-
54The ethical limits in expanding living donor transplantationKennedy Institute of Ethics Journal 16 (2): 151-172. 2006.: The past decade has witnessed the emergence of novel methods to increase the number of living donors. Although such programs are not likely to yield high volumes of organs, some transplant centers have gone to great lengths to establish one or more of them. I discuss some of the ethical and policy issues raised by five such programs: (1) living-paired and cascade exchanges; (2) unbalanced living-paired exchanges; (3) list-paired exchanges; (4) nondirected donors; and (5) nondirected donors cat…Read more
-
39Convening a 407 panel for research not otherwise approvable: "Precursors to diabetes in japanese american youth" as a case studyKennedy Institute of Ethics Journal 14 (2): 165-186. 2004.: Subpart D of 45 CFR 46 focuses on research involving children. Section 46.407 addresses research that is not otherwise approvable. The research is not otherwise approvable because either (1) it seeks to enroll healthy children, but offers no prospect of direct benefit and entails more than minimal risk; or (2) it seeks to enroll children with a disorder or condition, but offers no prospect of direct benefit and entails more than a minor increase over minimal risk. According to 46.407, such res…Read more
-
60Predictive genetic testing for conditions that present in childhoodKennedy Institute of Ethics Journal 12 (3): 225-244. 2002.: There is a general consensus in the medical and medical ethics communities against predictive genetic testing of children for late onset conditions, but minimal consideration is given to predictive testing of asymptomatic children for disorders that present later in childhood when presymptomatic treatment cannot influence the course of the disease. In this paper, I examine the question of whether it is ethical to perform predictive testing and screening of newborns and young children for condi…Read more
-
3Different Standards Are Not Double Standards: All Elective Surgical Patients Are Not AlikeJournal of Clinical Ethics 23 (2): 118-128. 2012.Testa and colleagues argue that evaluation for suitability for living donor surgery is rooted in paternalism in contrast with the evaluation for most operative interventions which is rooted in the autonomy of patients. We examine two key ethical concepts that Testa and colleagues use: paternalism and autonomy, and two related ethical concepts, moral agency and shared decision making. We show that moving the conversation from paternalism, negative autonomy and informed consent to moral agency, …Read more
-
University of RochesterHealth Humanities and Bioethics
Department of PhilosophyDistinguished Professor
Rochester, New York, United States of America
Areas of Specialization
Biomedical Ethics |
Genetic Ethics |
Medical Ethics |
Biomedical Ethics, Miscellaneous |
Applied Ethics |