•  21
    Personal or Public Health?
    In Michael Boylan (ed.), International Public Health Policy & Ethics, Dordrecht. pp. 15--29. 2008.
    Intuitively we feel that we ought (to attempt) to save the lives, or ameliorate the suffering, of identifiable individuals where we can. But this comes at a price. It means that there may not be any resources to save the lives of others in similar situations in the future. Or worse, there may not be enough resources left to prevent others from ending up in similar situations in the future. This chapter asks whether this is justifiable or whether we would be better served focusing on public healt…Read more
  •  5
    Personal or Public Health?
    with John Harris and Joseph Roberts
    In Michael Boylan (ed.), International Public Health Policy and Ethics, Springer Verlag. pp. 31-46. 2023.
    Intuitively we feel that we ought to (attempt) to save the lives, or ameliorate the suffering, of identifiableIdentifiable individuals where we can (Rulli and Millum, 2016, p. 261). But this comes at a price. It means that there may not be any resources to save the lives of others in similar situations in the future. Or worse, there may not be enough resources left to prevent others from ending up in similar situations in the future. This chapter asks whether this is justifiable or whether we wo…Read more
  • Stem Cells: New Frontiers in Science and Ethics (edited book)
    World Scientific. 2012.
  •  45
    The organs crisis and the Spanish model: theoretical versus pragmatic considerations
    with M. Brazier, R. Chadwick, M. N. Michel, and D. Paredes
    Journal of Medical Ethics 34 (4): 223-224. 2008.
    In the United Kingdom, the debate about how best to meet the shortfall of organs for transplantation has persisted on and off for many years. It is often presumed that the answer is simply to alter the law to a system of presumed consent. Acting perhaps on that presumption in his annual report launched in July, the Chief Medical Officer, Sir Liam Donaldson, advocated a system of organ donation based on presumed consent, the so-called “opt-out” system.1 He is calling for a change in the law in En…Read more
  •  39
    There have been calls for some time for a new approach to public health in the United Kingdom and beyond. This is consequent on the recognition and acceptance that health problems often have a complex and multi-faceted aetiology. At the same time, policies which utilise insights from research in behavioural economics and psychology have gained prominence on the political agenda. The relationship between the social determinants of health and behavioural science in health policy has not hitherto b…Read more
  • Property interests in human tissue : is the law still an ass?
    with Loane Skene
    In Catherine Stanton, Sarah Devaney, Anne-Maree Farrell & Alexandra Mullock (eds.), Pioneering Healthcare Law: Essays in Honour of Margaret Brazier, Routledge. 2015.
  •  7
    How should the law deal with the challenges of advancing biotechnology? This book is a philosophical and legal re-analysis.
  •  27
    Are health nudges coercive?
    Monash Bioethics Review 32 (1-2): 141-158. 2014.
    Governments and policy-makers have of late displayed renewed attention to behavioural research in an attempt to achieve a range of policy goals, including health promotion. In particular, approaches which could be labelled as ‘nudges’ have gained traction with policy-makers. A range of objections to nudging have been raised in the literature. These include claims that nudges undermine autonomy and liberty, may lead to a decrease in responsibility in decision-making, lack transparency, involve de…Read more
  •  19
    Health law and policy: The scope and bounds of liberty?
    Journal of Medical Ethics 42 (8): 481-481. 2016.
  •  30
    Risk and choice in childbirth: Problems of evidence and ethics?
    Journal of Medical Ethics 40 (12): 791-791. 2014.
    Journal of Medical Ethics Concise Argument (editorial)
  •  68
    Non-human primates: the appropriate subjects of biomedical research?
    Journal of Medical Ethics 33 (11): 655-658. 2007.
    Following the publication of the Weatherall report on the use of non-human primates in research, this paper reflects on how to provide appropriate and ethical models for research beneficial to humankind. Two of the main justifications for the use of non-human primates in biomedical research are analysed. These are the “least-harm/greatest-good” argument and the “capacity” argument. This paper argues that these are equally applicable when considering whether humans are appropriate subjects of bio…Read more
  •  16
    Evidence & Ethics: Once More into the Fray
    Journal of Medical Ethics 41 (10): 793-794. 2015.
  •  88
    Recent ethical and legal challenges have arisen concerning the rights of individuals over their IVF embryos, leading to questions about how, when the wishes of parents regarding their embryos conflict, such situations ought to be resolved. A notion commonly invoked in relation to frozen embryo disputes is that of reproductive rights: a right to have (or not to have) children. This has sometimes been interpreted to mean a right to have, or not to have, one's own genetic children. But can such rig…Read more
  •  32
    Tax needn't be taxing, but in the case of organ donation it might be
    Journal of Medical Ethics 38 (8): 458-460. 2012.
    Petersen and Lippert-Rasmussen argue that, while a tax credit scheme to encourage organ donation would be costly, the increased number of organs for transplantation would lead to other savings in the healthcare system. In the present work some calculations are provided and it is suggested that, even given optimistic assumptions, the cost to the state of implementing the system as proposed would be high and unlikely to garner the support of politicians and policymakers
  •  66
    Property and the body: Applying Honore
    Journal of Medical Ethics 33 (11): 631-634. 2007.
    This paper argues that the new commercial and quasi-commercial activities of medicine, scientists, pharmaceutical companies and industry with regard to human tissue has given rise to a whole new way of valuing our bodies. It is argued that a property framework may be an effective and constructive method of exploring issues arising from this. The paper refers to A M Honoré’s theory of ownership and aims to show that we have full liberal ownership of our own bodies and as such can be considered to…Read more
  •  43
    This article reviews the latest report from the Nuffield Council on Bioethics, Human Bodies: Donation for Medicine and Research. It argues that the report represents a notable evolution in the Council's position regarding the appropriate governance of the human body and biomaterials. It then goes on to examine in more depth one of the report's recommendations – that a pilot payment scheme for eggs for research purposes should be trialled. In particular, it looks at whether the distinctions drawn…Read more
  •  155
    Deceased organ donation: In praise of pragmatism
    with Margaret Brazier
    Clinical Ethics 2 (4): 164-165. 2007.
  •  31
    A NICE fallacy
    Journal of Medical Ethics 33 (8): 465-466. 2007.
    A response is given to the claim by Claxton and Culyer, who stated that the policies of the National Institute for Health and Clinical Excellence (NICE) do not evaluate patients rather than treatments. The argument is made that the use of values such as quality of life and life-years is ethically dubious when used to choose which patients ought to receive treatments in the National Health Service (NHS).
  •  45
    Property in Human Biomaterials—Separating Persons and Things?
    Oxford Journal of Legal Studies 32 (4): 659-683. 2012.
    The traditional ‘no property’ approach of the law to human biomaterials has long been punctured by exceptions. Developments in the jurisprudence of property in human tissue in English law and beyond demonstrate that a variety of tissues are capable of being subject to proprietary considerations. Further, among commentators, there are few who would deny, given biotechnological advances, that such materials can be considered thus. Yet, where commentators do admit human biomaterials into the realm …Read more
  •  20
    Medical ethics and law--surviving on the wards and passing exams
    Journal of Medical Ethics 32 (9): 556-557. 2006.
    Yet another medical ethics book has been published, but the difference this time is that I actually like it Sokol and Bergson’s handbook Medical ethics and law—surviving on the wards and passing exams is for medical students and junior doctors preparing for life in medicine and for the inevitable exams. The format of the book closely follows that of the core curriculum for medical ethics and law set out by the BMA in 2004 in Medical ethics today. The book …
  •  25
    This paper is a response to a paper by John Coggon ‘Best Interests, Public Interest, and the Power of the Medical Profession'. It argues that certain legal judgements in relation to best interests seek to change and curtail the role of the medical profession in this arena while simultaneously extending the jurisdiction of the courts. It also argues that we must guard against replacing one professional standard, that of the medical profession, with another, that of the judiciary in this area