51 found
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  1. Rationing Health Care in America Perceptions and Principles of Justice.Larry R. Churchill - 1987
     
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  2.  5
    The Future of Bioethics: It Shouldn't Take a Pandemic.Larry R. Churchill, Nancy M. P. King & Gail E. Henderson - 2020 - Hastings Center Report 50 (3):54-56.
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  3.  7
    Consent Forms and the Therapeutic Misconception.Nancy M. P. King, Gail E. Henderson, Larry R. Churchill, Arlene M. Davis, Sara Chandros Hull, Daniel K. Nelson, P. Christy Parham-Vetter, Barbra Bluestone Rothschild, Michele M. Easter & Benjamin S. Wilfond - 2005 - IRB: Ethics & Human Research 27 (1):1-7.
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  4.  4
    Beyond the Medical Model: Retooling Bioethics for the Work Ahead.Nancy M. P. King, Gail E. Henderson & Larry R. Churchill - 2021 - American Journal of Bioethics 21 (2):53-55.
    The three important target articles make a strong case for regarding racism as a public health crisis. Each calls for advocacy by the bi...
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  5.  37
    Rationing, Rightness, and Distinctively Human Goods.Larry R. Churchill - 2011 - American Journal of Bioethics 11 (7):15 - 16.
    The American Journal of Bioethics, Volume 11, Issue 7, Page 15-16, July 2011.
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  6.  27
    The Hegemony of Money: Commercialism and Professionalism in American Medicine.Larry R. Churchill - 2007 - Cambridge Quarterly of Healthcare Ethics 16 (4):407.
    Money plays a powerful role in modern medicine, both in terms of how health services are organized and delivered and increasingly in how physicians understand themselves and their work. The phrase “the hegemony of money” is intended to capture that power.
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  7.  5
    Conscience, Moral Reasoning, and Skepticism.Larry R. Churchill - 2019 - Perspectives in Biology and Medicine 62 (3):519-526.
    Lauris Kaldjian makes a strong case for respecting the role of conscience in the practice of medicine. His excellent book, Practicing Medicine and Ethics, presents an historically informed and carefully crafted explication of the role of conscience in Western ethics and its relevance for medical practitioners. The essay that initiates the discussion in this issue of Perspectives in Biology and Medicine is an equally well-written and lucid account of this important component of morality. But it is also worrisome in its (...)
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  8.  25
    Genetic Research as Therapy: Implications of "Gene Therapy" for Informed Consent.Larry R. Churchill, Myra L. Collins, Nancy M. R. King, Stephen G. Pemberton & Keith A. Wailoo - 1998 - Journal of Law, Medicine and Ethics 26 (1):38-47.
  9.  12
    Genetic Research as Therapy: Implications of "Gene Therapy" for Informed Consent.Larry R. Churchill, Myra L. Collins, Nancy M. R. King, Stephen G. Pemberton & Keith A. Wailoo - 1998 - Journal of Law, Medicine and Ethics 26 (1):38-47.
  10.  11
    Genetic Research as Therapy: Implications of “Gene Therapy” for Informed Consent.Larry R. Churchill, Myra L. Collins, Nancy M. P. King, Stephen G. Pemberton & Keith A. Wailoo - 1998 - Journal of Law, Medicine and Ethics 26 (1):38-47.
    In March 1996, the General Accounting Office issued the report Scientific Research: Continued Vigilance Critical to Protecting Human Subjects. It stated that “an inherent conflict of interest exists when physician-researchers include their patients in research protocols. If the physicians do not clearly distinguish between research and treatment in their attempt to inform subjects, the possible benefits of a study can be overemphasized and the risks minimized.” The report also acknowledged that “the line between research and treatment is not always clear (...)
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  11.  3
    The Ethicist in Professional Education.Larry R. Churchill - 1978 - Hastings Center Report 8 (6):13-15.
  12.  39
    Physician-Investigator/Patient-Subject: Exploring the Logic and the Tension.Larry R. Churchill - 1980 - Journal of Medicine and Philosophy 5 (3):215-224.
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  13.  2
    How Is Ethics Consultation Work Justified?Larry R. Churchill - 2019 - American Journal of Bioethics 19 (11):63-64.
    Volume 19, Issue 11, November 2019, Page 63-64.
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  14.  13
    Autonomy and the Common Weal.Marion Danis & Larry R. Churchill - 1991 - Hastings Center Report 21 (1):25-31.
  15.  25
    Beyond the Recommendation: Discerning Achievable Goals in Clinical Ethics Consultation.Joseph B. Fanning, Nanibaa’ A. Garrison & Larry R. Churchill - 2015 - American Journal of Bioethics 15 (1):42-44.
  16.  30
    “Damaged Humanity”: The Call for a Patient-Centered Medical Ethic in the Managed Care Era.Larry R. Churchill - 1997 - Theoretical Medicine and Bioethics 18 (1-2):113-126.
    Edmund Pellegrino claims that medical ethics must be derived from a perception of the patient's damaged humanity, rather than from the self-imposed duties of professionals. This essay explores the meaning and examines the challenges to this patient-centered ethic. Social scientific and bioethical interpretations of medicine constitute one kind of challenge. A more pervasive challenge is the ascendancy of managed care, and especially investor-owned, for-profit managed care. A list of questions addressed to patients, physicians and organizations is offered as one means (...)
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  17.  67
    The United States Health Care System Under Managed Care: How the Commodification of Health Care Distorts Ethics and Threatens Equity. [REVIEW]Larry R. Churchill - 1999 - Health Care Analysis 7 (4):393-411.
    Describing the U.S. health care system meansdescribing managed care under commercial forces. Managed care creates new moral tension forpractitioners, but more importantly, in its currentform it intensifies the commercialization of healthexpectations and interactions. The largely unregulatedmarketing of health services under managed care hasbeen a major factor in the increasing number ofuninsured citizens, while claims for cost reductionthrough managed care are equivocal. Risk-ratingpractices integral to the current medical marketplacethwart concerns for justice in allocation and createvulnerabilities for almost everyone. Thepolitical-moral concern of (...)
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  18.  2
    Reviving A Distinctive Medical Ethic.Larry R. Churchill - 1989 - Hastings Center Report 19 (3):28-34.
  19.  31
    Private Virtues, Public Detriment: Allocating Scarce Medical Resources to the Elderly. [REVIEW]Larry R. Churchill - 1989 - Ethics 100 (1):169-.
  20. Moralist, Technician, Sophist, Teacher/Learner: Reflections on the Ethicist in the Clinical Setting.Larry R. Churchill & Alan W. Cross - 1986 - Theoretical Medicine and Bioethics 7 (1).
    The ethicist's role in the clinical context is not presently well defined. Ethicists can be thought of as moralists, technicians, Sophists, or as teachers and learners. Each of these roles is examined in turn. An argument is made for the ethicist as a teacher who must also learn a great deal about the clinical setting in order to encourage an effective critical examination of basic values. Four specific tasks of this teaching role are discussed: describing moral experience, eliciting assumptions, considering (...)
     
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  21. Clinical Research and the Physician–Patient Relationship: The Dual Roles of Physician and Researcher.Nancy Mp King & Larry R. Churchill - 2008 - In Peter A. Singer & A. M. Viens (eds.), The Cambridge Textbook of Bioethics. Cambridge University Press.
     
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  22.  35
    One Cheer for Bioethics: Engaging the Moral Experiences of Patients and Practitioners Beyond the Big Decisions.Larry R. Churchill & David Schenck - 2005 - Cambridge Quarterly of Healthcare Ethics 14 (4):389-403.
    We will argue here that after more than 30 years of talk, theory, and clinical practice, we bioethicists still know far too little about what patients, subjects, and healthcare professionals are up to, morally. Bioethics is still near the beginning in grasping what it means to understand, much less to honor fully, the moral power and perspicacity of those bioethics is designed to serve. This is, of course, a serious charge, but one we will endeavor to show has merit. However, (...)
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  23.  31
    Age-Rationing in Health Care: Flawed Policy, Personal Virtue.Larry R. Churchill - 2005 - Health Care Analysis 13 (2):137-146.
    The age-rationing debate of fifteen years ago will inevitably reemerge as health care costs escalate. All age-rationing proposals should be judged in light of the current system of rationing health care by price in the U.S., and the resulting pattern of excess and deprivation. Age-rationing should be rejected as public policy, but recognized as a personal virtue of stewardship among the elderly.
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  24.  53
    Looking to Hume for Justice: On the Utility of Hume's View of Justice for American Health Care Reform.Larry R. Churchill - 1999 - Journal of Medicine and Philosophy 24 (4):352 – 364.
    This essay argues that Hume's theory of justice can be useful in framing a more persuasive case for universal access in health care. Theories of justice derived from a Rawlsian social contract tradition tend to make the conditions for deliberation on justice remote from the lives of most persons, while religiously-inspired views require superhuman levels of benevolence. By contrast, Hume's theory derives justice from the prudent reflections of socially-encumbered selves. This provides a more accessible moral theory and a more realistic (...)
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  25. AIDS and 'Dirt': Reflections on the Ethics of Ritual Cleanliness.Larry R. Churchill - 1990 - Theoretical Medicine and Bioethics 11 (3).
    AIDS and the responses and attitudes it evokes surpass the analytic abilities of standard bioethics. These responses and attitudes are explored in terms of literary and anthropological categories, such as dirt, disorder, pollution and ritual cleanliness. Implications for medical education are suggested.
     
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  26.  16
    Private Virtues, Public Detriment: Allocating Scarce Medical Resources to the Elderly. [REVIEW]Larry R. Churchill - 1989 - Ethics 100 (1):169 - 176.
  27.  19
    Flew, Wisdom, and Polanyi: The Falsification Challenge Revisited. [REVIEW]Larry R. Churchill - 1972 - International Journal for Philosophy of Religion 3 (3):185 - 194.
  28. Reviews. [REVIEW]George J. Agich, James Le Roy Smith, Larry R. Churchill, Laurence B. McCullough, Hans J. Schwanitz, Robert Tschiedel, H. Seithe & B. Baldus - 1983 - Theoretical Medicine and Bioethics 4 (2).
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  29.  36
    Severe Brain Injury and the Subjective Life.J. Andrew Billings, Larry R. Churchill & Richard Payne - 2010 - Hastings Center Report 40 (3):17-21.
  30.  10
    Abortion and the Rhetoric of Individual Rights.Larry R. Churchill & José Jorge Simán - 1982 - Hastings Center Report 12 (1):9-12.
  31. Assessing Benefits in Clinical Research: Why Diversity in Benefit Assessment Can Be Risky.Larry R. Churchill, Daniel K. Nelson, Gail E. Henderson, Nancy M. P. King, Arlene M. Davis, Erin Leahey & Benjamin S. Wilfond - 2003 - IRB: Ethics & Human Research 25 (3):1.
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  32. Beneficence.Larry R. Churchill - 1995 - Encyclopedia of Bioethics 1:243-7.
     
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  33. Conscience and Moral Tyranny.Larry R. Churchill - 2015 - Perspectives in Biology and Medicine 58 (4):526-534.
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  34.  4
    Editorial Announcement.Larry R. Churchill - 1972 - International Journal for Philosophy of Religion 3 (1):1.
  35.  12
    Ethics and Economics in Search of a Common LanguageThe Needs of StrangersThe Health EconomyJust Health Care. [REVIEW]Larry R. Churchill, Michael Ignatieff, Victor Fuchs & Norman Daniels - 1987 - Hastings Center Report 17 (2):39.
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  36.  2
    Essential Reading for Bioethicists in the Anthropocene Era.Larry R. Churchill & David Schenck - 2021 - Hastings Center Report 51 (4):3-3.
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  37. Hermeneutics in Science and Medicine: A Thesis Understated.Larry R. Churchill - 1990 - Theoretical Medicine and Bioethics 11 (2).
    Drew Leder's Clinical Interpretation: The Hermeneutics of Medicine [1] is an essay which understates its case and thereby opens itself to misinterpretation. This response to Leder argues for a more thorough-going hermeneutic for both medicine and science. At the conceptual as well as the practical level, modern medicine and its scientific foundations are hermeneutic enterprises. The purpose of this essay is to argue that we should not back away from this more radical thesis. Embracing it will result in less alienation (...)
     
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  38.  16
    Introduction.Larry R. Churchill & Joshua E. Perry - 2014 - Journal of Law, Medicine and Ethics 42 (4):408-411.
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  39.  16
    Introduction.Larry R. Churchill & Joshua E. Perry - 2014 - Journal of Law, Medicine and Ethics 42 (4):408-411.
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  40.  19
    J. Andrew Billings is the Director.Larry R. Churchill & Rebecca Dresser - forthcoming - Hastings Center Report.
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  41.  8
    Market Meditopia: A Glimpse at American Health Care in 2005.Larry R. Churchill - 1997 - Hastings Center Report 27 (1):5-6.
  42.  10
    Reviving Duty DiscourseDuties to Others.Larry R. Churchill, Courtney S. Campbell & B. Andrew Lustig - 1995 - Hastings Center Report 25 (5):44.
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  43.  29
    To Die or Not to Die. [REVIEW]Larry R. Churchill, Daniel Callahan, Elizabeth A. Linehan, Anne E. Thal, Frances A. Graves, Alice V. Prendergast, Donald G. Flory & John Hardwig - 1997 - Hastings Center Report 27 (6):4.
    Letters commenting on Hardwig, J "Is There a Duty to Die?" with a reply to those letters by the author.
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  44.  1
    Three Kinds of Humility in Bioethics Certification.Larry R. Churchill - 2020 - Perspectives in Biology and Medicine 63 (3):420-428.
    Two decades ago, I wrote an essay expressing my skepticism about the nascent movement to certify bioethics consultants. My concerns were numerous. For example, I worried that the move toward certification would give too much weight to moral theory and neglect the importance of the less formal moral reasoning of patients and their families. I was also concerned that the effort to certify competence, complete with standardized testing, would be largely self-promotional and make unfounded claims about who has the capacity (...)
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  45.  2
    The “Territory” of Medical Ethics.Larry R. Churchill - 1974 - Hastings Center Report 4 (2):13-13.
  46.  26
    Universal Health Care for Children: Why Every Self-Interested Person Should Support It.Larry R. Churchill - 2001 - Journal of Medicine and Philosophy 26 (2):179 – 191.
  47.  15
    Who Will Teach Us to Die?: Reflections on Futility and Finitude.Larry R. Churchill - 2018 - Perspectives in Biology and Medicine 60 (3):336-339.
    Schneiderman, Jecker, and Jonsen have written an eloquent essay that both defends the concept of medical futility and describes their own candidate for a practical, working definition. Whether they have provided the best such definition I cannot say, but they are surely right to claim that some such concept is needed—for doctors to practice, for patients to receive good care, for family and friends of the patient to understand and prepare for what is happening, and for society to trust what (...)
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  48. The Physician as Captain of the Ship a Critical Reappraisal.Alan W. Cross, Larry R. Churchill & Nancy M. P. King - 1987
     
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  49.  16
    Book Review:The Price of Health. George Agich, Charles Begley. [REVIEW]Larry R. Churchill - 1988 - Ethics 98 (3):606-.
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  50. Reviews. [REVIEW]Peter R. Lichstein & Larry R. Churchill - 1984 - Theoretical Medicine and Bioethics 5 (3).
     
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