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13Organizational Ethics in Healthcare: A National SurveyHEC Forum 1-12. forthcoming.Organizational ethics—defined as the alignment of an institution’s practices with its mission, vision, and values—is a growing field in health care not well characterized in empirical literature. To capture the scope and context of organizational ethics work in United States healthcare institutions, we conducted a nationwide convenience survey of ethicists regarding the scope of organizational ethics work, common challenges faced, and the organizational context in which this work is done. In thi…Read more
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22A proposed rural healthcare ethics agendaJournal of Medical Ethics 33 (3): 136-139. 2007.The unique context of the rural setting provides special challenges to furnishing ethical healthcare to its approximately 62 million inhabitants. Although rural communities are widely diverse, most have the following common features: limited economic resources, shared values, reduced health status, limited availability of and accessibility to healthcare services, overlapping professional–patient relationships and care giver stress. These rural features shape common healthcare ethical issues, inc…Read more
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45Rural health care ethics: Is there a literature?American Journal of Bioethics 6 (2). 2006.To better understand the available publications addressing ethical issues in rural health care we sought to identify the ethics literature that specifically focuses on rural America. We wanted to determine the extent to which the rural ethics literature was distributed between general commentaries, descriptive summaries of research, and original research publications. We identified 55 publications that specifically and substantively addressed rural health care ethics, published between 1966 and …Read more
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30Rural and non-rural differences in membership of the American Society of Bioethics and HumanitiesJournal of Medical Ethics 32 (7): 411-413. 2006.Objective: To determine whether bioethicists are distributed along a rural-to-urban continuum in a way that reflects potential need of those resources as determined by the general population, hospital facilities and hospital beds.Methods: US members of a large, multidisciplinary professional society, the American Society of Bioethics and Humanities , the US population, hospital facilities and hospital beds were classified across a four-tier rural-to-urban continuum. The proportion of each group …Read more
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42Ethics Committees at Work: Physician Experience as a Measure of Competency: Implications for Informed ConsentCambridge Quarterly of Healthcare Ethics 5 (3): 458. 1996.The following description is based upon an actual case in which a patient initiated legal action after suffering a complication subsequent to an invasive diagnostic procedure performed by a senior fellow. Named as codefendants were the senior fellow, attending physician, and the hospital. Because any hospital with house staff is potentially vulnerable to similar litigation, Ethics Committees at Work is addressing the questions raised by this dilemma
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53The Presence of Ethics Programs in Critical Access HospitalsHEC Forum 22 (4): 267-274. 2010.The purpose of this study was to assess the presence of ethics committees in rural critical access hospitals across the United States. Several studies have investigated the presence of ethics committees in rural health care facilities. The limitation of these studies is in the definition of ‘rural hospital’ and a regional or state focus. These limitations have created large variations in the study findings. In this nation-wide study we used the criteria of a critical access hospital (CAH), as de…Read more
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20The Opportunities and Challenges for Shared Decision-Making in the Rural United StatesHEC Forum 27 (2): 157-170. 2015.The ethical standard for informed consent is fostered within a shared decision-making process. SDM has become a recognized and needed approach in health care decision-making. Based on an ethical foundation, the approach fosters the active engagement of patients, where the clinician presents evidence-based treatment information and options and openly elicits the patient’s values and preferences. The SDM process is affected by the context in which the information exchange occurs. Rural settings ar…Read more
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31The Institutions of Deliberative DemocracySocial Philosophy and Policy 17 (1): 181. 2000.This paper addresses two questions. First, how different is the ideal underlying deliberative democracy from the ideal expressed in contemporary liberal theory, especially contractualist theory and "political liberalism"? Second, what specific institutional prescriptions, if any, follow from deliberative democracy? It is argued that the deliberative ideal has become quite abstract and, in fact, does not differ significantly from many forms of contemporary liberalism. Moreover, it is something of…Read more
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16Response to Commentaries on “Is There a Rural Ethics Literature?”1American Journal of Bioethics 6 (4). 2006.No abstract
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72Rural Healthcare Ethics: No Longer the Forgotten QuarterCambridge Quarterly of Healthcare Ethics 19 (4): 510-517. 2010.The rural health context in the United States presents unique ethical challenges to its approximately 60 million residents, who represent about one quarter of the overall population and are distributed over three-quarters of the country’s land mass. The rural context is not only identified by the small population density and distance to an urban setting but also by a combination of social, religious, geographical, and cultural factors. Living in a rural setting fosters a sense of shared values a…Read more
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45Conceptions of morality and the doctrine of double effectJournal of Medicine and Philosophy 16 (5): 545-564. 1991.Whether one should accept a principle like DDE cannot be settled independent of one's more general moral theory. In this, I take it, I agree with Professor Boyle, though I do not think he has shown that DDE has a role only in his particular form of absolutism. Still, since his theory does require DDE, an important question is what the alternatives are – whether we must choose between this absolutism and either utilitarianism or intuitionism. A form of contractualism, the requirements of which de…Read more
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32Capitalism and Democracy: Schumpeter Revisited. Richard D. Coe, Charles K. WilburEthics 96 (4): 881-882. 1986.
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23Book ReviewsArchon Fung,. Empowered Participation: Reinventing Urban Democracy.Princeton, N.J.: Princeton University Press, 2004. Pp. 336. $39.50 (review)Ethics 115 (2): 402-406. 2005.
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15Applying the Peter Parker Principle to HealthcareCambridge Quarterly of Healthcare Ethics 33 (2): 271-274. 2024.The role of power in healthcare can raise many ethical challenges. Power is ownership, whether given, ceded, or taken of another person’s autonomy. When a person has power over someone else, they can control or strongly influence the decision-making freedom of that person. From the principalist perspective1,2 of healthcare ethics, denying a person their freedom to choose, should only occur when justifying conditions related to beneficence and nonmaleficence are sufficiently satisfied. In healthc…Read more
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28Collaboration of Ethics and Patient Safety Programs: Opportunities to Promote Quality CareHEC Forum 20 (1): 15-27. 2008.
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88Positive Rights, Negative Rights and Property RightsTulane Studies in Philosophy 33 43-49. 1985.
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39The Ethical Role of the ConsultantCambridge Quarterly of Healthcare Ethics 2 (4): 477. 1993.In the United States, physicians are Increasingly functioning In the consultative role. This change in role Is undoubtedly a result of a surge in the numbers of specialists, the relative decreasing number of primary care physicians, and the emergence of tertiary care centers as primary treatment providers. This change In the style of practicing medicine has led to role confusion In attending physician-patient-consultant relationships
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112The epistemic value of the democratic processEpisteme 5 (1). 2008.An epistemic theory of democracy, I assume, is meant to provide on answer to the question of why democracy is desirable. It does so by trying to show how the democratic process can have epistemic value. I begin by describing a couple of examples of epistemic theories in the literature and bringing out what they presuppose. I then examine a particular type of theory, worked out most thoroughly by Joshua Cohen, which seems to imply that democracy has epistemic value. The key idea in this theory is…Read more
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10Huntington on democratic politics: A review of american politics: The promise of disharmony (review)Philosophy and Public Affairs 13 (1): 89-98. 1984.
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Areas of Interest
Normative Ethics |
Social and Political Philosophy |