Vanderbilt University
Center for Humans and Nature
  • Vanderbilt University
    Department of Health Policy
    Associate Professor
  • Center for Humans and Nature
    Senior Fellow (Part-time)
  • The Hastings Center
    Senior Advisor (Part-time)
Nashville, Tennessee, United States of America
  •  516
    Special Report: The Ethics of Using QI Methods to Improve Health Care Quality and Safety
    with Mary Ann Baily, Melissa M. Bottrell, and Joanne Lynn
    Hastings Center Report 36 (4). 2006.
  •  206
    Dependency, Difference and the Global Ethic of Longterm Care
    with Eva Feder Kittay and Angela A. Wasunna
    Journal of Political Philosophy 13 (4): 443-469. 2005.
  •  83
    Public health and liberty: Beyond the millian paradigm
    Public Health Ethics 2 (2): 123-134. 2009.
    Center for Humans and Nature, 109 West 77th Street, Suite 2, New York, NY 10024, USA. Tel.: 212 362 7170; Fax: 212 362 9592; Email: brucejennings{at} ' + u + '@' + d + ' '//--> . Abstract A fundamental question for the ethical foundations of public health concerns the moral justification for limiting or overriding individual liberty. What might justify overriding the individual moral claim to non-interference or to self-realization? This paper argues that the libertarian justi…Read more
  •  59
    The regulation of virtue: Cross-currents in professional ethics (review)
    Journal of Business Ethics 10 (8). 1991.
    This paper argues that more attention should be paid to the civic functions of ethical discourse about the professions and to the moral virtues inherent in their practice and traditions. The ability of professional ethics to articulate civic ideals and virtues is discussed in relation to three issues. First, should professional ethics aim to enlighten ethical understanding or to motivate ethical conduct? Second, how should professional ethics define the professional's moral responsibilities in t…Read more
  •  51
    Richard W. Krouse
    Political Theory 15 (4): 635-638. 1987.
  •  42
    In Bonnie Steinbock (ed.), The Oxford Handbook of Bioethics, Oxford University Press. 2009.
    No single concept has been more important in the contemporary development of bioethics, and the revival of medical ethics, than the concept of autonomy, and none better reflects both the philosophical and the political currents shaping the field. This article proposes to consider autonomy in three of its facets and functions: first, as a concept in ethical theory; second, as a concept in applied ethics; and finally, as what might be called an ideological concept — that is, one that both draws fr…Read more
  •  41
    Reconceptualizing Autonomy: A Relational Turn in Bioethics
    Hastings Center Report 46 (3): 11-16. 2016.
    History's judgment on the success of bioethics will not depend solely on the conceptual creativity and innovation in the field at the level of ethical and political theory, but this intellectual work is not insignificant. One important new development is what I shall refer to as the relational turn in bioethics. This development represents a renewed emphasis on the ideographic approach, which interprets the meaning of right and wrong in human actions as they are inscribed in social and cultural …Read more
  •  36
    The further development of public health ethics will be assisted by a more direct engagement with political theory. In this way, the moral vocabulary of the liberal tradition should be supplemented—but not supplanted—by different conceptual and normative resources available from other traditions of political and social thought. This article discusses four lines of further development that the normative conceptual discourse of public health ethics might take. The relational turn. The implications…Read more
  •  33
    Possibilities of consensus: Toward democratic moral discourse
    Journal of Medicine and Philosophy 16 (4): 447-463. 1991.
    The concept of consensus is often appealed to in discussions of biomedical ethics and applied ethics, and it plays an important role in many influential ethical theories. Consensus is an especially influential notion among theorists who reject ethical realism and who frame ethics as a practice of discourse rather than a body of objective knowledge. It is also a practically important notion when moral decision making is subject to bureaucratic organization and oversight, as is increasingly becomi…Read more
  •  26
    Special Supplement: New Directions in Nursing Home Ethics
    with Bart Collopy and Philip Boyle
    Hastings Center Report 21 (2): 1. 1991.
  •  25
    To the Editor: The sensitive discussion by Courtney Campbell and Jessica Cox on hospice care and physician-assisted death (“Hospice and Physician-Assisted Death: Collaboration, Compliance, and Complicity,” September-October 2010) is a model blend of ethical analysis, empirical study, and policy assessment in bioethics. The legalization of physician aid in dying has raised important ethical issues for hospice that go to the broader question of its evolving mission and its place in the landscape o…Read more
  •  25
    Pharmaceutical research involving the homeless
    with Tom L. Beauchamp, Eleanor D. Kinney, and Robert J. Levine
    Journal of Medicine and Philosophy 27 (5). 2002.
    Discussions of research involving vulnerable populations have left the homeless comparatively ignored. Participation by these subjects in drug studies has the potential to be upsetting, inconvenient, or unpleasant. Participation occasionally produces injury, health emergencies, and chronic health problems. Nonetheless, no ethical justification exists for the categorical exclusion of homeless persons from research. The appropriate framework for informed consent for these subjects of pharmaceutica…Read more
  •  25
    Hospice Ethics: Policy and Practice in Palliative Care (edited book)
    Oxford University Press. 2014.
    This book identifies and explores ethical themes in the structure and delivery of hospice care in the United States. As the fastest growing sector in the US healthcare system, in which over forty percent of patients who die each year receive care in their final weeks of life, hospice care presents complex ethical opportunities and challenges for patients, families, clinicians, and administrators. Thirteen original chapters, written by seventeen hospice experts, offer guidance and analysis that…Read more
  •  23
    Agency and moral relationship in dementia
    Metaphilosophy 40 (3-4): 425-437. 2009.
    This essay examines the goals of care and the exercise of guardianship authority in the long-term care of persons with Alzheimer's disease and other forms of chronic, progressive dementia. It counters philosophical views that deny both agency and personhood to individuals with Alzheimer's on definitional or analytic conceptual grounds. It develops a specific conception of the quality of life and offers a critique of hedonic conceptions of quality of life and models of guardianship that are based…Read more
  •  21
    SOLIDARITY in the Moral Imagination of Bioethics
    with Angus Dawson
    Hastings Center Report 45 (5): 31-38. 2015.
    How important is the concept of solidarity in our society's calculus of consent as regards the legitimacy and ethical and political support for public health, health policy, and health services? By the term “calculus of consent,” we refer to the answer that people give to rationalize and justify their obedience to laws, rules, and policies that benefit others. The calculus of consent answers questions such as, Why should I care? Why should I help? Why should I contribute to the public provision …Read more
  •  21
    Public health involves the use of power to change institutions and redistribute resources and deliberately to shape individual thought and behavior. This requires normative legitimation and demands ethical critique. This article explores concepts that are vital to public health ethics, but have been relatively neglected. These are membership, solidarity and the concept of place. The article argues that the practice of public health should recognize the equal rights of membership in communities o…Read more
  •  20
    Toward An Expanded Vision of Clinical Ethics Education: From the Individual to the Institution
    with Mildred Z. Solomon, Vivian Guilfoy, Rebecca Jackson, Lydia O'Donnell, Susan M. Wolf, Kathleen Nolan, Dieter Koch-Weser, and Strachan Donnelley
    Kennedy Institute of Ethics Journal 1 (3): 225-245. 1991.
  •  20
  •  20
    The Ethics of Using QI Methods to Improve Health Care Quality and Safety
    with Mary Ann Baily, Melissa Bottrell, and Joanne Lynn
    Hastings Center Report 36 (4). 2006.
  •  17
    Cpr in hospice/commentary
    with Perry G. Fine
    Hastings Center Report 33 (3). 2003.
  •  16
    Special Supplement: Ethics and Trusteeship for Health Care: Hospital Board Service in Turbulent Times
    with Bradford H. Gray, Virginia A. Sharpe, Linda Weiss, and Alan R. Fleischman
    Hastings Center Report 32 (4). 2002.
  •  16
    Hastings Center Report 35 (6). 2005.
  •  15
    Biopower and the Liberationist Romance
    Hastings Center Report 40 (4): 16-20. 2010.
    In the spirit of summer, and especially summer reading, we asked a few well-read writers for an essay on a book or books exploring bioethics issues through story. The result is a compelling look at how we face our fears and hopes about biotechnology and medicine. A reading list appears at the end. Bioethics lives in the shadow of great structures and practices of power, and yet, it has not been notable for its contributions to an understanding of power.1 Indeed, the narrative that bioethics has …Read more
  •  15
    Bioethics and Populism: How Should Our Field Respond?
    with Mildred Z. Solomon
    Hastings Center Report 47 (2): 11-16. 2017.
    Across the world, an authoritarian and exclusionary form of populism is gaining political traction. Historically, some populist movements have been democratic and based on a sense of inclusive justice and the common good. But the populism on the rise at present speaks and acts otherwise. It is challenging constitutional democracies. The polarization seen in authoritarian populism goes beyond the familiar left-right political spectrum and generates disturbing forms of extremism, including the so-…Read more
  •  15
    De-extinction and Conservation
    with Gregory E. Kaebnick
    Hastings Center Report 47 (S2). 2017.
  •  15
    The President's Council Calls for Prudence
    Hastings Center Report 36 (3): 45-46. 2006.
  •  13
    Relational Ethics for Public Health: Interpreting Solidarity and Care
    Health Care Analysis 27 (1): 4-12. 2019.
    This article defends ‘relational theorizing’ in bioethics and public health ethics and describes its importance. It then offers an interpretation of solidarity and care understood as normatively patterned and psychologically and socially structured modes of relationality; in a word, solidarity and care understood as ‘practices.’ Solidarity is characterized as affirming the moral standing of others and their membership in a community of equal dignity and respect. Care is characterized as paying a…Read more