•  6
    Harming Children to Benefit Others: A Reply
    with Heidi Malm
    American Journal of Bioethics 20 (12). 2020.
    We are pleased to have received such a varied set of commentaries on our target article, “Pox Parties for Grannies? Chickenpox, Exogenous Boosting, and Harmful Injustices”, an...
  •  3
    Practising what we preach: clinical ethicists’ professional perspectives and personal use of advance directives
    with Jason Adam Wasserman, Victoria Drzyzga, and Tyler S. Gibb
    Journal of Medical Ethics. forthcoming.
    The field of clinical bioethics strongly advocates for the use of advance directives to promote patient autonomy, particularly at the end of life. This paper reports a study of clinical bioethicists’ perceptions of the professional consensus about advance directives, as well as their personal advance care planning practices. We find that clinical bioethicists are often sceptical about the value of advance directives, and their personal choices about advance directives often deviate from what cli…Read more
  •  3
    Pox Parties for Grannies? Chickenpox, Exogenous Boosting, and Harmful Injustices
    with Heidi Malm
    American Journal of Bioethics 20 (9): 45-57. 2020.
    Some societies tolerate or encourage high levels of chickenpox infection among children to reduce rates of shingles among older adults. This tradeoff is unethical. The varicella zoster virus...
  •  10
    The Irrelevance of Origins: Dementia, Advance Directives, and the Capacity for Preferences
    with Jason Adam Wasserman
    American Journal of Bioethics 20 (8): 98-100. 2020.
    Volume 20, Issue 8, August 2020, Page 98-100.
  • Guidance and Intervention Principles in Pediatrics: The Need for Pluralism
    with Jason Wasserman
    Journal of Clinical Ethics 30 (3): 201-6. 2019.
    Two core questions in pediatric ethics concern when and how physicians are ethically permitted to intervene in parental treatment decisions (intervention principles), and the goals or values that should direct physicians’ and parents’ decisions about the care of children (guidance principles). Lainie Friedman Ross argues in this issue of The Journal of Clinical Ethics that constrained parental autonomy (CPA) simultaneously answers both questions: physicians should intervene when parental trea…Read more
  • Pediatric Assent and Treating Children Over Objection
    with Jason Wasserman and John Vercler
    Pediatrics 144 (5). 2019.
    More than 20 years ago, the pioneering pediatric ethicist William Bartholome wrote a fiery letter to the editor of this journal because he thought a recently published statement on pediatric assent, from the Committee on Bioethics of the American Academy of Pediatrics (AAP), showed insufficient respect for children. That AAP statement, like its 2016 update, asserts that pediatric assent should be solicited only when a child’s dissent will be honored. Bartholome objected that pediatricians…Read more
  •  9
    Context In response to outbreaks of vaccine‐preventable disease and increasing rates of vaccine refusal, some political communities have recently implemented coercive childhood immunization programs, or they have made existing childhood immunization programs more coercive. Many other political communities possess coercive vaccination policies, and others are considering developing them. Scholars and policymakers generally refer to coercive immunization policies as “vaccine mandates.” However, m…Read more
  •  5
    When Do Pediatricians Call the Ethics Consultation Service? Impact of Clinical Experience and Formal Ethics Training
    with Jason Adam Wasserman, Susanna Jain, Katie R. Baughman, and Naomi T. Laventhal
    Ajob Empirical Bioethics 11 (2): 83-90. 2020.
  •  40
    Vaccine mandates, value pluralism, and policy diversity
    with Katie Attwell
    Bioethics 33 (9): 1042-1049. 2019.
    Bioethics, EarlyView.
  • Perspectives of Public Health Nurses on the Ethics of Mandated Vaccine Education
    with Andrea T. Kozak and Michael J. Deem
    Nursing Outlook 68 (1): 62-72. 2020.
  • Introduction: Conceptualizing Privacy Harms and Values
    with Ann Cudd
    In Mark Navin & Ann Cudd (eds.), Core Concepts and Contemporary Issues in Privacy, Springer Verlag. 2018.
  • Dismissal Policies for Vaccine Refusal -- A Reply
    with Michael J. Deem and John D. Lantos
    JAMA Pediatrics 172 (11): 1101-1102. 2018.
  •  8
    Capacity for Preferences: Respecting Patients with Compromised Decision‐Making
    with Jason Adam Wasserman
    Hastings Center Report 48 (3): 31-39. 2018.
  •  28
    Cooptation or solidarity: food sovereignty in the developed world
    with J. M. Dieterle
    Agriculture and Human Values 35 (2): 319-329. 2018.
    This paper builds on previous research about the potential downsides of food sovereignty activism in relatively wealthy societies by developing a three-part taxonomy of harms that may arise in such contexts. These are direct opposition, false equivalence, and diluted goals and methods. While this paper provides reasons to resist complacency about wealthy-world food sovereignty, we are optimistic about the potential for food sovereignty in wealthy societies, and we conclude by describing how weal…Read more
  •  1190
    In a recent paper published in this journal, Giubilini, Douglas and Savulescu argue that we have given insufficient weight to the moral importance of fairness in our account of the best policies for non-medical exemptions to childhood immunization requirements. They advocate for a type of policy they call Contribution, according to which parents must contribute to important public health goods before their children can receive NMEs to immunization requirements. In this response, we argue that Gi…Read more
  •  15
    Harm and Parental Permission: A Response to Our Critics
    with Jason Adam Wasserman
    American Journal of Bioethics 17 (11). 2017.
  •  20
    Reasons to Amplify the Role of Parental Permission in Pediatric Treatment
    with Jason Adam Wasserman
    American Journal of Bioethics 17 (11): 6-14. 2017.
    Two new documents from the Committee on Bioethics of the American Academy of Pediatrics expand the terrain for parental decision making, suggesting that pediatricians may override only those parental requests that cross a harm threshold. These new documents introduce a broader set of considerations in favor of parental authority in pediatric care than previous AAP documents have embraced. While we find this to be a positive move, we argue that the 2016 AAP positions actually understate the impor…Read more
  •  256
    Luck and Oppression
    Ethical Theory and Moral Practice 14 (5): 533-547. 2011.
    Oppression can be unjust from a luck egalitarian point of view even when it is the consequence of choices for which it is reasonable to hold persons responsible. This is for two reasons. First, people who have not been oppressed are unlikely to anticipate the ways in which their choices may lead them into oppressive conditions. Facts about systematic phenomena (like oppression) are often beyond the epistemic reach of persons who are not currently subject to such conditions, even when they posses…Read more
  •  401
    Leaders of the world’s largest food sovereignty movement, La Vía Campesina, have argued that gender justice is a core component of food justice. On their view, food justice requires an end to violence against women and a guarantee of women’s equal social and political status. However, some have wondered what gender justice has to do with food. In particular, they have worried that La Vía Campesina’s embrace of radical gender egalitarianism cannot be grounded in food-related concerns. My goal in …Read more
  •  834
    Latent in John Rawls’s discussion of envy, resentment and voluntary social segregation is a plausible (partial) explanation of two striking features of contemporary American life: (1) widespread complacency about inequality and (2) decreased political participation, especially by the least advantaged members of society.
  •  11
    George Kateb, Human Dignity (review)
    Journal of Moral Philosophy 10 (2): 251-253. 2013.
    Many want to justify the continued existence of the human species or the absolutism of human rights. In his recent book, George Kateb argues that moral values (which, in his view, focus primarily upon suffering) are insufficient for these tasks. Morality condemns humanity for its history of needless death and destruction; morality tolerates violations of human rights. Kateb claims that human dignity (which he characterizes as an existential value) must do some of the heavy lifting required to de…Read more
  •  723
    The Ethics of Vaccination Nudges in Pediatric Practice
    HEC Forum 29 (1): 43-57. 2017.
    Techniques from behavioral economics—nudges—may help physicians increase pediatric vaccine compliance, but critics have objected that nudges can undermine autonomy. Since autonomy is a centrally important value in healthcare decision-making contexts, it counts against pediatric vaccination nudges if they undermine parental autonomy. Advocates for healthcare nudges have resisted the charge that nudges undermine autonomy, and the recent bioethics literature illustrates the current intractability o…Read more
  •  264
    Local Food and International Ethics
    Journal of Agricultural and Environmental Ethics 27 (3): 349-368. 2014.
    Many advocate practices of ‘local food’ or ‘locavorism’ as a partial solution to the injustices and unsustainability of contemporary food systems. I think that there is much to be said in favor of local food movements, but these virtues are insufficient to immunize locavorism from criticism. In particular, three duties of international ethics—beneficence, repair and fairness—may provide reasons for constraining the developed world’s permissible pursuit of local food. A complete account of why (a…Read more
  •  781
    Competing Epistemic Spaces
    Social Theory and Practice 39 (2): 241-264. 2013.
    Recent increases in the rates of parental refusal of routine childhood vaccination have eroded many countries’ “herd immunity” to communicable diseases. Some parents who refuse routine childhood vaccines do so because they deny the mainstream medical consensus that vaccines are safe and effective. I argue that one reason these vaccine denialists disagree with vaccine proponents about the reasons in favor of vaccination is because they also disagree about the sorts of practices that are conducive…Read more
  •  25
    Sincerity, accuracy and selective conscientious objection
    Journal of Military Ethics 12 (2). 2013.
    Conscientious objectors to military service are either general objectors or selective objectors. The former object to all wars; the latter object to only some wars. There is widespread popular and political support in western liberal democracies for exemptions for general objectors, but currently there is little support for exemptions for selective objectors. Many who advocate exemptions for selective objectors attempt to build upon the strength of support that is enjoyed by exemptions for gener…Read more
  •  82
    HPV and the Ethics of CDC’s Vaccination Requirements for Immigrants
    Kennedy Institute of Ethics Journal 25 (2): 111-132. 2015.
    Joseph Carens’ groundbreaking article on immigration ethics begins with the observation that “[b]orders have guards and the guards have guns”. I begin my article with a similar observation: border guards have syringes. Aliens who do not want to be turned away by a border guard’s gun must often agree to be injected with vaccines. While Carens challenges the popular consensus that states have an expansive moral right to forcibly restrict migration, my focus is narrower. I will evaluate the claim t…Read more
  •  111
    Parents in the US and other societies are increasingly refusing to vaccinate their children, even though popular anti-vaccine myths – e.g. ‘vaccines cause autism’ – have been debunked. This book explains the epistemic and moral failures that lead some parents to refuse to vaccinate their children. First, some parents have good reasons not to defer to the expertise of physicians, and to rely instead upon their own judgments about how to care for their children. Unfortunately, epistemic self-relia…Read more