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6Distinguishing Professionalism and Heroism When Disaster StrikesCambridge Quarterly of Healthcare Ethics 24 (4): 373-384. 2015.
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4The Authors ReplyHastings Center Report 43 (6): 6-6. 2013.A response to a commentary by Howard Brody and Luana Colloca about “What's Not Being Shared in Shared Decision‐Making?” from the July‐August 2013.
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27Conflicts of Interest in Deep Brain Stimulation Research and the Ethics of TransparencyJournal of Clinical Ethics 21 (2): 125-132. 2010.In this article we will draw on experiences from our own research on deep brain stimulation of the central thalamus in the minimally conscious state. We describe ethical challenges faced in clinical research involving medical devices and offer several cautionary notes about its funding and the interplay of market forces and scientific inquiry and suggest some reforms.
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5Praxis Makes Perfect?Hastings Center Report 23 (5): 16-19. 1993.Hospital formulary committees blend cost‐effectiveness analysis, peer review, and continuing medical education to regulate hospital drug purchases and physicians' prescribing patterns in ways that may be instructive to the societal debate on health care reform.
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91Death, dying and informatics: misrepresenting religion on MedLine (review)BMC Medical Ethics 6 (1): 1-5. 2005.Background The globalization of medical science carries for doctors worldwide a correlative duty to deepen their understanding of patients' cultural contexts and religious backgrounds, in order to satisfy each as a unique individual. To become better informed, practitioners may turn to MedLine, but it is unclear whether the information found there is an accurate representation of culture and religion. To test MedLine's representation of this field, we chose the topic of death and dying in the th…Read more
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53A leg to stand on: Sir William Osler and Wilder penfield's "neuroethics"American Journal of Bioethics 8 (1). 2008.If ever I summon before me my highest ideals of men and medicine, I find them sprung from the spirit of Osler. —Wilder Penfield, M.D. Neuroethics is a recently coined term that is shaping our cultu...
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30Reinvigorating ethics consultations: An impetus from the “quality” debate (review)HEC Forum 18 (4): 298-304. 2006.
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24In Defense of Bioethics and the HumanitiesCambridge Quarterly of Healthcare Ethics 20 (4): 615-616. 2011.
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45Baseball and BioethicsCambridge Quarterly of Healthcare Ethics 14 (4): 434-443. 2005.David and I were at a conference on Amelia Island in Florida back in 1995. The meeting, sponsored by the University of Florida, was entitled, “Physician-Assisted Death: Implications for Patients, Care Providers, and Society,” a title that seems quaint given the controversy over the right to die engendered by the Schiavo case. But that's a different talk for a different time
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22The Orwellian Threat to Emerging Neurodiagnostic TechnologiesAmerican Journal of Bioethics 5 (2): 56-58. 2005.
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21Guardianship and Clinical Research Participation: The Case of Wards with Disorders of ConsciousnessKennedy Institute of Ethics Journal 27 (1): 43-70. 2017.Incapacitated adults with a legally appointed guardian or conservator may be recruited for or involved with medical, behavioral, or social science research. Much of the research in which such persons participate is aimed at evaluating medical interventions for them, or contributing to general knowledge about disorders from which they may suffer. In this paper we will consider how the appointment of guardians for patients with disorders of consciousness —severe brain injuries that affect a patien…Read more
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30Review of John H. Evans, The History and Future of Medical Ethics: A Sociological View 1 (review)American Journal of Bioethics 13 (6): 58-59. 2013.
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22Inching Toward Health Decision ExceptionalismAmerican Journal of Bioethics 13 (5): 18-19. 2013.No abstract
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Brain Injury and the Culture of Neglect: Musings on an Uncertain FutureSocial Research: An International Quarterly 78 (4): 731-746. 2011.Our essay will address both the right-to-die movement in America and the emerging culture of neglect in the treatment of a class of patients with disorders of consciousness with which the right-to-die movement is entwined. We trace the etiology of these two themes through changes in our scientific understanding of brain injury and recovery against a growing societal acculturation to dominion over one's self at life's end.
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4On the Lingua Franca of Clinical EthicsJournal of Clinical Ethics 24 (4): 323-331. 2013.In this 25-year retrospective on the state of clinical ethics, and the anniversary of the founding of The Journal of Clinical Ethics, the author comments on the state of the field. He argues that the language of bioethics, as used in practice, seems dated and out of touch with a clinical reality marked by emerging technologies and the advent of new fields like palliative medicine.Reflecting on his experiences as a clinician and clinical ethicist, the author worries about the emergence of a shall…Read more
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3Guest Editorial: The Many Voices of Spanish Bioethics—An IntroductionCambridge Quarterly of Healthcare Ethics 18 (3): 214-217. 2009.Edmund Pellegrino noted that contemporary medicine is to a large extent a North American product, and so too is the ethics that accompanies it. This was an accurate observation back in the 1980s when he said it. Even today bioethics is to a considerable extent informed by the seminal works of the Anglo-American model, at least seen from the United States. The dissemination of ideas from the Spanish-speaking world has been nearly invisible to the English-speaking world of bioethics, isolated by l…Read more
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29The economics of clinical ethics programs: a quantitative justificationCambridge Quarterly of Healthcare Ethics 6 (4): 451-. 1997.The restructuring of the healthcare marketplace has exerted pressure directly and indirectly on clinical ethics programs. The fiscal orientation and emphasis on efficiency, outcome measures, and cost control have made it increasingly difficult to communicate arguments in support of the existence or growth of ethics programs. In the current marketplace, arguments that rely on the claim that ethics programs protect patient rights or assist in the professional formation of practitioners often resul…Read more
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8Fee Disclosure at a CostHastings Center Report 44 (6): 3-3. 2014.A commentary on “Financial Side Effects: Why Patients Should Be Informed of Costs,” by Alicia Hall, in the May‐June 2014 issue.
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17The Face of FinitudeHastings Center Report 25 (2): 38-38. 1995.Book reviewed in this article: How We Die. By Sherwin B. Nuland. New York: Alfred A. Knopf.
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43The Ethical Imperative to Think about ThinkingCambridge Quarterly of Healthcare Ethics 23 (4): 386-396. 2014.While the medical ethics literature has well explored the harm to patients, families, and the integrity of the profession in failing to disclose medical errors once they occur, less often addressed are the moral and professional obligations to take all available steps to prevent errors and harm in the first instance. As an expanding body of scholarship further elucidates the causes of medical error, including the considerable extent to which medical errors, particularly in diagnostics, may be at…Read more
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2Clinical pragmatism and the care of brain damaged patients: Towards a palliative neuroethics for disorders of consciousnessIn Steven Laureys (ed.), Boundaries of Consciousness, Elsevier. 2006.
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79Guest Editorial: The Many Voices of Spanish Bioethics—An IntroductionCambridge Quarterly of Healthcare Ethics 18 (3): 214. 2009.
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Cornell UniversityRegular Faculty
Ithaca, New York, United States of America