•  25
    I would like to thank all of the respondents to my article both for their expansions on the theme of health worker migration and for their criticisms of my argument against the use of the term ’poaching’ in the context of international health worker migration. In this response, I will clarify my argument in light of the worries raised primarily by Tache and Schillinger and Ari Zivotofsky and Naomi Zivotofsky.
  •  22
    The international migration of health workers, including long-term care workers for aging populations, contributes to a shortage of these workers in many parts of the world. In the Anglophone Caribbean, LCW shortages and the migration of nurses to take on LCW positions abroad threaten the health of local populations and widen global inequities in health. Many responses have been proposed to address the international migration of health workers generally, including making it more difficult for th…Read more
  •  22
    Appealing to the crowd: ethical justifications in Canadian medical crowdfunding campaigns
    with Valorie A. Crooks, Annalise Mathers, and Peter Chow-White
    Journal of Medical Ethics 43 (6): 364-367. 2017.
  •  21
    Medical crowdfunding has raised many ethical concerns, among them that it may undermine privacy, widen health inequities, and commodify health care. One motivation for medical crowdfunding has received particular attention among ethicists. Recent studies have shown that many individuals are using crowdfunding to finance access to scientifically unsupported medical treatments. Recently, GoFundMe prohibited campaigns for antivaccination groups on the grounds that they “promote misinformation about…Read more
  •  20
    Canadian research ethics board members’ attitudes toward benefits from clinical trials
    with Kori Cook and John Calvert
    BMC Medical Ethics 16 (1): 1-7. 2015.
    BackgroundWhile ethicists have for many years called for human subject trial participants and, in some cases, local community members to benefit from participation in pharmaceutical and other intervention-based therapies, little is known about how these discussions are impacting the practice of research ethics boards that grant ethical approval to many of these studies.MethodsTelephone interviews were conducted with 23 REB members from across Canada, a major funder country for human subject rese…Read more
  •  18
    Caring Comportment and the Hospitalist Model
    with Brian Zanoni
    Virtual Mentor 8 (2): 114-117. 2006.
  •  18
    Health Misinformation and the Power of Narrative Messaging in the Public Sphere
    with Timothy Caulfield, Alessandro R. Marcon, Blake Murdoch, Jasmine M. Brown, Sarah Tinker Perrault, Jonathan Jarry, Samantha J. Anthony, Stephanie Brooks, Zubin Master, Christen Rachul, Ubaka Ogbogu, Joshua Greenberg, Amy Zarzeczny, and Robyn Hyde-Lay
    Canadian Journal of Bioethics / Revue canadienne de bioéthique 2 (2): 52-60. 2019.
    Numerous social, economic and academic pressures can have a negative impact on representations of biomedical research. We review several of the forces playing an increasingly pernicious role in how health and science information is interpreted, shared and used, drawing discussions towards the role of narrative. In turn, we explore how aspects of narrative are used in different social contexts and communication environments, and present creative responses that may help counter the negative trends…Read more
  •  16
    Task shifting is increasingly used to address human resource shortages impacting HIV service delivery in low- and middle-income countries. By shifting basic tasks from higher- to lower-trained cadres, such as Community Health Workers, task shifting can reduce overhead costs, improve community outreach, and provide efficient scale-up of essential treatments like antiretroviral therapies. Although there is rich evidence outlining positive outcomes that CHWs bring into HIV programs, important quest…Read more
  •  13
    Developing an informational tool for ethical engagement in medical tourism
    with Krystyna Adams, Valorie A. Crooks, and Rory Johnston
    Philosophy, Ethics, and Humanities in Medicine 2017 12:1 12 (1): 4. 2017.
    Medical tourism, the practice of persons intentionally travelling across international boundaries to access medical care, has drawn increasing attention from researchers, particularly in relation to potential ethical concerns of this practice. Researchers have expressed concern for potential negative impacts to individual safety, public health within both countries of origin for medical tourists and destination countries, and global health equity. However, these ethical concerns are not discusse…Read more
  •  10
    Exploitation without Fairness
    Res Publica 1-21. forthcoming.
    Contemporary accounts of the concept of exploitation can be grouped into camps that tie the wrongness of taking advantage of another person to: (1) the unfair division of benefits resulting from an interaction; (2) excessive benefits resulting from structural injustice; and (3) a failure of respect for others’ humanity. In practice, accounts of exploitation that focus on the fairness of benefits resulting from individual transactions and, to a lesser degree, unjust social and economic institutio…Read more
  •  10
    Guidelines for Reducing the Negative Public Health Impacts of Medical Tourism
    with Valorie A. Crooks
    BioéthiqueOnline 1 12. 2012.
    International travel for medical care, or medical tourism, creates ethical and safety concerns for patients. Guidelines could be developed and distributed to help address these concerns, but they may at the same time appear to endorse this practice.
  •  6
    Is there room for privacy in medical crowdfunding?
    with Valorie A. Crooks
    Journal of Medical Ethics 47 (12). 2021.
    When people use online platforms to solicit funds from others for health-related needs, they are engaging in medical crowdfunding. This form of crowdfunding is growing in popularity, and its visibility is increasing as campaigns are commonly shared via social networking. A number of ethical issues have been raised about medical crowdfunding, one of which is that it introduces a number of privacy concerns. While campaigners are encouraged to share very personal details to encourage donations, the…Read more
  •  5
    Restricting health worker migration in the name of solidarity
    South African Journal of Philosophy 36 (1): 4-12. 2017.
  •  4
    We often hear stories of people in terrible and seemingly intractable situations that are preyed upon by individuals offering empty promises of help. Frequently these cases are condemned as "exploiting the hope" of another. These accusations are made in a range of contexts, including human smuggling, the beauty industry, and unproven medical interventions. This concept is meant to do heavy lifting in public discourse, identifying a specific form of unethical conduct. However, it is poorly unders…Read more
  •  3
    Revisiting the Ethics of Circumvention Tourism
    Journal of Law, Medicine and Ethics 50 (3): 563-565. 2022.
    In the context of medical tourism, circumvention tourism consists of traveling abroad with the intention of participating in a health-related activity that is prohibited in one’s own country but not in the destination country. This practice raises a host of legal and ethical questions that focus on how the traveler should be treated once they have returned home. Joshua Shaw1 deftly shows that the question of whether circumvention tourists should be punished in their home countries is not somethi…Read more
  • Book Review (review)
    Journal of Value Inquiry 40 (1): 115-121. 2006.