22 found
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  1.  16
    Response to Open Peer Commentaries on “Resolving Ethical Dilemmas in a Tertiary Care Veterinary Specialty Hospital: Adaptation of the Human Clinical Consultation Committee Model”.Philip M. Rosoff, Rachel Ruderman, Jeannine Moga, Bruce Keene, Christopher Adin, Callie Fogle, Heather Hopkinson & Charity Weyhrauch - 2018 - American Journal of Bioethics 18 (2):7-10.
    Technological advances in veterinary medicine have produced considerable progress in the diagnosis and treatment of numerous diseases in animals. At the same time, veterinarians, veterinary technicians, and owners of animals face increasingly complex situations that raise questions about goals of care and correct or reasonable courses of action. These dilemmas are frequently controversial and can generate conflicts between clients and health care providers. In many ways they resemble the ethical challenges confronted by human medicine and that spawned the creation of (...)
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  2.  91
    Institutional Futility Policies Are Inherently Unfair.Philip M. Rosoff - 2013 - HEC Forum 25 (3):191-209.
    For many years a debate has raged over what constitutes futile medical care, if patients have a right to demand what doctors label as futile, and whether physicians should be obliged to provide treatments that they think are inappropriate. More recently, the argument has shifted away from the difficult project of definitions, to outlining institutional policies and procedures that take a measured and patient-by-patient approach to deciding if an existing or desired intervention is futile. The prototype is the Texas Advance (...)
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  3.  72
    Unpredictable Drug Shortages: An Ethical Framework for Short-Term Rationing in Hospitals.Philip M. Rosoff - 2012 - American Journal of Bioethics 12 (1):1 - 9.
    Periodic and unexpected shortages of drugs, biologics, and even medical devices have become commonplace in the United States. When shortages occur, hospitals and clinics need to decide how to ration their available stock. When such situations arise, institutions can choose from several different allocation schemes, such as first-come, first-served, a lottery, or a more rational and calculated approach. While the first two approaches sound reasonable at first glance, there are a number of problems associated with them, including the inability to (...)
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  4.  70
    Response to Open Peer Commentaries on “Irrational Exuberance: Cardiopulmonary Resuscitation as Fetish”.Philip M. Rosoff & Lawrence J. Schneiderman - 2017 - American Journal of Bioethics 17 (2):W1 - W3.
    The Institute of Medicine and the American Heart Association have issued a “call to action” to expand the performance of cardiopulmonary resuscitation in response to out-of-hospital cardiac arrest. Widespread advertising campaigns have been created to encourage more members of the lay public to undergo training in the technique of closed-chest compression-only CPR, based upon extolling the virtues of rapid initiation of resuscitation, untempered by information about the often distressing outcomes, and hailing the “improved” results when nonprofessional bystanders are involved. We (...)
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  5.  29
    Caring for the Suffering: Meeting the Ebola Crisis Responsibly.Philip M. Rosoff - 2015 - American Journal of Bioethics 15 (4):26-32.
    The current Ebola virus epidemic in Western Africa appears to be spiraling out of control. The worst-case projections suggested that the unchecked spread could result in almost 1.4 million cases by the end of January 2015 with a case fatality rate of at least 50%. The United States and European nations have begun to respond in earnest with promises of supplies, isolation beds, and trained health care personnel in an effort to contain the epidemic and care for the sick. However, (...)
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  6.  54
    The Myth of Genetic Enhancement.Philip M. Rosoff - 2012 - Theoretical Medicine and Bioethics 33 (3):163-178.
    The ongoing revolution in molecular genetics has led many to speculate that one day we will be able to change the expression or phenotype of numerous complex traits to improve ourselves in many different ways. The prospect of genetic enhancements has generated heated controversy, with proponents advocating research and implementation, with caution advised for concerns about justice, and critics tending to see the prospect of genetic enhancements as an assault on human freedom and human nature. Both camps base their arguments (...)
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  7.  25
    Should Palliative Care Be a Necessity or a Luxury During an Overwhelming Health Catastrophe?Philip M. Rosoff - 2010 - Journal of Clinical Ethics 21 (4):312.
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  8.  42
    In Defense of (Some) Altered Standards of Care for Ebola Infections in Developed Countries.Philip M. Rosoff - 2015 - HEC Forum 27 (1):1-9.
    The current outbreak of Ebola virus infection in West Africa continues to spread. Several patients have now been treated in the United States and preparations are being made for more. Because of the strict isolation required for their care, questions have been raised about what diagnostic and therapeutic interventions should be available. I discuss the ethical challenges associated with caring for patients in strict isolation and personnel wearing bulky protective gear with reduced dexterity and flexibility, the limitations this may place (...)
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  9. How Darwinian Reductionism Refutes Genetic Determinism.Philip M. Rosoff & Alex Rosenberg - 2006 - Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 37 (1):122-135.
    Genetic determinism labels the morally problematical claim that some socially significant traits, traits we care about, such as sexual orientation, gender roles, violence, alcoholism, mental illness, intelligence, are largely the results of the operation of genes and not much alterable by environment, learning or other human intervention. Genetic determinism does not require that genes literally fix these socially significant traits, but rather that they constrain them within narrow channels beyond human intervention. In this essay we analyze genetic determinism in light (...)
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  10.  4
    Healthcare Rationing Cutoffs and Sorites Indeterminacy.Philip M. Rosoff - 2019 - Journal of Medicine and Philosophy 44 (4):479-506.
    Rationing is an unavoidable mechanism for reining in healthcare costs. It entails establishing cutoff points that distinguish between what is and is not offered or available to patients. When the resource to be distributed is defined by vague and indeterminate terms such as “beneficial,” “effective,” or even “futile,” the ability to draw meaningful boundary lines that are both ethically and medically sound is problematic. In this article, I draw a parallel between the challenges posed by this problem and the ancient (...)
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  11.  7
    Transplants for Non-Lethal Conditions: A Case Against Hand Transplantation in Minors.Charles E. Hedges & Philip M. Rosoff - 2018 - Journal of Medical Ethics 44 (10):661-665.
    Human allografts for life-threatening organ failure have been demonstrated to be lifesaving and are now considered to be standard of care for many conditions. Transplantation of non-vital anatomic body parts has also been accomplished. Hand transplantation after limb loss in adults has been shown to offer some promising benefits in both functional and psychological measures in preliminary studies. It has been suggested to expand eligibility criteria to include minors, with one such operation having already been performed. With this in mind, (...)
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  12.  35
    An Ethical and Legal Framework for Physicians as Surrogate Decision‐Makers for Their Patients.Philip M. Rosoff & Kelly M. Leong - 2015 - Journal of Law, Medicine and Ethics 43 (4):857-877.
    Over the last century, and especially since the publication of the Belmont Report in 1978, respect for persons, as exemplified by respect for autonomous decision-making, has become a central tenet in the practice of medicine. The authority of cognitively competent adults to make their own healthcare decisions is enshrined in both law and practice in most advanced industrialized nations. The right to consent to or to refuse medical interventions is virtually absolute, but is contingent on the provision of materially relevant (...)
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  13.  18
    TADA Is Still Unfair.Philip M. Rosoff - 2015 - American Journal of Bioethics 15 (8):56-58.
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  14.  5
    Making Sausage.Philip M. Rosoff - 2016 - Narrative Inquiry in Bioethics 6 (1):31-33.
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  15.  22
    Can Underpowered Clinical Trials Be Justified?Philip M. Rosoff - 2004 - IRB: Ethics & Human Research 26 (3):16.
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  16.  50
    Competing Duties: Medical Educators, Underperforming Students, and Social Accountability.Thalia Arawi & Philip M. Rosoff - 2012 - Journal of Bioethical Inquiry 9 (2):135-147.
    Over the last 80 years, a major goal of medical educators has been to improve the quality of applicants to medical school and, hence, the resulting doctors. To do this, academic standards have been progressively strengthened. The Medical College Admission Test (MCAT) in the United States and the undergraduate science grade point average (GPA) have long been correlated with success in medical school, and graduation rates have been close to 100 percent for many years. Recent studies have noted that some (...)
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  17. In Search of the Mommy Gene: Truth and Consequences in Behavioral Genetics.Philip M. Rosoff - 2010 - Science, Technology, and Human Values 35 (2):200-243.
    Behavioral genetics has as its goal the discovery of genes that play a significant causal role in complex phenotypes that are socially relevant such a parenting, aggression, psychiatric disorders, intelligence, and even race. In this article, I present the stories of the discoveries of three such important phenotypes: maternal nurturing behavior and the c-fosB gene; intelligence and phenylketonuria ; and pair-bonding and monogamy and show that the reality is considerably more complex than often portrayed. These accounts also lay bare some (...)
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  18. Can the Case Report Withstand Ethical Scrutiny?Philip M. Rosoff - 2019 - Hastings Center Report 49 (6):17-21.
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  19.  19
    Narrative Symposium: Political Influence on Bioethical Deliberation.Jean–Christophe Bélisle Pipon, Marie–Ève Lemoine, Maude Laliberté, Bryn Williams–Jones, Dan Bustillos, Anonymous One, Anonymous Two, Ashley K. Fernandes, Anonymous Three, Thomas D. Harter, D. Micah Hester, Anonymous Four, Mary Faith Marshall, Philip M. Rosoff & Giles R. Scofield - 2016 - Narrative Inquiry in Bioethics 6 (1):3-36.
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  20.  10
    Discriminatory Demands by Patients.Philip M. Rosoff - 2018 - Hastings Center Report 48 (4):7-11.
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  21.  9
    Response to Open Peer Commentaries on “Caring for the Suffering: Meeting the Ebola Crisis Responsibly”.Philip M. Rosoff - 2015 - American Journal of Bioethics 15 (4):W4 - W7.
    The current Ebola virus epidemic in Western Africa appears to be spiraling out of control. The worst-case projections suggested that the unchecked spread could result in almost 1.4 million cases by the end of January 2015 with a case fatality rate of at least 50%. The United States and European nations have begun to respond in earnest with promises of supplies, isolation beds, and trained health care personnel in an effort to contain the epidemic and care for the sick. However, (...)
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  22.  4
    Compulsory Organ Retrieval: Morally, But Not Socially, Justified.Philip M. Rosoff - 2018 - Cambridge Quarterly of Healthcare Ethics 27 (1):36-51.
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