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19The idea of the rule of rescue is that special weight should be given to protecting lives of assignable individuals in need now even if protecting others in the future would be more cost-effective. How can this be justified? One way to cast the problem is to see it as a conflict between a collectivist approach that emphasizes protecting groups or populations versus an approach that boils down to protecting individuals. This chapter argues that one individual-oriented approach to ethics, namely c…Read more
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19A Practice-Oriented Review of Health ConceptsJournal of Medicine and Philosophy 43 (4): 381-401. 2018.Whereas theories on health generally argue in favor of one specific concept, we argue that, given the variety of health practices, we need different concepts of health. We thus approach health concepts as a Wittgensteinian family of thick concepts. By discussing five concepts of health offered by theory, we argue that all capture something that seems relevant when we talk and think about health. Classifying these concepts reveals their family resemblances: each of these concepts differs from the…Read more
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19The ongoing COVID-19 pandemic and resulting health and economic crisis has caused major disruptions in the functioning of food systems and revived the discussion on what forms balanced, effective and responsible crisis management. As part of its thought leadership and its social responsibility in times of crisis, WUR is uniquely placed to contribute to the scientific knowledge base and data collection mechanisms required for early recognition and rapid response. In addition, WUR takes on the cha…Read more
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17The growing prevalence of obesity and related conditions such as Type II diabetes is held by many to be a major public health problem in developed countries, and increasingly in developing countries as well. If we wish to tackle this problem, it will be a major task. Individuals will have to change their consumption and exercise patterns, companies will have to improve the products they make and how they market them, nutrition experts and communities will have to redefine what is acceptable and …Read more
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17Introduction It is increasingly considered important that people make an autonomous and informed decision concerning colorectal cancer screening. However, the realisation of autonomy within the concept of informed decision-making might be interpreted too narrowly. Additionally, relatively little is known about what the eligible population believes to be a 'good' screening decision. Therefore, we aimed to explore how the concepts of autonomous and informed decision-making relate to how the eligib…Read more
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17The Meaning of 'Public' in 'Public Health'In Angus Dawson & Marcel Verweij (eds.), Ethics, Prevention, and Public Health, Clarendon Press. 2007.
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17A Dutch medical student has the potentially more virulent Panton-Valentine leukocidin form of MRSA colonization yet shows no signs or symptoms of infection. More than a year ago, a routine MRSA screening of health care personnel providing care for MRSA-positive patients detected the colonization. Since then, the student has been treated intensively but unsuccessfully in an attempt to decolonize her. During this decolonization period, the medical student was barred from performing patient-related…Read more
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16Nudges in Public Health: Paternalism Is ParamountAmerican Journal of Bioethics 12 (2): 16-17. 2012.Libertarian paternalism involves the idea that it is justified to shape the context in which people make important choices in a way that they are nudged to options that would be better for them, wh...
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15Facing difficult but unavoidable choices: Donor blood safety and the deferral of men who have sex with menBioethics 36 (8): 840-848. 2022.Blood service organizations employ various ways to ensure transfusion blood safety, including the testing of all donations for transfusion-transmissible infections (TTI) and the exclusion of donors who are at increased risk of a recent infection. As some TTIs are more common among men who have sex with men (MSM), many jurisdictions (temporarily) defer the donation of blood by sexually active MSM. This boils down to a categorical exclusion of a large group solely on the basis of their sexual orie…Read more
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15VIII. European bioethics seminar: Health care issues in pluralistic societiesMedicine, Health Care and Philosophy 1 (2): 205-205. 1998.
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15Preventing Transmission of HIV--A Special SymposiumPublic Health Ethics 3 (3): 191-192. 2010.(No abstract is available for this citation)
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13Current thinking on the development of molecular microbial characterisation techniques in public health focuses mainly on operational issues that need to be resolved before incorporation into daily practice can take place. Notwithstanding the importance of these operational challenges, it is also essential to formulate conditions under which such microbial characterisation methods can be used from an ethical perspective. The potential ability of molecular techniques to show relational patterns b…Read more
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12Due to its emphasis on experiential interests, animal ethics tends to focus on individuals as the sole unit of moral concern. Many issues in animal ethics can be fruitfully analysed in terms of obligations towards individual animals, but some problems require reflection about collective dimensions of animal life in ways that individualist approaches can’t offer. Criticism of the individualist focus in animal ethics is not new; it has been put forward in particular by environmental ethics approac…Read more
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12There has been increased interest in the potential of maternal immunisation to protect maternal, fetal, and infant health. Maternal tetanus vaccination is part of routine antenatal care and immunisation campaigns in many countries, and it has played an important part in the reduction of maternal and neonatal tetanus. Additional vaccines that have been recommended for routine maternal immunisation include those for influenza and pertussis, and other vaccines are being developed. Maternal immunisa…Read more
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12Given the ethical aspects of vaccination policies and current threats to public trust in vaccination, it is important that governments follow clear criteria for including new vaccines in a national programme. The Health Council of the Netherlands developed such a framework of criteria in 2007, and has been using this as basis for advisory reports about several vaccinations. However, general criteria alone offer insufficient ground and direction for thinking about what the state ought to do. In t…Read more
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11Facing difficult but unavoidable choices: Donor blood safety and the deferral of men who have sex with menBioethics 36 (8): 840-848. 2022.Blood service organizations employ various ways to ensure transfusion blood safety, including the testing of all donations for transfusion-transmissible infections (TTI) and the exclusion of donors who are at increased risk of a recent infection. As some TTIs are more common among men who have sex with men (MSM), many jurisdictions (temporarily) defer the donation of blood by sexually active MSM. This boils down to a categorical exclusion of a large group solely on the basis of their sexual orie…Read more
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10Futility without a dichotomy: Towards an ideal physician–patient relationshipBioethics 17 (1). 2003.The futility debate may be considered as an effort to provide a clear and justified borderline between physician and patient decision–making authority. In this paper we argue that the search for a definition of futility that provides physicians with a final argument in discussions about life–prolonging treatment, is misplaced. An acceptable and meaningful criterion of futility that satisfies this effort seems impossible. As a consequence, we reject a dichotomous domain of decision–making power a…Read more
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10Correction to: Food Vendor Beware! On Ordinary Morality and Unhealthy MarketingFood Ethics 5 (1-2): 1-21. 2019.The title of the article in the initial online publication was mixed up with copy editing information. The original article has been corrected.
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8The contemporary study looked into the extent and nature of supradisciplinary collaborations within Wageningen University and Research’s 2014-2018 investment theme Global One Health. An analysis of year reports showed the extent to which projects were supradisciplinarily operationalized, was fairly limited. Interviews with scientists from life sciences and social sciences revealed constraining, facilitating and undecided factors with regards to successfully effecting supradisciplinary collaborat…Read more
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7Sustainability as an Intrinsic Moral Concern for Solidaristic Health CareHealth Care Analysis 1-11. forthcoming.Environmental pollution and greenhouse gas emissions that contribute to climate change have adverse impacts on global health. Somewhat paradoxically, health care systems that aim to prevent and cure disease are themselves major emitters and polluters. In this paper we develop a justification for the claim that solidaristic health care systems should include sustainability as one of the criteria for determining which health interventions are made available or reimbursed – and which not. There is …Read more
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7Ethical ComputingIdealistic Studies 23 (2-3): 151-159. 1993.As many moral problems have a very complex nature, moral reasoning towards a justified decision in such cases may be as difficult. Many considerations have to be taken into account in order to reach a judgement based on good reasons. May the computer, as a tool in data processing, be of use for ethical decision-making? In this paper I will argue that we should be very careful in developing and using ethical expert-systems. Next, I will explain how the computer may be a useful ‘tool’ for instruct…Read more
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6Infection control measures in times of antimicrobial resistance: a matter of solidarityMonash Bioethics Review 38 (Suppl 1): 47-55. 2020.Control measures directed at carriers of multidrug-resistant organisms are traditionally approached as a trade-off between public interests on the one hand and individual autonomy on the other. We propose to reframe the ethical issue and consider control measures directed at carriers an issue of solidarity. Rather than asking “whether it is justified to impose strict measures”, we propose asking “how to best care for a person’s carriership and well-being in ways that do not imply an unacceptable…Read more
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5In spite of the fact that in recent years many steps have been taken in the control of zoonotic diseases, we are still confronted with recent outbreaks of, for example Ebola and Avian Flu and with public debates on the preferred way to deal with zoonoses. Such debates can easily get polarised. Therefore, we argue that a more integrated approach is needed. In this paper we propose an integration on three levels. First, the One Health initiative could serve a fruitful approach to take the interrel…Read more
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3The curious philosopher often answers questions by raising further, more fundamental questions. How can this be fruitful and practical in the context of Wageningen University? Philosophy offers critical reflection on conceptual and normative assumptions in science and society, and that is necessary for responsible practices. I illustrate this by analyzing the concept of quality of life – a key value in the mission of our university – and by questioning current debates about responsibility for he…Read more
Areas of Specialization
Applied Ethics |
Normative Ethics |
Areas of Interest
Applied Ethics |
Normative Ethics |