93 found
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  1.  32
    Medical Futility: Its Meaning and Ethical Implications.Lawrence J. Schneiderman, Nancy S. Jecker & Albert R. Jonsen - forthcoming - Bioethics.
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  2.  6
    Is That the Same Person? Case Studies in Neurosurgery.Nancy S. Jecker & Andrew L. Ko - 2017 - American Journal of Bioethics Neuroscience 8 (3):160-170.
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  3.  6
    Ethical Guidance for Selecting Clinical Trials to Receive Limited Space in an Immunotherapy Production Facility.Nancy S. Jecker, Aaron G. Wightman, Abby R. Rosenberg & Douglas S. Diekema - 2018 - American Journal of Bioethics 18 (4):58-67.
    Our aims are to set forth a multiprinciple system for selecting among clinical trials competing for limited space in an immunotherapy production facility that supplies products under investigation by scientific investigators; defend this system by appealing to justice principles; and illustrate our proposal by showing how it might be implemented. Our overarching aim is to assist manufacturers of immunotherapeutic products and other potentially breakthrough experimental therapies with the ethical task of prioritizing requests from scientific investigators when production capacity is limited.
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  4.  38
    Justice Between Age Groups: An Objection to the Prudential Lifespan Approach.Nancy S. Jecker - 2013 - American Journal of Bioethics 13 (8):3-15.
    Societal aging raises challenging ethical questions regarding the just distribution of health care between young and old. This article considers a proposal for age-based rationing of health care, which is based on the prudential life span account of justice between age groups. While important objections have been raised against the prudential life span account, it continues to dominate scholarly debates. This article introduces a new objection, one that develops out of the well-established disability critique of social contract theories. I show (...)
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  5.  10
    Endangerment of the iPSC Stock Project in Japan: On the Ethics of Public Funding Policies.Akira Akabayashi, Eisuke Nakazawa & Nancy S. Jecker - 2018 - Journal of Medical Ethics 44 (10):700-702.
    We examined the ethical justification for a national policy governing public funding for the induced pluripotent stem cell stock project in Japan and argue that the initiation of the iPSC stock project in 2012, when no clinical trial using iPSC-derived products had yet succeeded, was premature and unethical. Our analysis considers a generally accepted justice criterion and shows it fails to justify public funding of the iPSC stock project. We also raise concerns related to the massive amounts of public funding (...)
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  6.  38
    A Broader View of Justice.Nancy S. Jecker - 2008 - American Journal of Bioethics 8 (10):2 – 10.
    In this paper I argue that a narrow view of justice dominates the bioethics literature. I urge a broader view. As bioethicists, we often conceive of justice using a medical model. This model focuses attention at a particular point in time, namely, when someone who is already sick seeks access to scarce or expensive services. A medical model asks how we can fairly distribute those services. The broader view I endorse requires looking upstream, and asking how disease and suffering came (...)
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  7.  14
    Pfizer’s Corporate Citizenship.Nancy S. Jecker - 2018 - American Journal of Bioethics 18 (11):18-20.
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  8.  38
    Doing What We Shouldn't: Medical Futility and Moral Distress.Nancy S. Jecker - 2017 - American Journal of Bioethics 17 (2):41-43.
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  9.  29
    Rethinking Rescue Medicine.Nancy S. Jecker - 2015 - American Journal of Bioethics 15 (2):12-18.
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  10.  31
    Is There a ‘Right to Try’ Experimental Therapies? Ethical Criteria for Selecting Patients With Spinal Muscular Atrophy to Receive Nusinersen in an Expanded Access Program.Nancy S. Jecker - 2017 - American Journal of Bioethics 17 (10):70-71.
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  11.  72
    Medical Futility: The Duty Not to Treat.Nancy S. Jecker & Lawrence J. Schneiderman - 1993 - Cambridge Quarterly of Healthcare Ethics 2 (2):151.
    Partly because physicians can “never say never,” partly because of the seduction of modern technology, and partly out of misplaced fear of litigation, physicians have increasingly shown a tendency to undertake treatments that have no realistic expectation of success. For this reason, we have articulated common sense criteria for medical futility. If a treatment can be shown not to have worked in the last 100 cases, we propose that it be regarded as medically futile. Also, if the treatment fails to (...)
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  12.  21
    Knowing When to Stop: The Limits of Medicine.Nancy S. Jecker - 1991 - Hastings Center Report 21 (3):5-8.
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  13.  72
    Medical Futility: A Paradigm Analysis. [REVIEW]Nancy S. Jecker - 2007 - HEC Forum 19 (1):13-32.
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  14.  19
    Justice and Global Care Chains: Lessons From Singapore.Nancy S. Jecker & Jacqueline Joon‐Lin Chin - 2019 - Developing World Bioethics 19 (3):155-168.
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  15.  87
    Taking Care of One's Own: Justice and Family Caregiving.Nancy S. Jecker - 2002 - Theoretical Medicine and Bioethics 23 (2):117-133.
    This paper asks whether adult children have aduty of justice to act as caregivers for theirfrail, elderly parents. I begin (Sections I.and II.) by locating the historical reasons whyrelationships within families were not thoughtto raise issues of justice. I argue that thesereasons are misguided. The paper next presentsspecific examples showing the relevance ofjustice to family relationships. I point outthat in the United States today, the burden ofcaregiving for dependent parents fallsdisproportionately on women (Sections III. andIV.). The paper goes on to (...)
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  16.  36
    Exploiting Subjects in Placebo-Controlled Trials.Nancy S. Jecker - 2002 - American Journal of Bioethics 2 (2):19 – 20.
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  17.  9
    What Do We Owe the Newly Dead? An Ethical Analysis of Findings From Japan's Corpse Hotels Workers.Nancy S. Jecker & Eriko Miwa - 2019 - Bioethics 33 (6):691-698.
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  18.  45
    Caring for Patients in Cross‐Cultural Settings.Nancy S. Jecker, Joseph A. Carrese & Robert A. Pearlman - 1995 - Hastings Center Report 25 (1):6-14.
  19.  3
    Advance Care Planning: What Gives Prior Wishes Normative Force?Nancy S. Jecker - 2016 - Asian Bioethics Review 8 (3):195-210.
    The conventional wisdom about advance care planning holds that the normative force of my prior wishes is simply that they are mine. It is their connection to me that matters. This paper challenges conventional thinking. I propose that the normative force of prior wishes does not depend exclusively on personal identity. Instead, it sometimes depends on a special relationship that exists between a prior, capacitated person and a now incapacitated person. I consider what normative guidance governs persons who stand in (...)
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  20.  62
    The Role of Standpoint in Justice Theory.Nancy S. Jecker - 2008 - Journal of Value Inquiry 42 (2):165-182.
  21.  24
    The Role of Standpoint in Justice Theory.Nancy S. Jecker - 2008 - Journal of Value Inquiry 42 (2):269-269.
  22.  58
    Should a Criminal Receive a Heart Transplant? Medical Justice Vs. Societal Justice.Lawrence J. Schneiderman & Nancy S. Jecker - 1996 - Theoretical Medicine and Bioethics 17 (1).
    Should the nation provide expensive care and scarce organs to convicted felons? We distinguish between two fields of justice: Medical Justice and Societal Justice. Although there is general acceptance within the medical profession that physicians may distribute limited treatments based solely on potential medical benefits without regard to nonmedical factors, that does not mean that society cannot impose limits based on societal factors. If a society considers the convicted felon to be a full member, then that person would be entitled (...)
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  23.  8
    Toward A New Model of Autonomy: Lessons From Neuroscience.Nancy S. Jecker - 2011 - American Journal of Bioethics Neuroscience 2 (3):50-51.
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  24.  26
    Futility and Fairness: A Defense of the Texas Advance Directive Law.Nancy S. Jecker - 2015 - American Journal of Bioethics 15 (8):43-46.
  25.  34
    Just Healthcare for Combatants.Nancy S. Jecker - 2008 - American Journal of Bioethics 8 (2):13 – 14.
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  26.  15
    The Ubiquity of CultureMedicine and Culture: Varieties of Treatment in the United States, England, West Germany, and FranceHealth Care Systems: Moral Conflicts in European and American Public Policy.Nancy S. Jecker, Lynn Payer, Hans-Martin Sass & Robert U. Massey - 1989 - Hastings Center Report 19 (6):46.
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  27.  51
    Are Filial Duties Unfounded?Nancy S. Jecker - 1989 - American Philosophical Quarterly 26 (1):73 - 80.
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  28.  74
    Health Care Reform: What History Doesn’T Teach.Nancy S. Jecker - 2005 - Theoretical Medicine and Bioethics 26 (4):277-305.
    The paper begins by tracing the historical development of American medicine as practice, profession, and industry from the eighteenth century to the present. This historical outline emphasizes shifting conceptions of physicians and physician ethics. It lays the basis for showing, in the second section, how contemporary controversies about the physician’s role in managed care take root in medicine’s past. In the final two sections, I revisit both the historical analysis and its application to contemporary debates. I argue that historical narratives (...)
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  29.  47
    Protecting the Vulnerable.Nancy S. Jecker - 2004 - American Journal of Bioethics 4 (3):60-62.
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  30.  2
    Growing Older and Getting Wiser.Nancy S. Jecker - forthcoming - International Journal of Applied Philosophy.
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  31.  87
    The Ascription of Rights in Wrongful Life Suits.Nancy S. Jecker - 1987 - Law and Philosophy 6 (2):149-165.
    Wrongful life is an action brought by a defective child who sues to recover for pecuniary or emotional damages suffered as a result of being conceived or born with deformities. In such cases, plaintiff alleges that the negligence of a responsible third party,1 such as physician, hospital, or medical laboratory, is the proximate cause of plaintiff's being born or conceived and thus being compelled to suffer the debilitating effects of a deformity. The child does not sue to recover for the (...)
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  32.  9
    The Extended Nonidentity Problem.Nancy S. Jecker - unknown
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  33.  7
    The Theory and Practice of Professionalism.Nancy S. Jecker - 2004 - American Journal of Bioethics 4 (2):47-48.
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  34.  67
    Judging Medical Futility: An Ethical Analysis of Medical Power and Responsibility.Nancy S. Jecker & Lawrence J. Schneiderman - 1995 - Cambridge Quarterly of Healthcare Ethics 4 (1):23.
    In situations where experience shows that a particular intervention will not benefit a patient, common sense seems to suggest that the intervention should not be used. Yet it is precisely in these situations that a peculiar ethic begins to operate, an ethic that Eddy calls “the criterion of potential benefit.” According to this ethic, “a treatment is appropriate if it might have some benefit.” Thus, the various maxims learned in medical school instruct physicians that “‘an error of commission is to (...)
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  35.  59
    Medical Futility and the Death of a Child.Nancy S. Jecker - 2011 - Journal of Bioethical Inquiry 8 (2):133-139.
    Our response to death may differ depending on the patient’s age. We may feel that death is a sad, but acceptable event in an elderly patient, yet feel that death in a very young patient is somehow unfair. This paper explores whether there is any ethical basis for our different responses. It examines in particular whether a patient’s age should be relevant to the determination that an intervention is medically futile. It also considers the responsibilities of health professionals and the (...)
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  36.  32
    Integrating Medical Ethics with Normative Theory: Patient Advocacy and Social Responsibility.Nancy S. Jecker - 1990 - Theoretical Medicine and Bioethics 11 (2).
    It is often assumed that the chief responsibility medical professionals bear is patient care and advocacy. The meeting of other duties, such as ensuring a more just distribution of medical resources and promoting the public good, is not considered a legitimate basis for curtailing or slackening beneficial patient services. It is argued that this assumption is often made without sufficient attention to foundational principles of professional ethics; that once core principles are laid bare this assumption is revealed as largely unwarranted; (...)
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  37.  29
    The Moral Orientations of Justice and Care Among Young Physicians.Donnie J. Self, Nancy S. Jecker & Dewitt C. Baldwin - 2003 - Cambridge Quarterly of Healthcare Ethics 12 (1):54-60.
    High moral standards and adherence to a moral code have long been strong tenets of the profession of medicine, even though there have been occasional lapses that have led to renewed calls for a revitalization of moral integrity in medicine. Certainly, a moral component has generally been held to be an important aspect of the concept of a physician.
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  38.  20
    Calling It Quits: Stopping Futile Treatment and Caring for Patients.Nancy S. Jecker - 1994 - Journal of Clinical Ethics 5 (2):138.
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  39.  58
    Is the Treatment Beneficial, Experimental, or Futile?Lawrence J. Schneiderman & Nancy S. Jecker - 1996 - Cambridge Quarterly of Healthcare Ethics 5 (2):248.
    D.T. a 35-year-old woman, was found to have breast cancer. At the time of mastectomy axillary lymph nodes were positive and the cancer was classified as adenocarcinoma, grade 4. The patient underwent conventional chemotherapy. When it became apparent the disease was metastatic, the patient's oncologist contacted a well-known cancer center regarding the possibility of treating the patient with high dose chemotherapy and autologous bone marrow transplantation. The patient's health insurance provider informed the patient, however, that the treatment—estimated to cost in (...)
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  40.  18
    Spousal Understanding of Patient Quality of Life: Implications for Surrogate Decisions.Robert A. Pearlman, Richard F. Uhlmann & Nancy S. Jecker - 1992 - Journal of Clinical Ethics 3 (2):114.
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  41.  11
    Managed Care: A House of Mirrors.Nancy S. Jecker & Albert R. Jonsen - 1997 - Journal of Clinical Ethics 8 (3):230.
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  42.  48
    Towards a Theory of Age-Group Justice.Nancy S. Jecker - 1989 - Journal of Medicine and Philosophy 14 (6):655-676.
    Norman Daniels' and Daniel Callahan's recent work attempts to develop and deepen theories of justice in order to accommodate intergenerational moral issues. Elsewhere, I have argued that Callahan's arguments furnish inadequate support for the age rationing policy he accepts. This essay therefore examines Daniel's account of age rationing, together with the complex theory of age-group justice that buttresses it. Sections one and two trace the main features of Daniels' prudential lifespan approach. Section three calls into question the theory's conformity to (...)
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  43.  4
    The Role of Standpoint in Justice Theory.Nancy S. Jecker - 2007 - Journal of Value Inquiry 41 (2-4):165-182.
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  44.  55
    Book Review. [REVIEW]Nancy S. Jecker - 1989 - Law and Philosophy 8 (2):115-141.
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  45.  38
    Genetic Testing and the Social Responsibility of Private Health Insurance Companies.Nancy S. Jecker - 1993 - Journal of Law, Medicine and Ethics 21 (1):109-116.
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  46.  69
    Caring for “Socially Undesirable” Patients.Nancy S. Jecker - 1996 - Cambridge Quarterly of Healthcare Ethics 5 (4):500.
    Mr. Bernard was a homeless man, aged 58. His medical history revealed alcohol abuse, seizure disorder, and two suicide attempts. Brought to the emergency room at a local hospital after being found “semi-comatose,” his respiratory distress led to his being intubated and placed on a ventilator. The healthcare team suspected the patient ingested antifreeze. Transferred from that hospital to the intensive care unit of the university hospital, his diagnosis was “high osmolar gap with high-anion gap metabolic acidosis, most likely secondary (...)
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  47.  1
    Growing Older and Getting Wiser.Nancy S. Jecker - forthcoming - International Journal of Applied Philosophy.
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  48.  59
    Ethics Committees at Work: A Different Kind of “Prisoner's Dilemma”.Lawrence J. Schneiderman, Nancy S. Jecker, Christine Rozance, Arlene Judith Klotzko & Birgit Friedl - 1995 - Cambridge Quarterly of Healthcare Ethics 4 (4):530.
  49.  16
    Talking About FutilityWrong Medicine. [REVIEW]Jeremy Sugarman, Lawrence J. Schneiderman & Nancy S. Jecker - 1996 - Hastings Center Report 26 (3):41.
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  50.  15
    The Abuse of Futility.Lawrence J. Schneiderman, Nancy S. Jecker & Albert R. Jonsen - 2018 - Perspectives in Biology and Medicine 60 (3):295-313.
    Two recent policy statements by providers of critical care representing the United States and Europe have rejected the concept and language of “medical futility,” on the ground that there is no universal consensus on a definition. They recommend using “potentially inappropriate” or “inappropriate” instead. As Bosslet and colleagues state: The term “potentially inappropriate” should be used, rather than futile, to describe treatments that have at least some chance of accomplishing the effect sought by the patient, but clinicians believe that competing (...)
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