23 found
Order:
Disambiguations
Mark Christopher Navin [18]Mark C. Navin [5]
See also
Mark Christopher Navin
Oakland University
  1.  17
    Pox Parties for Grannies? Chickenpox, Exogenous Boosting, and Harmful Injustices.Heidi Malm & Mark Christopher Navin - 2020 - American Journal of Bioethics 20 (9):45-57.
    Some societies tolerate or encourage high levels of chickenpox infection among children to reduce rates of shingles among older adults. This tradeoff is unethical. The varicella zoster virus (VZV) causes both chickenpox and shingles. After people recover from chickenpox, VZV remains in their nerve cells. If their immune systems become unable to suppress the virus, they develop shingles. According to the Exogenous Boosting Hypothesis (EBH), a person’s ability to keep VZV suppressed can be ‘boosted’ through exposure to active chickenpox infections. (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   12 citations  
  2. Prioritizing Parental Liberty in Non-Medical Vaccine Exemption Policies: A Response to Giubilini, Douglas and Savulescu.Mark Christopher Navin & Mark Aaron Largent - 2017 - Public Health Ethics 10 (3).
    In a recent paper published in this journal, Giubilini, Douglas and Savulescu argue that we have given insufficient weight to the moral importance of fairness in our account of the best policies for non-medical exemptions to childhood immunization requirements. They advocate for a type of policy they call Contribution, according to which parents must contribute to important public health goods before their children can receive NMEs to immunization requirements. In this response, we argue that Giubilini, Douglas and Savulescu give insufficient (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   9 citations  
  3.  16
    Capacity for Preferences: Respecting Patients with Compromised Decision‐Making.Jason Adam Wasserman & Mark Christopher Navin - 2018 - Hastings Center Report 48 (3):31-39.
    When a patient lacks decision-making capacity, then according to standard clinical ethics practice in the United States, the health care team should seek guidance from a surrogate decision-maker, either previously selected by the patient or appointed by the courts. If there are no surrogates willing or able to exercise substituted judgment, then the team is to choose interventions that promote a patient’s best interests. We argue that, even when there is input from a surrogate, patient preferences should be an additional (...)
    Direct download  
     
    Export citation  
     
    Bookmark   14 citations  
  4.  24
    Reasons to Amplify the Role of Parental Permission in Pediatric Treatment.Mark Christopher Navin & Jason Adam Wasserman - 2017 - American Journal of Bioethics 17 (11):6-14.
    Two new documents from the Committee on Bioethics of the American Academy of Pediatrics expand the terrain for parental decision making, suggesting that pediatricians may override only those parental requests that cross a harm threshold. These new documents introduce a broader set of considerations in favor of parental authority in pediatric care than previous AAP documents have embraced. While we find this to be a positive move, we argue that the 2016 AAP positions actually understate the importance of informed and (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   13 citations  
  5. Vaccine Mandates, Value Pluralism, and Policy Diversity.Mark C. Navin & Katie Attwell - 2019 - Bioethics 33 (9):1042-1049.
    Political communities across the world have recently sought to tackle rising rates of vaccine hesitancy and refusal, by implementing coercive immunization programs, or by making existing immunization programs more coercive. Many academics and advocates of public health have applauded these policy developments, and they have invoked ethical reasons for implementing or strengthening vaccine mandates. Others have criticized these policies on ethical grounds, for undermining liberty, and as symptoms of broader government overreach. But such arguments often obscure or abstract away from (...)
    Direct download  
     
    Export citation  
     
    Bookmark   4 citations  
  6. The Ethics of Vaccination Nudges in Pediatric Practice.Mark C. Navin - 2017 - HEC Forum 29 (1):43-57.
    Techniques from behavioral economics—nudges—may help physicians increase pediatric vaccine compliance, but critics have objected that nudges can undermine autonomy. Since autonomy is a centrally important value in healthcare decision-making contexts, it counts against pediatric vaccination nudges if they undermine parental autonomy. Advocates for healthcare nudges have resisted the charge that nudges undermine autonomy, and the recent bioethics literature illustrates the current intractability of this debate. This article rejects a principle to which parties on both sides of this debate sometimes seem (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  7.  5
    When Do Pediatricians Call the Ethics Consultation Service? Impact of Clinical Experience and Formal Ethics Training.Mark C. Navin, Jason Adam Wasserman, Susanna Jain, Katie R. Baughman & Naomi T. Laventhal - 2020 - AJOB Empirical Bioethics 11 (2):83-90.
    Background: Previous research shows that pediatricians inconsistently utilize the ethics consultation service (ECS). Methods: Pediatricians in two suburban, Midwestern academic hospitals were asked to reflect on their ethics training and utilization of ECS via an anonymous, electronic survey distributed in 2017 and 2018, and analyzed in 2018. Participants reported their clinical experience, exposure to formal and informal ethics training, use of formal and informal ethics consultations, and potential barriers to formal consultation. Results: Less experienced pediatricians were more likely to utilize (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  8. Local Food and International Ethics.Mark C. Navin - 2014 - Journal of Agricultural and Environmental Ethics 27 (3):349-368.
    Many advocate practices of ‘local food’ or ‘locavorism’ as a partial solution to the injustices and unsustainability of contemporary food systems. I think that there is much to be said in favor of local food movements, but these virtues are insufficient to immunize locavorism from criticism. In particular, three duties of international ethics—beneficence, repair and fairness—may provide reasons for constraining the developed world’s permissible pursuit of local food. A complete account of why (and how) the fulfillment of these duties constrains (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   5 citations  
  9.  19
    Capacity for Preferences and Pediatric Assent: Implications for Pediatric Practice.Mark Christopher Navin & Jason Adam Wasserman - 2019 - Hastings Center Report 49 (1):43-51.
    Children’s preferences about medical treatment—like the preferences of other patients—hold moral weight in decision-making that is independent of considerations of autonomy or best interests. In light of this understanding of the moral value of patient preferences, the American Academy of Pediatrics could strengthen the ethical foundation for its formal guidance on pediatric assent.
    Direct download  
     
    Export citation  
     
    Bookmark   2 citations  
  10.  21
    The Irrelevance of Origins: Dementia, Advance Directives, and the Capacity for Preferences.Jason Adam Wasserman & Mark Christopher Navin - 2020 - American Journal of Bioethics 20 (8):98-100.
    We agree with Emily Walsh (2020) that the current preferences of patients with dementia should sometimes supersede those patients’ advance directives. We also agree that consensus clinical ethics guidance does a poor job of explaining the moral value of such patients’ preferences. Furthermore, Walsh correctly notes that clinicians are often averse to treating patients with dementia over their objections, and that this aversion reflects clinical wisdom that can inform revisions to clinical ethics guidance. But Walsh’s account of the moral value (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  11.  35
    Cooptation or Solidarity: Food Sovereignty in the Developed World.Mark Christopher Navin & J. M. Dieterle - 2018 - Agriculture and Human Values 35 (2):319-329.
    This paper builds on previous research about the potential downsides of food sovereignty activism in relatively wealthy societies by developing a three-part taxonomy of harms that may arise in such contexts. These are direct opposition, false equivalence, and diluted goals and methods. While this paper provides reasons to resist complacency about wealthy-world food sovereignty, we are optimistic about the potential for food sovereignty in wealthy societies, and we conclude by describing how wealthy-world food sovereignty can be a location of either (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  12.  27
    Considering Whether the Dismissal of Vaccine-Refusing Families Is Fair to Other Clinicians.Michael J. Deem, Mark Christopher Navin & John D. Lantos - 2018 - JAMA Pediatrics 172 (6):515-516.
    A recent American Academy of Pediatrics (AAP) clinical report states that it is an acceptable option for pediatric care clinicians to dismiss families who refuse vaccines. This is a clear shift in guidance from the AAP, which previously advised clinicians to “endeavor not to discharge” patients solely because of parental vaccine refusal. While this new policy might be interpreted as encouraging or recommending dismissal of vaccine-refusing families, it instead expresses tolerance for diverse professional approaches. This is unlike the earlier guidance, (...)
    Direct download  
     
    Export citation  
     
    Bookmark   1 citation  
  13.  15
    Harm and Parental Permission: A Response to Our Critics.Mark Christopher Navin & Jason Adam Wasserman - 2017 - American Journal of Bioethics 17 (11):W1-W4.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  14. Reasons to Accept Vaccine Refusers in Primary Care.Mark Christopher Navin, Jason Adam Wasserman & Douglas Opel - 2020 - Pediatrics 6 (146):e20201801.
    Vaccine refusal forces us to confront tensions between many values, including scientific expertise, parental rights, children’s best interests, social responsibility, public trust, and community health. Recent outbreaks of vaccine-preventable and emerging infectious diseases have amplified these issues. The prospect of a coronavirus disease 2019 vaccine signals even more friction on the horizon. In this contentious sociopolitical landscape, it is therefore more important than ever for clinicians to identify ethically justified responses to vaccine refusal.
    Direct download  
     
    Export citation  
     
    Bookmark  
  15. Childhood Vaccination Mandates: Scope, Sanctions, Severity, Selectivity, and Salience.Katie Attwell & Mark Christopher Navin - 2019 - Milbank Quarterly 97 (4):978–1014.
    Context In response to outbreaks of vaccine‐preventable disease and increasing rates of vaccine refusal, some political communities have recently implemented coercive childhood immunization programs, or they have made existing childhood immunization programs more coercive. Many other political communities possess coercive vaccination policies, and others are considering developing them. Scholars and policymakers generally refer to coercive immunization policies as “vaccine mandates.” However, mandatory vaccination is not a unitary concept. Rather, coercive childhood immunization policies are complex, context‐specific instruments. Their legally and morally (...)
     
    Export citation  
     
    Bookmark  
  16.  8
    Three Kinds of Decision-Making Capacity for Refusing Medical Interventions.Mark Christopher Navin, Abram L. Brummett & Jason Adam Wasserman - forthcoming - American Journal of Bioethics:1-11.
    According to a standard account of patient decision-making capacity, patients can provide ethically valid consent or refusal only if they are able to understand and appreciate their medical c...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  17.  13
    Guidance and Intervention Principles in Pediatrics: The Need for Pluralism.Mark Christopher Navin & Jason Wasserman - 2019 - Journal of Clinical Ethics 30 (3):201-6.
    Two core questions in pediatric ethics concern when and how physicians are ethically permitted to intervene in parental treatment decisions (intervention principles), and the goals or values that should direct physicians’ and parents’ decisions about the care of children (guidance principles). Lainie Friedman Ross argues in this issue of The Journal of Clinical Ethics that constrained parental autonomy (CPA) simultaneously answers both questions: physicians should intervene when parental treatment preferences fail to protect a child’s basic needs or primary goods, and (...)
    Direct download  
    Translate
     
     
    Export citation  
     
    Bookmark  
  18.  11
    Harming Children to Benefit Others: A Reply.Heidi Malm & Mark Christopher Navin - 2020 - American Journal of Bioethics 20 (12):W1-W6.
    We are pleased to have received such a varied set of commentaries on our target article, “Pox Parties for Grannies? Chickenpox, Exogenous Boosting, and Harmful Injustices,” and we are thankful for the opportunity to respond to some of them here. We regret that space limitations preclude us from responding to each. In what follows we will begin by addressing commentaries that expand the application of our arguments. We will then correct some seeming misunderstandings about our distinctions, arguments and thesis. We (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  19. Perspectives of Public Health Nurses on the Ethics of Mandated Vaccine Education.Mark Christopher Navin, Andrea T. Kozak & Michael J. Deem - 2020 - Nursing Outlook 68 (1):62-72.
    Background Since 2015, Michigan has required parents who request nonmedical exemptions (NMEs) from school or daycare immunization mandates to receive education from local public health staff (usually nurses). This is unlike most other US states that have implemented mandatory immunization counseling, which require physicians to document immunization education, or which provide online instruction. -/- Purpose To attend to the activity and dispositions of the public health staff who provide “waiver education”. -/- Method This study reports results of focus group interviews (...)
     
    Export citation  
     
    Bookmark  
  20.  21
    Philosophy Comes to Dinner: Arguments About the Ethics of Eating, Edited by Andrew Chignell, Terence Cuneo, and Matthew C. Halteman.Mark C. Navin - 2017 - Teaching Philosophy 40 (4):490-492.
  21.  8
    Practising What We Preach: Clinical Ethicists’ Professional Perspectives and Personal Use of Advance Directives.Jason Adam Wasserman, Mark Christopher Navin, Victoria Drzyzga & Tyler S. Gibb - 2022 - Journal of Medical Ethics 48 (2):144-149.
    The field of clinical bioethics strongly advocates for the use of advance directives to promote patient autonomy, particularly at the end of life. This paper reports a study of clinical bioethicists’ perceptions of the professional consensus about advance directives, as well as their personal advance care planning practices. We find that clinical bioethicists are often sceptical about the value of advance directives, and their personal choices about advance directives often deviate from what clinical ethicists acknowledge to be their profession’s recommendations. (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  22.  4
    Dismissal Policies for Vaccine Refusal -- A Reply.Michael J. Deem, Mark Christopher Navin & John D. Lantos - 2018 - JAMA Pediatrics 172 (11):1101-1102.
    Marshall and O’Leary’s thoughtful response to our article suggests that dismissal policies are ethically justifiable because they might induce parents to immunize their children. This outcome is conceivable, but we have only anecdotes about how often it occurs. Such evidence became the thin reed on which the American Academy of Pediatrics rested its new policy of tolerating the practice of dismissing vaccine-hesitant parents. It seems likely that relatively few parents would agree to vaccinate because they were threatened with dismissal. Other (...)
    Direct download  
     
    Export citation  
     
    Bookmark  
  23.  3
    Pediatric Assent and Treating Children Over Objection.Jason Wasserman, Mark Christopher Navin & John Vercler - 2019 - Pediatrics 144 (5):e20190382.
    More than 20 years ago, the pioneering pediatric ethicist William Bartholome wrote a fiery letter to the editor of this journal because he thought a recently published statement on pediatric assent, from the Committee on Bioethics of the American Academy of Pediatrics (AAP), showed insufficient respect for children. That AAP statement, like its 2016 update, asserts that pediatric assent should be solicited only when a child’s dissent will be honored. Bartholome objected that pediatricians should always solicit children’s assent and that (...)
    Direct download  
     
    Export citation  
     
    Bookmark