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66History, Morals, and MedicinePerspectives in Biology and Medicine 60 (1): 60-73. 2017.When asked why he turned from philosophy to the history of ideas, Isaiah Berlin said that he was worried that if he stayed in philosophy he wouldn't know any more at the end of his life than he had at the beginning. Mark Lilla makes the point in a somewhat more constructive way: "His [Berlin's] instinct told him that you learn more about an idea as an idea when you know something about its genesis and understand why certain people found it compelling and were spurred to action by it".It took me …Read more
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98Charles F. Howlett, "Troubled Philosopher: John Dewey and the Struggle for World Peace" (review)Journal of the History of Philosophy 19 (1): 129. 1981.
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120Acid Brothers: Henry Beecher, Timothy Leary, and the psychedelic of the centuryPerspectives in Biology and Medicine 59 (1): 107-121. 2016.Henry Knowles Beecher, an icon of human research ethics, and Timothy Francis Leary, a guru of the counterculture, are bound together in history by the synthetic hallucinogen lysergic acid diethylamide. Beecher was a U.S. Army Lieutenant Colonel who received five battle stars, was inducted into the Legion of Merit, held the first endowed chair in his discipline, wrote at least three path-breaking papers, and is honored by two prestigious ethics awards in his name. Leary was a West Point dropout w…Read more
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76Bioethics and BioterrorismIn Bonnie Steinbock (ed.), The Oxford handbook of bioethics, Oxford University Press. 2007.The term ‘bioterrorism’ seems to have become a kind of shorthand for sowing terror through the use of other ‘unconventional’ weapons, especially chemical, nuclear, and radiological weapons, or ‘dirty bombs’. The ethical problems associated with these other threats are closely associated with those raised by biological agents. Therefore, this article necessarily refers to these related potential terrorist technologies, all of them made more available to militant organizations through the spread o…Read more
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62Research with captive populationsIn Ezekiel J. Emanuel (ed.), The Oxford textbook of clinical research ethics, Oxford University Press. pp. 461--474. 2008.
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33Secret State Experiments and Medical EthicsIn Arthur W. Galston & Christiana Z. Peppard (eds.), Expanding horizons in bioethics, Springer. pp. 59--69. 2005.
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41Guest Editorial: National Security in the Era of NeuroscienceSynesis: A Journal of Science, Technology, Ethics, and Policy 2 (2). 2011.
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66Pragmatists and pluralists: An american way of metaphysicsMetaphilosophy 16 (2‐3): 178-190. 1985.
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AfterwordIn Jonathan D. Moreno & Sam Berger (eds.), Progress in Bioethics: Science, Policy, and Politics, Mit Press. 2010.
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Pt. VIII. Public and global health. The implications of public health for bioethics / Jeffrey Kahn and Anna Mastroianni ; Global health / Ruth Macklin ; Bioethics and bioterrorism (review)In Bonnie Steinbock (ed.), The Oxford handbook of bioethics, Oxford University Press. 2007.
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88Taking stem cells seriouslyAmerican Journal of Bioethics 6 (5). 2006.This Article does not have an abstract
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44The Limits of the Ledger in Public Health PromotionHastings Center Report 15 (6): 37-41. 1985.Recent efforts to support state regulation of risky behavior like cigarette smoking, alcohol consumption, driving without seatbelts and riding motorcycles without helmets have focused on economic justifications—the costs to society of the consequences of these activities. However, opponents have successfully argued that the economic burdens of regulation outweigh the social benefits. To reduce the toll on society of these behaviors, we need justification for regulation that asserts the moral pri…Read more
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201The Triumph of Autonomy in Bioethics and Commercialism in American HealthcareCambridge Quarterly of Healthcare Ethics 16 (4): 415. 2007.Justifying his proposal for “health savings accounts,” which would allow individuals to set aside tax-free dollars against future healthcare needs, President Bush has said that “Health savings accounts all aim at empowering people to make decisions for themselves.” Who could disagree with such a sentiment? Although bioethicists may be among those who express skepticism that personal health savings accounts will be part of the needed “fix” of our healthcare financing system, self determination ha…Read more
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54Review of Francois Ansermet and Pierre Magistretti. Biology of Freedom: Neural Plasticity, Experience, and the Unconscious, trans. Susan Fairfield. 1 (review)American Journal of Bioethics 8 (5): 36-37. 2008.This Article does not have an abstract
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Bioethics progressingIn Jonathan D. Moreno & Sam Berger (eds.), Progress in Bioethics: Science, Policy, and Politics, Mit Press. pp. 1. 2010.
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16Physicians have long tinkered with ways to "improve" the human brain, but as our understanding of that organ's inner workings quickly grows, artificial enhancement is becoming more feasible. Military research is at the forefront of this work, much of it focused on drugs. The goal is to produce a better soldier, but the emerging techniques could just as easily be applied to any individual. The military wants to juice up personnel's brains because the human being is the weakest instrument of warfa…Read more
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90Goodbye to All That The End of Moderate Protectionism in Human Subjects ResearchHastings Center Report 31 (3): 9-17. 2001.Federal policies on human subjects research have performed a near‐about face. In the 1970s, policies were motivated chiefly by a belief that subjects needed protection from the harms and risks of research. Now the driving concern is that patients, and the populations they represent, need access to the benefits of research.
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43Protection of children and adolescents in psychiatric research: an unfinished businessHEC Forum 17 (3): 210-226. 2005.
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210Ethics by committee: The moral authority of consensusJournal of Medicine and Philosophy 13 (4): 411-432. 1988.Consensus is commonly identified as the goal of ethics committee deliberation, but it is not clear what is morally authoritative about consensus. Various problems with the concept of an ethics committee in a health care institution are identified. The problem of consensus is placed in the context of the debate about realism in moral epistemology, and this is shown to be of interest for ethics committees. But further difficulties, such as the fact that consensus at one level of discourse need not…Read more
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60The Name of the EmbryoHastings Center Report 36 (5): 3-3. 2006.What is above all needed is to let the meaning choose the word, and not the other way around.
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139Consensus, contracts, and committeesJournal of Medicine and Philosophy 16 (4): 393-408. 1991.Following a brief account of the puzzle that ethics committees present for the Western Philosophical tradition, I will examine the possibility that social contract theory can contribute to a philosophical account of these committees. Passing through classical as well as contemporary theories, particularly Rawls' recent constructivist approach, I will argue that social contract theory places severe constraints on the authority that may legitimately be granted to ethics committees. This, I conclud…Read more
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45The Dewey-Morris Debate in RetrospectTransactions of the Charles S. Peirce Society 19 (1). 1983.
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161Human Experiments and National Security: The Need to Clarify PolicyCambridge Quarterly of Healthcare Ethics 12 (2): 192-195. 2003.On September 4, 2001, press reports indicated that the Defense Intelligence Agency of the U.S. Department of Defense planned to reproduce a strain of anthrax virus suspected of being held in Russian laboratories. According to the same reports, the Central Intelligence Agency, under the auspices of Project Clear Vision, is engaged in building replicas of bomblets believed to have been developed by the former Soviet Union. These small bombs were designed to disperse biological agents, including an…Read more