If stem cell-based therapies are developed, we will likely confront a difficult problem of justice: for biological reasons alone, the new therapies might benefit only a limited range of patients. In fact, they might benefit primarily white Americans, thereby exacerbating long-standing differences in health and health care.

The expansion of ethics review, beyond its origins in medical research, is the subject of growing critical analysis internationally, especially from social science researchers. Our study builds on this analysis by considering ethics review specifically within tertiary-based educational research. As a foundation for a larger study, we explore the reporting of ethics review within articles from a snapshot of education journals. A cross-sectional review considered 125 articles from 24 journals spanning medical and nurse education, the Scholarship of Teaching and Learning, (...) and educational technology. Among similar types of research our findings highlight variation in institutional ethical review processes and outcomes. Despite most journals providing guidelines for reporting ethics review, adherence to these guidelines by authors or editors was not always evident, but more likely in health-related education journals. We argue that identified areas of variation may reflect the differing influence and proximity of biomedical values. This influence has been under examined in tertiary-based educational research but may contribute to inequitable learning, researching and publishing experiences, potentially adding to negative sentiment about ethics review. (shrink)

LeRoy Walters was a central figure in debates about federal policy regarding genetics and biotechnology—a neutral, publicly engaged philosopher and religious studies academic who put his skills to work in national service. His career spanned the emergence of biotechnology as a field in the 1970s until his retirement. His interests reached from moral philosophical theory to Holocaust studies to practical concerns about public policy in genetics. We focus here on the role of bioethics in policy related to the (...) advent of human gene transfer, the Human Genome Project, and the emergence of biotechnology as a commercial enterprise. We focus on his role as an academic influencing the government strand of the “triple helix”... (shrink)

This essay explores some moral problems raised by experimentation involving the human fetus. In the first part of the essay three examples of fetal experimentation from the medical literature are described in some detail. Next, the ethical and legal arguments employed in the two major existing public policy-documents on fetal experimentation are analyzed. Finally, the author seeks to identify four fundamental presuppositions which underlie divergent normative positions on the problem of fetal experimentation.

: In 1998, researchers discovered that embryonic stem cells could be derived from early human embryos. This discovery has raised a series of ethical and public-policy questions that are now being confronted by multiple international organizations, nations, cultures, and religious traditions. This essay surveys policies for human embryonic stem cell research in four regions of the world, reports on the recent debate at the United Nations about one type of such research, and reviews the positions that various religious traditions have (...) adopted regarding this novel type of research. In several instances the religious traditions seem to have influenced the public-policy debates. (shrink)

In 1969, the field of human genetics was in its infancy. Amniocentesis was a new technique for prenatal diagnosis, and a newborn genetic screening program had been established in one state. There were also concerns about the potential hazards of genetic engineering. A research group at the Hastings Center and Paul Ramsey pioneered in the discussion of genetics and bioethics. Two principal techniques have emerged as being of enduring importance: human gene transfer research and genetic testing and screening. This essay (...) tracks the development and use of these techniques and considers the ethical issues that they raise. (shrink)

According to a prevalent and rather influential typology, the just war and the crusade are antitheses in four respects. The requisite authority for a just war is the prince or the state; the crusade, on the other hand, is fought “under the auspices of the Church or of some inspired religious leader.” Second, the cause or aim of the just war is to protect society from offenses against life and property; in contrast, the object of the crusade is to promote (...) a religious or quasi-religious ideal. Third, the attitude of just warriors is one of reluctant resignation to performing an unpleasant but necessary task; crusaders, however, welcome the opportunity to wreak vengeance on the enemy. Finally, whereas the just war is characterized by moderation in the use of military. means, the crusade almost inevitably leads to indiscriminate violence. (shrink)

Since the birth of bioethics, a persistent refrain has been that advances in science, technology, and health are occurring so quickly that they threaten to outpace society’s ability to understand and react to them. Genomics, big data, and synthetic biology preoccupy current scholarly and policy debates, just as organ transplantation, in vitro fertilization, human subjects research, and gene therapy did over the past forty years. But the history of bioethics is more than the topics it has addressed. It is also (...) the story of the people whose voices shaped its debates and built society’s capacity to manage the escalating pace of technological change.LeRoy Walters is one of those contributors who made a difference. He... (shrink)

The last quarter of the twentieth century has given rise to reproductive technologies and arrangements that in the earlier part of the century could only be dreamed of by the authors of science fiction. We stand in the middle of this reproductive revolution, trying to cope with the developments that have already occurred but with an uneasy sense that the future may be even more complicated ethically than the past and the present. In this brief essay, I will survey recent (...) ethical and public-policy discussions of two reproductive techniques (assisted insemination and in vitro fertilization) and one reproductive arrangement (surrogate motherhood). After distinguishing three phases in the normative debate, I will briefly comment on some of the characteristics of, and continuing ambiguities in, the ethical debate of the past 25 years. At the conclusion of the essay, I will attempt to anticipate three future issues in ethics and reproduction. (shrink)

Walters provides commentary on Diderot's translation of Shaftesbury's An Inquiry Concerning Virtue or Merit. By comparing the translation and notes, he demonstrates the evolution of Diderot's thought and artistic skill, discusses the difference between theism and deism, the question of universal order, and compares atheism with free thought. After an analysis of religious fanaticism and social and political abuses, he turns his attention to virtue, as it relates to happiness, objective values, the moral sense, the passions, and self-interest. A (...) final chapter deals with the style of the Essai. (shrink)

Frege seems committed to the thesis that the senses of the fundamental notions of arithmetic remain stable and are stably grasped by thinkers throughout history. Fully competent practitioners grasp those senses clearly and distinctly, while uncertain practitioners see them, the very same senses, “as if through a mist”. There is thus a common object of the understanding apprehended to a greater or lesser degree by thinkers of diverging conceptual competence. Frege takes the thesis to be a condition for the possibility (...) of the rational intelligibility of mathematical practice. I argue however that the idea that senses could be grasped as a matter of degree is in tension with the constitutive theses that Frege held with regard to sense. Given those theses, there can in fact be no such thing as misty grasp of sense, since any uncertainty as to the logical features of a given sense will entail that one is getting hold of a different sense or of no sense at all. I consider various ways of resolving the tension and conclude that Frege’s thesis cannot be defended if we take it to be a thesis about our competence with concepts. This leaves unresolved what I call the problem of normative guidance, that is, the problem of explaining how the fundamental notions of logic and arithmetic can provide inferential guidance to thinkers. (shrink)

This essay examines Michael Polanyi’s notion of tacit knowing and seeks to clarify and elaborate upon its claims. Tacit knowing, which is conscious although inarticulate, must be distinguished from tacit processes, which are largely unconscious. Schematization is explored as a primary tacit process that humans share with all animals. This tacit process organizes and secures, in long-term memory, information of interest provided by receptors and those learned skifls conducive to survival. Human empirical knowing integrates schematized subsidiaries info articulate explicitness through (...) culturally-embedded symbols evoked in terms of felt fittingness. (shrink)

Stephen Turner explores the social dimensions of practices, probing to see if the notion of a shared practice can be understood as a cause or mechanism whereby knowledge arises and is used. When he concludes that practices are not some mysterious collective object but are best explained as individual habits, he thereby rejects an attenuated notion of practice and replaces it with a needlessly atomistic notion in which habits carry the full burden of explanation. Turner makes use of aspects of (...) Polanyi’s thought, but this article suggests ways in which a fuller appropriation of Polanyian insights can salvage a social, telic notion of practices that illuminates human behavior. (shrink)

The other articles in this issue plus other recent articles on Polanyi’s ethics have helped clarify Polanyi’s distinctive contribution to ethical theory. This article seeks to integrate these insights with Polanyi’s somewhat diffuse treatment of ethics by suggesting what features would be included in a distinctively Polanyian moral point of view. Grounded in psychological satisfactions, social dynamics, and values and ideals regarded as real, Polanyian ethics incorporates features of deontological, utilitarian, and virtue ethics and would support a practice of moral (...) discovery. (shrink)