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Udo Schüklenk
Queen's University
  1. Doctors Have no Right to Refuse Medical Assistance in Dying, Abortion or Contraception.Julian Savulescu & Udo Schuklenk - 2017 - Bioethics 30 (9):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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  2.  60
    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.
    We describe a number of conscientious objection cases in a liberal Western democracy. These cases strongly suggest that the typical conscientious objector does not object to unreasonable, controversial professional services—involving torture, for instance—but to the provision of professional services that are both uncontroversially legal and that patients are entitled to receive. We analyse the conflict between these patients' access rights and the conscientious objection accommodation demanded by monopoly providers of such healthcare services. It is implausible that professionals who voluntarily join (...)
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  3.  21
    Social determinants of health and slippery slopes in assisted dying debates: lessons from Canada.Jocelyn Downie & Udo Schuklenk - 2021 - Journal of Medical Ethics 47 (10):662-669.
    The question of whether problems with the social determinants of health that might impact decision-making justify denying eligibility for assisted dying has recently come to the fore in debates about the legalisation of assisted dying. For example, it was central to critiques of the 2021 amendments made to Canada’s assisted dying law. The question of whether changes to a country’s assisted dying legislation lead to descents down slippery slopes has also come to the fore—as it does any time a jurisdiction (...)
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  4.  60
    Conscientious Objection in Medicine: Private Ideological Convictions must not Supercede Public Service Obligations.Udo Schuklenk - 2015 - Bioethics 29 (5).
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  5.  54
    Treatment-resistant major depressive disorder and assisted dying.Udo Schuklenk & Suzanne van de Vathorst - 2015 - Journal of Medical Ethics 41 (8):577-583.
  6.  70
    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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  7.  19
    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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  8. International Ethical Guidelines for Biomedical Research Involving Human Subjects CIOMS.Udo Schuklenk - 1994 - Bioethics 8 (2):189-189.
     
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  9. Bioethics met its COVID‐19 Waterloo: The doctor knows best again.Jonathan Lewis & Udo Schuklenk - 2020 - Bioethics 35 (1):3-5.
    The late Robert Veatch, one of the United States’ founders of bioethics, never tired of reminding us that the paradigm-shifting contribution that bioethics made to patient care was to liberate patients out of the hands of doctors, who were traditionally seen to know best, even when they decidedly did not know best. It seems to us that with the advent of COVID-19, health policy has come full-circle on this. COVID-19 gave rise to a large number of purportedly “ethical” guidance documents (...)
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  10.  25
    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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  11.  38
    What healthcare professionals owe us: why their duty to treat during a pandemic is contingent on personal protective equipment (PPE).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 (PPE). 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 (...)
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  12.  70
    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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  13.  19
    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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  14.  28
    COVID19: Why justice and transparency in hospital triage policies are paramount.Udo Schuklenk - 2020 - Bioethics 34 (4):325-327.
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  15.  28
    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.
    We respond in this paper to various counter arguments advanced against our stance on conscientious objection accommodation. Contra Maclure and Dumont, we show that it is impossible to develop reliable tests for conscientious objectors' claims with regard to the reasonableness of the ideological basis of their convictions, and, indeed, with regard to whether they actually hold they views they claim to hold. We demonstrate furthermore that, within the Canadian legal context, the refusal to accommodate conscientious objectors would not constitute undue (...)
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  16.  22
    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.  64
    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.  39
    Conscientious objection and compromising the patient: Response to Hughes.Julian Savulescu & Udo Schuklenk - 2018 - Bioethics 32 (7):473-476.
    Hughes offers a consequentialist response to our rejection of accommodation of conscientious objection in medicine. We argue here that his compromise proposition has been tried in many jurisdictions and has failed to deliver unimpeded access to care for eligible patients. The compromise position, entailing an accommodation of conscientious objection provided there is unimpeded access, fails to grasp that the objectors are both determined not to provide services they object to as well as to subvert patient access to the objected to (...)
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  19.  12
    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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  20.  15
    World Congress of Bioethics in Qatar raises ethical questions.Udo Schuklenk - 2023 - Bioethics 37 (4):317-318.
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  21.  13
    The ‘Ethical’ COVID-19 Vaccine is the One that Preserves Lives: Religious and Moral Beliefs on the COVID-19 Vaccine.Alberto Giubilini, Francesca Minerva, Udo Schuklenk & Julian Savulescu - 2021 - Public Health Ethics 14 (3):242-255.
    Although the COVID-19 pandemic is a serious public health and economic emergency, and although effective vaccines are the best weapon we have against it, there are groups and individuals who oppose certain kinds of vaccines because of personal moral or religious reasons. The most widely discussed case has been that of certain religious groups that oppose research on COVID-19 vaccines that use cell lines linked to abortions and that object to receiving those vaccine because of their moral opposition to abortion. (...)
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  22.  40
    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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  23.  15
    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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  24.  30
    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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  25.  21
    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.
  26.  4
    Bioethics: An Anthology.Helga Kuhse & Udo Schüklenk (eds.) - 2015 - Malden, MA, USA: Blackwell.
    Now fully revised and updated, Bioethics: An Anthology, 3rd edition, contains a wealth of new material reflecting the latest developments. This definitive text brings together writings on an unparalleled range of key ethical issues, compellingly presented by internationally renowned scholars. The latest edition of this definitive one-volume collection, now updated to reflect the latest developments in the field Includes several new additions, including important historical readings and new contemporary material published since the release of the last edition in 2006 Thematically (...)
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  27.  31
    Dignity's wooly uplift.Udo Schüklenk & Anna Pacholczyk - 2009 - Bioethics 24 (2):ii-ii.
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  28.  34
    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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  29.  20
    Bioethics and the Ebola Outbreak in West Africa.Udo Schuklenk - 2014 - Developing World Bioethics 14 (3):ii-iii.
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  30.  16
    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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  31.  25
    The Ethics of Genetic Research on Sexual Orientation.Udo Schüklenk, Edward Stein, Jacinta Kerin & William Byne - 1997 - Hastings Center Report 27 (4):6-13.
    Research into the genetic component of some complex behaviors often causes controversy, depending on the social meaning and significance of the behavior under study. Research into sexual orientation—simplistically referred to as “gay gene” research—is an example of research that provokes intense controversy. This research is worrisome for many reasons, including the fact that it has been used to harm lesbians and gay men. Many homosexual people have been forced to undergo “treatments” to change their sexual orientation. Others chose to undergo (...)
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  32.  23
    Unethical Perinatal HIV Transmission Trials Establish Bad Precedent.Udo Schüklenk - 1998 - Bioethics 12 (4):312-319.
  33.  13
    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.
  34.  61
    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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  35.  9
    In this Issue: A Snapshot of World Bioethics and an Invitation.Udo Schuklenk - 2015 - Bioethics 29 (9):ii-ii.
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  36.  10
    Vaccine nationalism – at this point in the COVID‐19 pandemic: Unjustifiable.Udo Schuklenk - 2021 - Developing World Bioethics 21 (3):99-99.
    Developing World Bioethics, Volume 21, Issue 3, Page 99-99, September 2021.
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  37.  8
    Vaccine nationalism – at this point in the COVID‐19 pandemic: Unjustifiable.Udo Schuklenk - 2021 - Developing World Bioethics 21 (3):99-99.
    Developing World Bioethics, Volume 21, Issue 3, Page 99-99, September 2021.
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  38.  14
    Vaccine nationalism – at this point in the COVID-19 pandemic: Unjustifiable.Udo Schuklenk - 2021 - Developing World Bioethics 21 (3):99-99.
  39.  14
    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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  40.  23
    Bullet point ethics as policy advice?Udo Schüklenk - 2013 - Bioethics 27 (5):ii-ii.
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  41.  27
    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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  42.  37
    On the ethics of AI ethics.Udo Schuklenk - 2020 - Bioethics 34 (2):146-147.
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  43. The Concept of Moral Consensus: The Case of Technological Interventions into Human Reproduction.Kurt Bayertz & Udo Schuklenk - 1997 - Bioethics 11 (5):453-454.
     
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  44. Ethics and Health Care: the Role of Research Ethics Committees in the United Kingdom.Julie Neuberger & Udo Schuklenk - 1994 - Bioethics 8 (3):288-288.
  45.  1
    Accommodating Conscientious Objection in Medicine—Private Ideological Convictions Must Not Trump Professional Obligations.Udo Schuklenk - 2016 - Journal of Clinical Ethics 27 (3):227-232.
    The opinion of the American Medical Association (AMA) Council on Ethical and Judicial Affairs (CEJA) on the accommodation of conscientious objectors among medical doctors aims to balance fairly patients’ rights of access to care and accommodating doctors’ deeply held personal beliefs. Like similar documents, it fails. Patients will not find it persuasive, and neither should they. The lines drawn aim at a reasonable compromise between positions that are not amenable to compromise. They are also largely arbitrary. This article explains why (...)
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  46.  28
    Canada on course to introduce permissive assisted dying regime.Udo Schuklenk - 2016 - Journal of Medical Ethics 42 (8):490-492.
  47.  5
    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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  48.  3
    50 Great Myths About Atheism.Russell Blackford & Udo Schüklenk (eds.) - 2013 - Wiley-Blackwell.
    Tackling a host of myths and prejudices commonly leveled at atheism, this captivating volume bursts with sparkling, eloquent arguments on every page. The authors rebut claims that range from atheism being just another religion to the alleged atrocities committed in its name. An accessible yet scholarly commentary on hot-button issues in the debate over religious belief Teaches critical thinking skills through detailed, rational argument Objectively considers each myth on its merits Includes a history of atheism and its advocates, an appendix (...)
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  49.  15
    Are International Ethical Guidance Documents and Statements Lacking Legitimacy?Udo Schuklenk - 2015 - Developing World Bioethics 15 (2):ii-iii.
  50.  32
    Physician-assisted death does not violate professional integrity.Udo Schuklenk & Suzanne van de Vathorst - 2015 - Journal of Medical Ethics 41 (11):887-888.
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