•  8
    Moral Distress and the Marginalization of Nurses
    American Journal of Bioethics 24 (1): 132-134. 2024.
    Responding to the nurse’s moral distress in this case depends on a deeper understanding of the source. It is possible that there is concern that resuscitation is morally wrong—perhaps because it wo...
  •  142
    “How could anybody think that this is the appropriate way to do bioethics?” Feminist challenges for conceptions of justice in bioethics
    In Wendy A. Rogers, Jackie Leach Scully, Stacy M. Carter, Vikki Entwistle & Catherine Mills (eds.), The Routledge Handbook of Feminist Bioethics, Routledge. pp. 27-42. 2023.
    In this chapter, I propose that conceptions of justice in bioethics must be feminist, meaning they must be able to capture how the domains of health, healthcare and medicine exacerbate the subordination of those perceived to be women and girls and how injustice impacts their health. After providing context in the first section, I identify three problems with conceptions of justice in the bioethics literature that interfere with their potential to be feminist. They tend to adopt the ahistoricism …Read more
  •  108
    In this chapter, Fourie identifies and systematizes the impairments associated with having privilege and evaluates their implications for theories of relational equality and distributive justice. Having certain social privileges, for example, being a man in a patriarchal society, can also be damaging; in other words, there are “impairments of privilege.” Fourie delineates six kinds of impairments—epistemic, evaluative, emotional, health-related, affiliative, and moral. She then goes on to assess…Read more
  •  16
    What is a just way of spending public resources for health and health care? Several significant answers to this question are under debate. Public spending could aim to promote greater equality in health, for example, or maximize the health of the population, or provide the worst off with the best possible health. Another approach is to aim for each person to have "enough" so that her health or access to health care does not fall under a critical level. This latter approach is called sufficientar…Read more
  •  19
    What is Enough?: Sufficiency, Justice, and Health (edited book)
    Oxford University Press. 2016.
    What is a just way of spending public resources for health and health care? Several significant answers to this question are under debate. Public spending could aim to promote greater equality in health, for example, or maximize the health of the population, or provide the worst off with the best possible health. Another approach is to aim for each person to have "enough" so that her health or access to health care does not fall under a critical level. This latter approach is called sufficientar…Read more
  •  62
    Why Does Inequality Matter?, by T.M. Scanlon (review)
    Mind 128 (512): 1397-1408. 2019.
    Why Does Inequality Matter?, by ScanlonT.M.. New York: Oxford University Press, 2018. Pp. ix + 170.
  •  260
    Gender, Status, and the Steepness of the Social Gradients in Health
    International Journal of Feminist Approaches to Bioethics 12 (1): 137-156. 2019.
    Many social gradients in health appear steeper for men than for women. I refer to this as the “Steepness Puzzle.” This paper explores the ethical implications of this Puzzle. First, it identifies potential explanations for the Steepness Puzzle, including methodological problems. Second, it highlights two harms associated with the methodological explanation: the consequences of biased epistemic practices and the marginalization of women. It also demonstrates how attempts to flatten the gradients …Read more
  •  304
    The Nature and Distinctiveness of Social Equality: An Introduction
    with Fabian Schuppert and Ivo Wallimann-Helmer
    In Carina Fourie, Fabian Schuppert & Ivo Wallimann-Helmer (eds.), Social Equality: On What It Means to Be Equals, Oxford University Press. pp. 1-20. 2015.
    This chapter serves as an introduction to the collected volume. In the first section, we aim to provide background on important themes in social egalitarianism and to set the context for understanding which significant questions the chapters in this book pose and attempt to answer. In this section we focus especially on what could be said to characterize socially egalitarian relationships, on which relationships are of concern, and on what might make social egalitarianism distinct. In the second…Read more
  •  630
    What kind of equality should we value and why? Current debate centres around whether distributive equality is valuable. However, it is not the only (potentially) morally significant form of equality. David Miller and T. M. Scanlon have emphasised the importance of social equality—a strongly egalitarian notion distinct from distributive equality, and which cannot be reduced to a concern for overall welfare or the welfare of the worst-off. However, as debate tends to focus on distribution, social …Read more
  •  10
    Comment on Andrew Walton
    Analyse & Kritik 35 (1): 187-192. 2013.
    Andrew Walton argues that a Rawlsian property-owning democracy requires a fraternal ethos and certain forms of social interaction, such as high trade union membership. The basic structure objection could be used to challenge these claims as it indicates that Rawls’s principles of justice should only be applied to the basic structure of society, and not, for example, to an ethos. Walton has two responses to the objection: firstly, that it does not apply to his argument, and, secondly, even if it …Read more
  •  217
    Discrimination, emotion, and health inequities
    Les Ateliers de l'Éthique / the Ethics Forum 13 (3): 123-149. 2018.
    In this paper I argue that certain ways in which the relationship among discrimination, emotions and health is presented can undermine equity. I identify a model of this relationship the discrimination-emotion-health model - and claim that while the model is important for understanding the detrimental impact that discrimination and oppression can have on emotions and health, certain implications of the model are troubling. I identify six critiques of the model, and show that equity could be unde…Read more
  •  299
    One of the most controversial issues in many health care systems is health care rationing. In essence, rationing refers to the denial of - or delay in - access to scarce goods and services in health care, despite the existence of medical need. Scarcity of financial and medical resources confronts society with painful questions. Who should decide which medicine or new treatment will be covered by social security and on which criteria such decisions must be based? Can age, for example, be justifie…Read more
  •  48
    This volume brings together a collection of ten original essays which present new analyses of social and relational equality in philosophy and political theory. The essays analyze the nature of social equality and its relationship with justice and with politics
  •  94
    Moral Distress and Moral Conflict in Clinical Ethics
    Bioethics 29 (2): 91-97. 2013.
    Much research is currently being conducted on health care practitioners' experiences of moral distress, especially the experience of nurses. What moral distress is, however, is not always clearly delineated and there is some debate as to how it should be defined. This article aims to help to clarify moral distress. My methodology consists primarily of a conceptual analysis, with especial focus on Andrew Jameton's influential description of moral distress. I will identify and aim to resolve two s…Read more