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Udo Schüklenk
Queen's University
  1.  40
    Why Medical Professionals Have No Moral Claim to Conscientious Objection Accommodation in Liberal Democracies.Udo Schuklenk & Ricardo Smalling - 2017 - Journal of Medical Ethics 43 (4):234-240.
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  2.  39
    Doctors Have No Right to Refuse Medical Assistance in Dying, Abortion or Contraception.Julian Savulescu & Udo Schuklenk - 2017 - Bioethics 31 (3):162-170.
    In an article in this journal, Christopher Cowley argues that we have ‘misunderstood the special nature of medicine, and have misunderstood the motivations of the conscientious objectors’. We have not. It is Cowley who has misunderstood the role of personal values in the profession of medicine. We argue that there should be better protections for patients from doctors' personal values and there should be more severe restrictions on the right to conscientious objection, particularly in relation to assisted dying. We argue (...)
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  3.  53
    Doctors Have No Right to Refuse Medical Assistance in Dying, Abortion or Contraception.Julian Savulescu & Udo Schuklenk - 2016 - Bioethics 30 (9).
    In an article in this journal, Christopher Cowley argues that we have ‘misunderstood the special nature of medicine, and have misunderstood the motivations of the conscientious objectors’. We have not. It is Cowley who has misunderstood the role of personal values in the profession of medicine. We argue that there should be better protections for patients from doctors' personal values and there should be more severe restrictions on the right to conscientious objection, particularly in relation to assisted dying. We argue (...)
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  4.  56
    Are Concerns About Irremediableness, Vulnerability, or Competence Sufficient to Justify Excluding All Psychiatric Patients From Medical Aid in Dying?William Rooney, Udo Schuklenk & Suzanne van de Vathorst - 2018 - Health Care Analysis 26 (4):326-343.
    Some jurisdictions that have decriminalized assisted dying exclude psychiatric patients on the grounds that their condition cannot be determined to be irremediable, that they are vulnerable and in need of protection, or that they cannot be determined to be competent. We review each of these claims and find that none have been sufficiently well-supported to justify the differential treatment psychiatric patients experience with respect to assisted dying. We find bans on psychiatric patients’ access to this service amount to arbitrary discrimination. (...)
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  5.  34
    Conscientious Objection in Medicine: Private Ideological Convictions Must Not Supercede Public Service Obligations.Udo Schuklenk - 2015 - Bioethics 29 (5).
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  6.  29
    Treatment-Resistant Major Depressive Disorder and Assisted Dying.Udo Schuklenk & Suzanne van de Vathorst - 2015 - Journal of Medical Ethics 41 (8):577-583.
  7.  23
    COVID19: Why Justice and Transparency in Hospital Triage Policies Are Paramount.Udo Schuklenk - 2020 - Bioethics 34 (4):325-327.
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  8.  8
    Are Concerns About Irremediableness, Vulnerability, or Competence Sufficient to Justify Excluding All Psychiatric Patients From Medical Aid in Dying?Suzanne Vathorst, Udo Schuklenk & William Rooney - 2018 - Health Care Analysis 26 (4):326-343.
    Some jurisdictions that have decriminalized assisted dying exclude psychiatric patients on the grounds that their condition cannot be determined to be irremediable, that they are vulnerable and in need of protection, or that they cannot be determined to be competent. We review each of these claims and find that none have been sufficiently well-supported to justify the differential treatment psychiatric patients experience with respect to assisted dying. We find bans on psychiatric patients’ access to this service amount to arbitrary discrimination. (...)
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  9.  55
    End-of-Life Decision-Making in Canada: The Report by the Royal Society of Canada Expert Panel on End-of-Life Decision-Making.Udo Schüklenk, Johannes J. M. van Delden, Jocelyn Downie, Sheila A. M. Mclean, Ross Upshur & Daniel Weinstock - 2011 - Bioethics 25 (s1):1-73.
    ABSTRACTThis report on end‐of‐life decision‐making in Canada was produced by an international expert panel and commissioned by the Royal Society of Canada. It consists of five chapters.Chapter 1 reviews what is known about end‐of‐life care and opinions about assisted dying in Canada.Chapter 2 reviews the legal status quo in Canada with regard to various forms of assisted death.Chapter 3 reviews ethical issues pertaining to assisted death. The analysis is grounded in core values central to Canada's constitutional order.Chapter 4 reviews the (...)
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  10.  26
    What Healthcare Professionals Owe Us: Why Their Duty to Treat During a Pandemic is Contingent on Personal Protective Equipment.Udo Schuklenk - 2020 - Journal of Medical Ethics 46 (7):432-435.
    Healthcare professionals’ capacity to protect themselves, while caring for infected patients during an infectious disease pandemic, depends on their ability to practise universal precautions. In turn, universal precautions rely on the availability of personal protective equipment. During the SARS-CoV2 outbreak many healthcare workers across the globe have been reluctant to provide patient care because crucial PPE components are in short supply. The lack of such equipment during the pandemic was not a result of careful resource allocation decisions in the global (...)
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  11.  9
    Conscience-based refusal of patient care in medicine: a consequentialist analysis.Udo Schuklenk - 2019 - Theoretical Medicine and Bioethics 40 (6):523-538.
    Conscience-based refusals by health care professionals to provide care to eligible patients are problematic, given the monopoly such professionals hold on the provision of such services. This article reviews standard ethical arguments in support of conscientious refuser accommodation and finds them wanting. It discusses proposed compromise solutions involving efforts aimed at testing the genuineness and reasonability of refusals and rejects those solutions too. A number of jurisdictions have introduced policies requiring conscientious refusers to provide effective referrals. These policies have turned (...)
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  12.  10
    On the Role of Religion in Articles This Journal Seeks to Publish.Udo Schuklenk - 2018 - Developing World Bioethics 18 (3):207-207.
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  13.  32
    Conscientious Objection and Compromising the Patient: Response to Hughes.Julian Savulescu & Udo Schuklenk - 2018 - Bioethics 32 (7):473-476.
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  14.  17
    Against the Accommodation of Subjective Healthcare Provider Beliefs in Medicine: Counteracting Supporters of Conscientious Objector Accommodation Arguments.Ricardo Smalling & Udo Schuklenk - 2017 - Journal of Medical Ethics 43 (4):253-256.
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  15.  6
    Religion at Work in Bioethics and Biopolicy: Christian Bioethicists, Secular Language, Suspicious Orthodoxy.Russell Blackford & Udo Schüklenk - 2021 - Journal of Medicine and Philosophy 46 (2):169-187.
    The proper role, if any, for religion-based arguments is a live and sometimes heated issue within the field of bioethics. The issue attracts heat primarily because bioethical analyses influence the outcomes of controversial court cases and help shape legislation in sensitive biopolicy areas. A problem for religious bioethicists who seek to influence biopolicy is that there is now widespread academic and public acceptance, at least within liberal democracies, that the state should not base its policies on any particular religion’s metaphysical (...)
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  16.  12
    Treatment-Resistant Major Depressive Disorder and Assisted Dying: Response to Comments.Udo Schuklenk & Suzanne van de Vathorst - 2015 - Journal of Medical Ethics 41 (8):589-591.
  17.  58
    Affordable Access to Essential Medication in Developing Countries: Conflicts Between Ethical and Economic Imperatives1.Udo Schüklenk - 2002 - Journal of Medicine and Philosophy 27 (2):179-195.
    Recent economic and political advances in developing countries on the African continent and South East Asia are threatened by the rising death and morbidity rates of HIV/AIDS. In the first part of this paper we explain the reasons for the absence of affordable access to essential AIDS medication. In the second part we take a closer look at some of the pivotal frameworks relevant for this situation and undertake an ethical analysis of these frameworks. In the third part we discuss (...)
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  18.  10
    Professionalism Eliminates Religion as a Proper Tool for Doctors Rendering Advice to Patients.Udo Schuklenk - 2019 - Journal of Medical Ethics 45 (11):713-713.
    Religious considerations and language do not typically belong in the professional advice rendered by a doctor to a patient. Among the rationales mounted by Greenblum and Hubbard in support of that conclusion is that religious considerations and language are incompatible with the role of doctors as public officials.1 Much as I agree with their conclusion, I take issue with this particular aspect of their analysis. It seems based on a mischaracterisation of what societal role doctors fulfil, qua doctors. What obliges (...)
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  19.  37
    Terminal Illness and Access to Phase 1 Experimental Agents, Surgeries and Devices: Reviewing the Ethical Arguments.Udo Schüklenk & Christopher Lowry - 2009 - British Medical Bulletin 89 (1):7-22.
    Background: The advent of AIDS brought about a group of patients unwilling to accept crucial aspects of the methodological standards for clinical research investigating Phase 1 drugs, surgeries or devices. Their arguments against placebo controls in trials, which depended-at the time-on the terminal status of patient volunteers led to a renewed discussion of the ethics of denying patients with catastrophic illnesses access to last-chance experimental drugs, surgeries or devices. Sources of data: Existing ethics and health policy literature on the topic (...)
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  20.  17
    Future Infectious Disease Outbreaks: Ethics of Emergency Access to Unregistered Medical Interventions and Clinical Trial Designs.Udo Schuklenk - 2016 - Developing World Bioethics 16 (1):2-3.
  21.  26
    New Frontiers in End‐of‐Life Ethics : Scope, Advance Directives and Conscientious Objection.Udo Schuklenk - 2017 - Bioethics 31 (6):422-423.
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  22.  25
    For-Profit Clinical Trials in Developing Countries—Those Troublesome Patient Benefits.Udo Schuklenk - 2010 - American Journal of Bioethics 10 (6):52-54.
    (2010). For-Profit Clinical Trials in Developing Countries—Those Troublesome Patient Benefits. The American Journal of Bioethics: Vol. 10, No. 6, pp. 52-54.
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  23.  30
    Dignity's Wooly Uplift.Udo Schüklenk & Anna Pacholczyk - 2010 - Bioethics 24 (2):ii-ii.
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  24.  11
    Access to Unapproved Medical Interventions in Cases of Catastrophic Illness.Udo Schuklenk - 2014 - American Journal of Bioethics 14 (11):20-22.
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  25.  34
    Bioethics Culture Wars – 2018 Edition: Alfie Evans.Udo Schuklenk - 2018 - Bioethics 32 (5):270-271.
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  26.  48
    Two Models in Global Health Ethics.Christopher Lowry & Udo Schüklenk - 2009 - Public Health Ethics 2 (3):276-284.
    This paper examines two strategies aimed at demonstrating that moral obligations to improve global health exist. The ‘humanitarian model’ stresses that all human beings, regardless of affluence or global location, are fundamentally the same in terms of moral status. This model argues that affluent global citizens’ moral obligations to assist less fortunate ones follow from the desirability of reducing disease and suffering in the world. The ‘political model’ stresses that the lives of the world's rich and poor are inextricably linked (...)
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  27.  7
    The Moral Case for Granting Catastrophically Ill Patients the Right to Access Unregistered Medical Interventions.Udo Schuklenk & Ricardo Smalling - 2017 - Journal of Law, Medicine and Ethics 45 (3):382-391.
    Using the case of Ebola Virus Disease as an example, this paper shows why patients at high risk for death have a defensible moral claim to access unregistered medical interventions, without having to enrol in randomized placebo controlled trials.A number of jurisdictions permit and facilitate such access under emergency circumstances. One controversial question is whether patients should only be permitted access to UMI after trials investigating the interventions are fully recruited. It is argued that regulatory regimes should not prioritise trial (...)
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  28.  24
    Canada on Course to Introduce Permissive Assisted Dying Regime.Udo Schuklenk - 2016 - Journal of Medical Ethics 42 (8):490-492.
  29.  16
    Bioethics and the Ebola Outbreak in West Africa.Udo Schuklenk - 2014 - Developing World Bioethics 14 (3):ii-iii.
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  30.  26
    Physician-Assisted Death Does Not Violate Professional Integrity.Udo Schuklenk & Suzanne van de Vathorst - 2015 - Journal of Medical Ethics 41 (11):887-888.
  31.  3
    The Ethical Challenges of the SARS‐CoV‐2 Pandemic in the Global South and the Global North – Same and Different.Udo Schuklenk - 2020 - Developing World Bioethics 20 (2):62-64.
    Developing World Bioethics, Accepted Article.
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  32.  12
    UNESCO 'Declares' Universals on Bioethics and Human Rights – Many Unexpected Universal Truths Unearthed by UN Body.Willem Landman & Udo Schuklenk - 2005 - Developing World Bioethics 5 (3):iii–vi.
  33.  9
    The Trouble with Public Health: HIV/AIDS in Canada as a Case in Point.Udo Schuklenk - 2018 - Bioethics 32 (2):82-82.
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  34.  18
    The Ethics of Genetic Research on Sexual Orientation.Udo Schüklenk, Edward Stein, Jacinta Kerin & William Byne - 1997 - Hastings Center Report 27 (4):6-13.
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  35.  19
    Anne Donchin.Ruth Chadwick & Udo Schuklenk - 2014 - Bioethics 28 (9):ii-ii.
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  36.  7
    In This Issue: A Snapshot of World Bioethics and an Invitation.Udo Schuklenk - 2015 - Bioethics 29 (9):ii-ii.
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  37.  21
    Unethical Perinatal HIV Transmission Trials Establish Bad Precedent.Udo Schüklenk - 1998 - Bioethics 12 (4):312-319.
  38.  22
    Queer Patients and the Health Care Professional—Regulatory Arrangements Matter.Udo Schuklenk & Ricardo Smalling - 2013 - Journal of Medical Humanities 34 (2):93-99.
    This paper discusses a number of critical ethical problems that arise in interactions between queer patients and health care professionals attending them. Using real-world examples, we discuss the very practical problems queer patients often face in the clinic. Health care professionals face conflicts in societies that criminalise same sex relationships. We also analyse the question of what ought to be done to confront health care professionals who propagate falsehoods about homosexuality in the public domain. These health care professionals are more (...)
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  39.  9
    Justice and Bioethics: Who Should Finance Academic Publishing?Udo Schuklenk & David Magnus - 2017 - American Journal of Bioethics 17 (10):1-2.
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  40.  53
    Defending the Indefensible.Udo Schuklenk - 2010 - Journal of Bioethical Inquiry 7 (1):83-88.
    This response addresses criticisms in this journal of an Editorial written by Willem Landman and Udo Schuklenk. I demonstrate that the UNESCO Declaration on Bioethics and Human Rights is in crucial aspects deficient, despite attempts in this journal to defend the Declaration against its critics. I focus on individual versus societal interests, research ethics, informed consent and the use of “human dignity” to illustrate the weaknesses of the UNESCO Declaration on Bioethics and Human Rights. This article concludes with reflections on (...)
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  41.  29
    Public Health Ethics and Obesity Prevention: The Trouble with Data and Ethics.Udo Schuklenk & Erik Yuan Zhang - 2014 - Monash Bioethics Review 32 (1-2):121-140.
    In recent years policy makers and public health professionals have described obesity and its associated diseases as a major global public health problem. Bioethicists have tried to address the normative implications of proposed public health interventions by developing guidelines or proposing ethical principles that ethically grounded health policy responses should take into consideration. We are reviewing here relevant literature and conclude that while there are clearly health implications resulting from the increasing number of seriously obese people across the globe, there (...)
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  42.  13
    Fighting Imaginary Enemies In Bioethics Publishing.Udo Schuklenk - 2015 - Bioethics 29 (8):ii-iii.
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  43.  21
    The Bioethics Tabloids: How Professional Ethicists Have Fallen for the Myth of Tertiary Transmitted Heterosexual AIDS. [REVIEW]Udo Schüklenk, David Mertz & Juliet Richters - 1995 - Health Care Analysis 3 (1):27-36.
    The hysteria and misconceptions about AIDS which are fostered and held by the popular press have been accepted uncritically by many bioethicists, who have not bothered to explore popular empirical claims in sufficient depth. As a result, and because ethicists attempt tosell moral problems in a manner not much different from the way the popular press attempt tosell newspapers, artificial dilemmas have been produced in professional journals. We concentrate on just one popular misconception about AIDS-that the hetersexual incidence of the (...)
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  44.  42
    North–South Benefit Sharing Arrangements in Bioprospecting and Genetic Research: A Critical Ethical and Legal Analysis.Udo Schuklenk & Anita Kleinsmidt - 2006 - Developing World Bioethics 6 (3):060814034439002-???.
  45.  40
    Module One: Introduction to Research Ethics.Udo Schuklenk - 2005 - Developing World Bioethics 5 (1):1-13.
    We will also learn what the issues are that people involved in research on research ethics are concerned with. Ethics without an unde.
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  46.  10
    Are International Ethical Guidance Documents and Statements Lacking Legitimacy?Udo Schuklenk - 2015 - Developing World Bioethics 15 (2):ii-iii.
  47.  23
    Patient Access to Experimental Drugs and AIDS Clinical Trial Designs: Ethical Issues.Udo Schüklenk & Carlton Hogan - 1996 - Cambridge Quarterly of Healthcare Ethics 5 (3):400.
    Today's clinical AIDS research is in trouble. Principal investigators are confronted with young and frequently highly knowledgeable patients. Many of these people with AIDS are often unwilling to adhere to the trial protocols. These PWAs believe they are ethically justified in breaching trial protocols because they do not consider themselves true volunteers in such trials. PWAs argue that they do not really volunteer because existing legislation prevents them from buying and using experimental drugs or from testing alternative treatment strategies. Their (...)
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  48.  28
    Hiv Vaccine Trials: Reconsidering the Therapeutic Misconception and the Question of What Constitutes Trial Related Injuries.Udo Schüklenk & Richard Ashcroft - 2007 - Developing World Bioethics 7 (3):ii–iv.
    The ethical challenge is squarely focused on the question of what is owed to participants of vaccine trials who happen to become infected during the course of the trial. Not surprisingly, given the prominence of HIV/AIDS in many parts of the developing world, HIV vaccine trials have become the focal point of this debate. It is worth noting from the outset, however, that the same arguments that apply to HIV vaccines would apply to any number of microbicide trials aimed at (...)
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  49.  18
    Editorial.Willem A. Landman & Udo Schüklenk - 2007 - Developing World Bioethics 7 (1):ii–ii.
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  50.  5
    And There We Go Again: The Ethics of Placebo-Controlled RCT in Case of Catastrophic Illness.Udo Schuklenk - 2015 - Journal of Medical Ethics 41 (12):952-953.
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