectious diseases. In the face of vaccine refusal, health authorities and providers instinctively appeal to coercive approaches or increased education as methods to ensure adequate vaccine uptake. Recently, some have argued that public fear around Ebola should be used as an opportunity for such approaches, should an Ebola vaccine become available. In this article, the author describes the difficulties associated with coercion and education when (...)
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  5.  11
    Children, the Duty to Vaccinate, and the Limits of Solidarity.Johan Christiaan Bester - 2017 - American Journal of Bioethics 17 (4):53-55.
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  6.  11
    Ritual Male Infant Circumcision: The Consequences and the Principles Say Yes.Johan Christiaan Bester - 2015 - American Journal of Bioethics 15 (2):56-58.
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  7.  20
    Organ Donor Registration Reconsidered: How Current Practices Strain Autonomy.Johan Christiaan Bester & Jed Adam Gross - 2016 - American Journal of Bioethics 16 (11):33-35.
  8.  8
    Defensive Practice is Indefensible: How Defensive Medicine Runs Counter to the Ethical and Professional Obligations of Clinicians.Johan Christiaan Bester - 2020 - Medicine, Health Care and Philosophy 23 (3):413-420.
    Defensive medicine has become pervasive. Defensive medicine is often thought of as a systems issue, the inevitable result of an adversarial malpractice environment, with consequent focus on system-responses and tort reform. But defensive medicine also has ethical and professionalism implications that should be considered beyond the need for tort reform. This article examines defensive medicine from an ethics and professionalism perspective, showing how defensive medicine is deeply problematic. First, a definition of defensive medicine is offered that describes the essence of (...)
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  9.  12
    Rumors of the Best Interest Standard’s Demise Have Been Greatly Exaggerated, and the Harm Principle Remains Tenuous: Responding to My Commentators.Johan Christiaan Bester - 2018 - American Journal of Bioethics 18 (8):W1-W5.
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  10.  8
    The Two Components of Beneficence and Wellbeing in Medicine: A Restatement and Defense of the Argument.Johan Christiaan Bester - 2020 - American Journal of Bioethics 20 (5):W4-W11.
    Volume 20, Issue 5, June 2020, Page W4-W11.
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