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Paul T. Menzel [56]Paul Menzel [8]Paul Theodore Menzel [1]
  1.  31
    Advance Directives, Dementia, and Physician-Assisted Death.Paul T. Menzel & Bonnie Steinbock - 2013 - Journal of Law, Medicine and Ethics 41 (2):484-500.
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  2.  10
    Advance Directives, Dementia, and Withholding Food and Water by Mouth.Paul T. Menzel & M. Colette Chandler-Cramer - 2014 - Hastings Center Report 44 (3):23-37.
  3.  61
    Advance Directives, Dementia, and Physician‐Assisted Death.Paul T. Menzel & Bonnie Steinbock - 2013 - Journal of Law, Medicine and Ethics 41 (2):484-500.
    Physician-assisted suicide laws in Oregon and Washington require the person's current competency and a prognosis of terminal illness. In The Netherlands voluntariness and unbearable suffering are required for euthanasia. Many people are more concerned about the loss of autonomy and independence in years of severe dementia than about pain and suffering in their last months. To address this concern, people could write advance directives for physician-assisted death in dementia. Should such directives be implemented even though, at the time, the person (...)
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  4. The Cultural Moral Right to a Basic Minimum of Accessible Health Care.Paul T. Menzel - 2011 - Kennedy Institute of Ethics Journal 21 (1):79-119.
    In the United States, amid the fractious politics of attempting to achieve something close to universal access to basic health care, two impressions are likely to feed skepticism about the status of a right to universal access: the moral principles that underlie any right to universal access may seem incredibly "ideal," not well rooted in the society's actual fabric, and the necessary practical and political attempts to limit the scope of universally accessible care to make its achievement realistic may seem (...)
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  5.  8
    AEDs Are Problematic, but Mrs A is a Misleading Case.Paul T. Menzel - 2019 - Journal of Medical Ethics 45 (2):90-91.
    The case of Mrs A is a provocative example of euthanasia by advance directive to avoid increasingly severe dementia. It is also a ‘perfect storm’ of a disturbing case, revealing both the challenges that can arise with advance euthanasia directives generally and particular issues in the Dutch procedures. Kim, Miller and Dresser have done a distinct service to bioethics in detailing the case, in explaining the basis of the regional euthanasia review committee reprimand of the administering geriatrician and in highlighting (...)
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  6.  30
    Toward a Broader View of Values in Cost‐Effectiveness Analysis of Health.Paul Menzel, Marthe R. Gold, Erik Nord, Jose-Louis Pinto-Prades, Jeff Richardson & Peter Ubel - 1999 - Hastings Center Report 29 (3):7-15.
  7.  5
    Strong Medicine: The Ethical Rationing of Health Care.Paul T. Menzel - 1991 - Ethics 101 (2):417-418.
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  8.  37
    The Value of Life at the End of Life: A Critical Assessment of Hope and Other Factors.Paul T. Menzel - 2011 - Journal of Law, Medicine and Ethics 39 (2):215-223.
    Low opportunity cost, weak influence of quality of life in the face of death, the social value of life extension to others, shifting psychological reference points, and hope have been proposed as factors to explain why people apparently perceive marginal life extension at the end of life to have disproportionately greater value than its length. Such value may help to explain why medical spending to extend life at the end of life is as high as it is, and the various (...)
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  9.  7
    Oregon's Denial.Paul T. Menzel - 1992 - Hastings Center Report 22 (6):21-25.
  10.  6
    Justifying a Surrogate’s Request to Forego Oral Feeding.Paul T. Menzel - 2019 - American Journal of Bioethics 19 (1):92-94.
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  11.  18
    Against Fairness.Paul T. Menzel - 2014 - Journal of Bioethical Inquiry 11 (1):95-97.
    The book, Against Fairness, by philosopher Stephen T. Asma is reviewed. Concepts of favoritism and justice are explored.
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  12.  18
    And She's Not Only Merely Dead, She's Really Most Sincerely Dead.Alan Rubenstein, John P. Lizza & Paul T. Menzel - 2009 - Hastings Center Report 39 (5):4-6.
  13.  6
    Oregon's Denial Disabilities and Quality of Life.Paul T. Menzel - 1992 - Hastings Center Report 22 (6):21.
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  14.  18
    Justice and Fairness: A Critical Element in U.S. Health System Reform.Paul T. Menzel - 2012 - Journal of Law, Medicine and Ethics 40 (3):582-597.
    The case for U.S. health system reform aimed at achieving wider insurance coverage in the population and disciplining the growth of costs is fundamentally a moral case, grounded in two principles: (1) a principle of social justice, the Just Sharing of the costs of illness, and (2) a related principle of fairness, the Prevention of Free‐Riding. These principles generate an argument for universal access to basic care when applied to two existing facts: the phenomenon of “market failure” in health insurance (...)
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  15. Medical Costs, Moral Choices a Philosophy of Health Care Economics in America.Paul T. Menzel - 1983
     
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  16.  15
    Justice and Fairness: A Critical Element in U.S. Health System Reform.Paul T. Menzel - 2012 - Journal of Law, Medicine and Ethics 40 (3):582-597.
    The case for U.S. health system reform aimed at achieving wider insurance coverage in the population and disciplining the growth of costs is fundamentally a moral case, grounded in two principles: a principle of social justice, the Just Sharing of the costs of illness, and a related principle of fairness, the Prevention of Free-Riding. These principles generate an argument for universal access to basic care when applied to two existing facts: the phenomenon of “market failure” in health insurance and, in (...)
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  17. Just Access to Health Care and Pharmaceuticals.Paul T. Menzel - 2010 - In George G. Brenkert & Tom L. Beauchamp (eds.), The Oxford Handbook of Business Ethics. Oxford University Press.
     
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  18.  21
    Technology and Justice. George Parkin Grant.Paul T. Menzel - 1988 - Ethics 98 (4):867-868.
  19.  57
    A Conservative Case for Universal Access to Health Care.Paul T. Menzel & Donald Light - 2006 - Hastings Center Report 36 (4):36-45.
    Universal access to health care has historically faced strident opposition from political conservatives in the United States, although it has long been accepted by most conservatives in the rest of the industrialized world. Now, in a global economy where American business is crippled by the rising cost of market-based health care, the time may be ripe for change. The key to fostering a new mindset among American conservatives is to show why universal access fulfills many of the basic values that (...)
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  20.  3
    To the Editor.Paul T. Menzel - 2011 - Hastings Center Report 41 (3):7-7.
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  21.  29
    Rescuing Lives Can't We Count?Paul T. Menzel - 1994 - Hastings Center Report 24 (1):22-23.
  22.  12
    Complete Lives, Short Lives, and the Challenge of Legitimacy.Paul T. Menzel - 2010 - American Journal of Bioethics 10 (4):50 – 52.
  23.  23
    Paper Four: Non-Compliance: Fair or Free-Riding. [REVIEW]Paul T. Menzel - 1995 - Health Care Analysis 3 (2):113-115.
  24.  11
    Physician‐Assisted Death: What Everyone Needs to Know. L. W. Sumner, Oxford University Press, New York, NY, 2017. Xv + 243 Pp. US$ 16.95 Pbk, ISBN 978‐0‐19‐049017‐1. US$ 74.00 Hbk. ISBN 978‐0‐19‐049018‐8. [REVIEW]Paul T. Menzel - 2018 - Bioethics 32 (5):327-328.
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  25.  41
    The Value of Life at the End of Life: A Critical Assessment of Hope and Other Factors.Paul T. Menzel - 2011 - Journal of Law, Medicine and Ethics 39 (2):215-223.
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  26.  5
    Advance Directives for Refusing Life‐Sustaining Treatment in Dementia.Bonnie Steinbock & Paul T. Menzel - 2018 - Hastings Center Report 48 (S3):S75-S79.
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  27.  9
    Risk Perception, Addiction, and Costs to Others: An Assessment of Cigarette Taxes and Other Anti-Smoking Policies. [REVIEW]Paul Menzel - 1994 - Health Care Analysis 2 (1):13-22.
    This paper offers a relatively comprehensive assessment of government anti-smoking policies (both taxation and other regulatory measures). I conclude that interventions to engender in smokers and prospective smokers an accurate perception of tobacco's health risks are justified, that except in the case of adolescents addiction by itself does not justify intervention beyond providing adequate information, that the proper goal of tobacco taxation policy should be to recoup only the extra costs that smokers place on others (at most a $1/pack tax (...)
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  28.  13
    Public Philosophy: Distinction Without Authority.Paul T. Menzel - 1990 - Journal of Medicine and Philosophy 15 (4):411-424.
    An assumed core of normative ethical principles may constitute a philosophically proper framework within which public policy should be formulated, but it seldom provides any substantive solutions. To generate public policy on bioethical issues, participants still need to confront underlying philosophical controversies. Professional philosophers' proper role in that process is to clarify major philosophical options, to press wider-ranging concistency questions, and to bring more parties into the philosophical debate itself by arguing for particular substantive claims. Though questions of fact that (...)
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  29. Some Ethical Costs of Rationing.Paul T. Menzel - 1992 - Journal of Law, Medicine and Ethics 20 (1-2):57-66.
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  30.  37
    Equality, Autonomy, and Efficiency: What Health Care System Should We Have?Paul T. Menzel - 1992 - Journal of Medicine and Philosophy 17 (1):33-57.
    has a wide range of options in choosing a health care system. Rational choice of a system depends on analysis and prioritization of the basis moral goals of equitable access to all citizens, the just sharing of financial costs between well and ill, respect for the values and choices of subscribers and patients, and efficiency in the delivery of costworthy care. These moral goals themselves, however, tell us little about what health care system the United States should have. Equitable access (...)
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  31.  55
    Are Killing and Letting Die Morally Different in Medical Contexts?Paul T. Menzel - 1979 - Journal of Medicine and Philosophy 4 (3):269-293.
  32.  7
    Voluntarily Stopping Eating and Drinking: A Normative Comparison with Refusing Lifesaving Treatment and Advance Directives.Paul T. Menzel - 2017 - Journal of Law, Medicine and Ethics 45 (4):634-646.
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  33.  6
    Some Ethical Costs of Rationing.Paul T. Menzel - 1992 - Journal of Law, Medicine and Ethics 20 (1-2):57-66.
  34.  7
    Economic Competition in Health Care: A Moral Assessment.Paul T. Menzel - 1987 - Journal of Medicine and Philosophy 12 (1):63-84.
    Economic competition threatens equity in the delivery of health care. This essay examines four of the various ways in which it does that: the reduction of charity care, increased patient cost-sharing, "cream-skimming" of healthy subscribers, and lack of information to patients about rationed care that is not prescribed. In all four cases, society must guard against distinct inequities and injustices, but also in all four, either the particular problem is not inherent in competition or, though inherent, it is not irremediable. (...)
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  35.  43
    How Compatible Are Liberty and Equality in Structuring a Health Care System?Paul T. Menzel - 2003 - Journal of Medicine and Philosophy 28 (3):281 – 306.
    In their normative role in shaping the basic structure of a health care system, liberty and equality are often thought to conflict so sharply that health policy is condemned to remain an ideological battleground. In this paper, I will articulate my own view of why much of the apparently fundamental conflict between individual liberty and responsibility, on the one hand, and equality and equality's related concern for cost-efficiency, on the other hand, is less intractable than it is usually assumed to (...)
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  36.  18
    QALYs: Maximisation, Distribution and Consent. A Response to Alan Williams. [REVIEW]Paul T. Menzel - 1995 - Health Care Analysis 3 (3):226-229.
  37.  4
    Healthy RealismHealth Care Politics, Policy, and Distributive Justice: The Ironic Triumph.Paul T. Menzel & Robert P. Rhodes - 1993 - Hastings Center Report 23 (2):44.
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  38.  7
    The Ethical QALY: Ethical Issues in Healthcare Resource Allocations; The Allocation of Health Care Resources: An Ethical Evaluation of the`QALY' Approach. [REVIEW]Paul Menzel - 1999 - Bioethics 13 (5):436.
  39.  16
    When Comes “The End of the Day?”: A Comment on the Dialogue Between Dax Cowart and Robert Burt.Denis G. Arnold & Paul T. Menzel - 1998 - Hastings Center Report 28 (1):25-27.
  40.  26
    Books in Review.Robert L. Greenwood, Howard P. Kainz, John F. Haught & Paul T. Menzel - 1979 - International Journal for Philosophy of Religion 10 (1):141-144.
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  41.  25
    A Path to Universal Access.Paul T. Menzel - 2008 - Hastings Center Report 38 (1):34-36.
    What balance of government and private institution activity might stand a reasonable chance of achieving universal access to basic health care in the United States? David De Grazia makes a strong case that single-payer national health insurance with managed competition in delivery is morally the preferred structure for universal access: it best achieves the combination of universal access, cost control, freedom of patient choice, and quality of care. If we account for the realities of American political and moral culture, however, (...)
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  42.  18
    Dishonesty, Ignorance, or What?Paul T. Menzel - 2011 - Hastings Center Report 41 (2):16-17.
    We hardly regard politics—certainly not the words of politicians—as a realm where truth and honesty are closely protected. Public ignorance undoubtedly often pairs with politicians' disregard for accuracy to allow lies to pass. It is still galling, though, when political process and public reflection are stubbornly resistant to the obvious. It is more disturbing yet if the ignorance seems almost willing—a deeper kind of dishonesty in and with ourselves.By nature I am neither cynic, nor pessimist, nor one who disdains politics (...)
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  43.  21
    Epiphenomenalism and Metaethical Non-Naturalism.Paul T. Menzel - 1970 - Journal of Value Inquiry 4 (1):43-55.
  44.  4
    Talking to Each Other About Universal Health Care: Do Values Belong in the Discussion? Reply.Paul Menzel & Donald W. Light - 2006 - Hastings Center Report 36 (6):4-5.
    Mary Ann Baily's points are important, but they are largely accounted for by the analysis we provided. -/- .
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  45.  12
    How Should What Economists Call "Social Values" Be Measured.Paul Menzel - 1999 - The Journal of Ethics 3 (3):249 - 273.
    Most economists and some philosophers distinguish individual utilities from interpersonal social values. Even if challenges to that conceptual distinction can be met, further philosophically interesting questions arise. I pursue three in this paper, using, as context for the discussion, health economics and its attempt to discern empirically a social welfare function to help guide rationing decisions. (1) To discern these utilities and values in a manner that is morally appropriate if they are to influence rationing decisions, who should be queried? (...)
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  46.  7
    Double Agency and the Ethics of Rationing Health Care: A Response to Marcia Angell.Paul T. Menzel - 1993 - Kennedy Institute of Ethics Journal 3 (3):287-292.
  47.  4
    Review Essay.Paul T. Menzel - 1989 - Bioethics 3 (3):245-253.
    Rationing Health Care in America:Perceptions and Principles of Justice by Larry R. Churchill. American Health Care:Realities, Rights, and Reforms by Charles J. Dougherty. Should Medical Care Be Rationed by Age? edited by Timothy M. Smeeding, with Margaret P. Battin, Leslie P. Francis, and Bruce M. Landesman, Totowa, N.J., Rowman and Littlefield.
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  48.  8
    Justice and Fairness: Mandating Universal Participation.Paul T. Menzel - forthcoming - Hastings Center Report.
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  49.  6
    To Anyone Morally Perplexed About the Politics of US Health Care.Paul T. Menzel - 1995 - Health Care Analysis 3 (1):68-70.
    For much of the last year and a half, the US has appeared on the verge of extensively reforming its financing and provision of health care, guaranteeing universal coverage for basic care and significantly controlling the long-term growth of costs. But it now appears that with a new Republican-led Congress we will at best adopt only selected insurance reforms: guaranteeing portability of insurance between jobs, banning insurers from excluding preexisting conditions from a person's coverage, and perhaps increasing subsidies for the (...)
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  50.  13
    Too Hot for Politics to Handle?: Hard Questions About Health Insurance.Paul T. Menzel - 2008 - Hastings Center Report 38 (5):pp. 12-14.
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