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133On February 3, 2010, a “Letter of Concern from Bioethicists,” organized by fetaldex.org, was sent to report suspected violations of the ethics of human subjects research in the off-label use of dexamethasone during pregnancy by Dr. Maria New. Copies of this letter were submitted to the FDA Office of Pediatric Therapeutics, the Department of Health and Human Services Office for Human Research Protections, and three universities where Dr. New has held or holds appointments. We provide a critical a…Read more
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74Hume, bioethics, and philosophy of medicineJournal of Medicine and Philosophy 24 (4). 1999.This Article does not have an abstract
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17John Gregory (1724 - 1773) and the Invention of Professional Relationships in MedicineJournal of Clinical Ethics 8 (1): 11-21. 1997.
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35Should we create a health care system in the united states?Journal of Medicine and Philosophy 19 (5): 483-490. 1994.An orthodoxy has arisen which claims that there is a crisis in the United States health care system such that the system needs to be reformed. This essay challenges that orthodoxy by showing that we do not have a health care system in the United States. We have a non-system of health care, just as we do for virtually all basic social institutions. Challenging the current orthodoxy surfaces two ethical issues that have been ignored: creating a health care system will (a) cause resurgent paternali…Read more
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13Professional Responsibility and Individual Conscience: Protecting the Informed Consent Process from Impermissible BiasJournal of Clinical Ethics 19 (1): 24-25. 2008.
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25Professional Responsibility to and for Patients and the Ethics of Health PolicyAmerican Journal of Bioethics 13 (8): 16-18. 2013.Nancy Jecker (2013) mounts a sustained and formidable critique of Norman Daniels's prudential lifespan account (PLA) as a reliable basis for justice between age groups in the responsible allocation...
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47The Cambridge world history of medical ethics (edited book)Cambridge University Press. 2008.The Cambridge World History of Medical Ethics is the first comprehensive scholarly account of the global history of medical ethics. Offering original interpretations of the field by leading bioethicists and historians of medicine, it will serve as the essential point of departure for future scholarship in the field. The volumes reconceptualize the history of medical ethics through the creation of new categories, including the life cycle; discourses of religion, philosophy, and bioethics; and the…Read more
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23Finely crafted distinctions and the art of clinical ethicsJournal of Medicine and Philosophy 26 (1). 2001.Making finely crafted distinctions and deploying them in intellectually rigorous and clinically applicable judgments define, to a considerable degree, the art of clinical ethics. The papers in this Clinical Ethics number of the Journal of Medicine and Philosophy demonstrate the art of clinical ethics in their consideration of respect for autonomy vs. respect for persons, the role of risk in triggering assessment of decisional capacity vs. the role of risk in the concept and assessment of decisio…Read more
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23Power, integrity, and trust in the managed practice of medicine: Lessons from the history of medical ethicsSocial Philosophy and Policy 19 (2): 180-211. 2002.Bioethics as a field began some years before it was finally named in the early 1970s. In many ways, bioethics originated in response to urgent matters of the moment, including the controversy over disconnecting Karen Quinlan's respirator, the egregious paternalism of Donald Cowart's doctors in the famous “Dax” case, the abuse of research subjects in the notorious Tuskegee Syphilis Study, and the need to devise an intellectual framework for the development of federal regulations to protect human …Read more
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23Pediatric Cancer Genetics Research and an Evolving Preventive Ethics Approach for Return of Results after Death of the SubjectJournal of Law, Medicine and Ethics 43 (3): 529-537. 2015.The return of genetic research results after death in the pediatric setting comes with unique complexities. Researchers must determine which results and through which processes results are returned. This paper discusses the experience over 15 years in pediatric cancer genetics research of returning research results after the death of a child and proposes a preventive ethics approach to protocol development in order to improve the quality of return of results in pediatric genomic settings
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61Constructing a systematic review for argument-based clinical ethics literature: The example of concealed medicationsJournal of Medicine and Philosophy 32 (1). 2007.The clinical ethics literature is striking for the absence of an important genre of scholarship that is common to the literature of clinical medicine: systematic reviews. As a consequence, the field of clinical ethics lacks the internal, corrective effect of review articles that are designed to reduce potential bias. This article inaugurates a new section of the annual "Clinical Ethics" issue of the Journal of Medicine and Philosophy on systematic reviews. Using recently articulated standards fo…Read more
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41Medical ethics in the future: Commentary on Andre de vriesTheoretical Medicine and Bioethics 3 (1): 129-133. 1982.
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39A basic concept in the clinical ethics of managed care: Physicians and institutions as economically disciplined moral co-fiduciaries of populations of patientsJournal of Medicine and Philosophy 24 (1). 1999.Managed care employs two business tools of managed practice that raise important ethical issues: paying physicians in ways that impose conflicts of interest on them; and regulating physicians' clinical judgment, decision making, and behavior. The literature on the clinical ethics of managed care has begun to develop rapidly in the past several years. Professional organizations of physicians have made important contributions to this literature. The statements on ethical issues in managed care of …Read more
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24Laying medicine open: Understanding major turning points in the history of medical ethicsKennedy Institute of Ethics Journal 9 (1): 7-23. 1999.In lieu of an abstract, here is a brief excerpt of the content:Laying Medicine Open: Understanding Major Turning Points in the History of Medical EthicsLaurence B. McCullough (bio)AbstractAt different times during its history medicine has been laid open to accountability for its scientific and moral quality. This phenomenon of laying medicine open has sometimes resulted in major turning points in the history medical ethics. In this paper, I examine two examples of when the laying open of medicin…Read more
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46Thought-styles, diagnosis, and concepts of disease: Commentary on Ludwik FleckJournal of Medicine and Philosophy 6 (3): 257-262. 1981.THIS PAPER IS A COMMENTARY ON LUDWIK FLECK'S ESSAY ON THE CONNECTION BETWEEN WHAT HE CALLS "THOUGHT-STYLES" AND SCIENTIFIC AND MEDICAL CONCEPTS. THE IDEA OF A "THOUGHT-STYLE" APPLIED TO CONCEPTS OF DISEASE IS THAT THEY ARE NOT ONLY VALUE-LADEN IN THE SENSE OF INCLUDING NORMATIVE DIMENSIONS. THEY ALSO EMBRACE BROAD SOCIAL FACTORS, AS WELL. I ARGUE THAT THOUGHT-STYLES SHOULD BE UNDERSTOOD TO BE "OPEN-TEXTURED," ADMITTING A PLURALITY OF VALUE CONSIDERATIONS TO CONCEPTS OF DISEASE.
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44AJOB Empirical Bioethics: A Home for Empirical Bioethics ScholarshipAJOB Empirical Bioethics 5 (1): 1-2. 2014.
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22Clinical Management of Brain Death during PregnancyJournal of Clinical Ethics 4 (4): 349-350. 1993.
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20Holding the present and future accountable to the past: History and the maturation of clinical ethics as a field of the humanitiesJournal of Medicine and Philosophy 25 (1). 2000.Clinical ethics, like bioethics more generally, until recently has tended to focus on the present and future, with little attention to the history of moral thought about health care that preceded bioethics. As a consequence, clinical ethics and bioethics lack maturity as fields of the humanities. The papers in this year's clinical ethics issue of the Journal put contemporary clinical ethics in critical dialogue with the past, making the former accountable to the latter. The six papers in this is…Read more
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33Physicians’ Professionally Responsible Power: A Core Concept of Clinical EthicsJournal of Medicine and Philosophy 41 (1): 1-9. 2016.The gathering of power unto themselves by physicians, a process supported by evidence-based practice, clinical guidelines, licensure, organizational culture, and other social factors, makes the ethics of power—the legitimation of physicians’ power—a core concept of clinical ethics. In the absence of legitimation, the physician’s power over patients becomes problematic, even predatory. As has occurred in previous issues of the Journal, the papers in the 2016 clinical ethics issue bear on the prof…Read more
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30Responses to Open Peer Commentaries on "Physicians' Silent Decisions: Because Patient Autonomy Doesn't Always Come First"American Journal of Bioethics 7 (7): 1-3. 2007.Physicians make some medical decisions without disclosure to their patients. Nondisclosure is possible because these are silent decisions to refrain from screening, diagnostic or therapeutic interventions. Nondisclosure is ethically permissible when the usual presumption that the patient should be involved in decisions is defeated by considerations of clinical utility or patient emotional and physical well-being. Some silent decisions—not all—are ethically justified by this standard. Justified s…Read more
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56Ethical dimensions of diagnosis: A case study and analysisTheoretical Medicine and Bioethics 2 (2): 129-143. 1987.A rational reconstruction of the role of moral values in diagnostic reasoning is undertaken. In the context of a case study it is shown how value and ethical considerations come into play in the complex course of making diagnostic and therapeutic decisions.
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74Philosophical challenges in teaching bioethics: The importance of professional medical ethics and its history for bioethicsJournal of Medicine and Philosophy 27 (4). 2002.The papers in this number of the Journal originated in a session sponsored by the American Philosophical Association's Committee on Philosophy and Medicine in 1999. The four papers and two commentaries identify and address philosophical challenges of how we should understand and teach bioethics in the liberal arts and health professions settings. In the course of introducing the six papers, this article explores themes these papers raise, especially the relationship among professional medical et…Read more
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17Health Intuitions Inform Patient-Centered CareAmerican Journal of Bioethics 14 (6): 1-3. 2014.No abstract
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26A transcultural, preventive ethics approach to critical-care medicine: Restoring the critical care physician's power and authorityJournal of Medicine and Philosophy 23 (6). 1998.This article comments on the treatment of critical-care ethics in four preceding articles about critical-care medicine and its ethical challenges in mainland China, Hong Kong, Japan, and the Philippines. These articles show how cultural values can be in both synchrony and conflict in generating these ethical challenges and in the constraints that they place on the response of critical-care ethics to them. To prevent ethical conflict in critical care the author proposes a two-step approach to the…Read more
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25Medicine as a Profession: A Hypothetical Imperative in Clinical EthicsJournal of Medicine and Philosophy 40 (1): 1-7. 2015.
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31Trust, moral responsibility, the self, and well-ordered societies: The importance of basic philosophical concepts for clinical ethicsJournal of Medicine and Philosophy 27 (1). 2002.Although the work of clinical ethics is intensely practical, it employs and presumes philosophical concepts from the central branches of philosophy, including metaphysics, epistemology, ethics, and political philosophy. This essay introduces this issue in the Journal on clinical ethics by considering how the papers and book reviews included in it illuminate four such concepts: trust, moral responsibility, the self and well-ordered societies.
Houston, Texas, United States of America
Areas of Specialization
Applied Ethics |
17th/18th Century Philosophy |
Areas of Interest
Applied Ethics |
17th/18th Century Philosophy |