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  1.  6
    Distinguishing Ethical from Diagnostic Concerns About NRP-cDCD.Kyle E. Karches & Jason T. Eberl - 2024 - American Journal of Bioethics 24 (6):69-71.
    Bernat (2024) and Busch (2024) both argue that the clamping of cerebral vasculature in NRP-cDCD ensures sufficient diagnostic certainty of death that the procedure does not violate the Dead Donor R...
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  2.  13
    The Moral Difference between Faces & FaceTime.Kyle E. Karches - 2023 - Hastings Center Report 53 (4):16-25.
    Although the technology for telemedicine existed before the Covid‐19 pandemic, the need to provide medical services while minimizing the risk of contagion has encouraged its more widespread use. I argue that, although telemedicine can be useful in certain situations, physicians should not consider it an adequate substitute for the office visit. I first provide a narrative account of the experience of telemedicine. I then draw on philosophical critiques of technology to examine how telemedicine has epistemic and ethical effects that make (...)
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  3.  62
    Against the iDoctor: why artificial intelligence should not replace physician judgment.Kyle E. Karches - 2018 - Theoretical Medicine and Bioethics 39 (2):91-110.
    Experts in medical informatics have argued for the incorporation of ever more machine-learning algorithms into medical care. As artificial intelligence research advances, such technologies raise the possibility of an “iDoctor,” a machine theoretically capable of replacing the judgment of primary care physicians. In this article, I draw on Martin Heidegger’s critique of technology to show how an algorithmic approach to medicine distorts the physician–patient relationship. Among other problems, AI cannot adapt guidelines according to the individual patient’s needs. In response to (...)
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  4.  27
    The ends of medicine and the crisis of chronic pain.Kyle E. Karches - 2019 - Theoretical Medicine and Bioethics 40 (3):183-196.
    Pellegrino and Thomasma have proposed a normative medical ethics founded on a conception of the end of medicine detached from any broader notion of the telos of human life. In this essay, I question whether such a narrow teleological account of medicine can be sustained, taking as a starting point Pellegrino and Thomasma’s own contention that the end of medicine projects itself onto the intermediate acts that aim at that end. In order to show how the final end of human (...)
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  5.  25
    Why Deny ECMO-DT to the Incapacitated?Kyle E. Karches - 2023 - American Journal of Bioethics 23 (6):70-72.
    Childress et al. (2023) argue in favor of “ECMO-DT,” the provision of ECMO indefinitely as “destination therapy” in the ICU for patients who are dependent on the technology to sustain their lives....
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