•  112
    Coercive Offers Without Coercion as Subjection
    American Journal of Bioethics 19 (9): 64-66. 2019.
    Volume 19, Issue 9, September 2019, Page 64-66.
  •  64
    Religious Accommodation in Bioethics and the Practice of Medicine
    Journal of Medicine and Philosophy 46 (2): 188-218. 2021.
    Debates about the ethics of health care and medical research in contemporary pluralistic democracies often arise partly from competing religious and secular values. Such disagreements raise challenges of balancing claims of religious liberty with claims to equal treatment in health care. This paper proposes several mid-level principles to help in framing sound policies for resolving such disputes. We develop and illustrate these principles, exploring their application to conscientious objection …Read more
  •  37
    Ethics and ego dissolution: the case of psilocybin
    Journal of Medical Ethics 47 (12): 807-814. 2021.
    Despite the fact that psychedelics were proscribed from medical research half a century ago, recent, early-phase trials on psychedelics have suggested that they bring novel benefits to patients in the treatment of several mental and substance use disorders. When beneficial, the psychedelic experience is characterized by features unlike those of other psychiatric and medical treatments. These include senses of losing self-importance, ineffable knowledge, feelings of unity and connection with othe…Read more
  •  26
    Legitimacy in bioethics: challenging the orthodoxy
    Journal of Medical Ethics 44 (6): 416-423. 2018.
    Several prominent writers including Norman Daniels, James Sabin, Amy Gutmann, Dennis Thompson and Leonard Fleck advance a view of legitimacy according to which, roughly, policies are legitimate if and only if they result from democratic deliberation, which employs only public reasons that are publicised to stakeholders. Yet, the process described by this view contrasts with the actual processes involved in creating the Affordable Care Act and in attempting to pass the Health Securities Act. Sinc…Read more
  •  20
    Saving Environmental Justice From Proceduralism
    American Journal of Bioethics 18 (3): 55-56. 2018.
  •  19
    Psychiatric Research Ethics
    In Ana S. Iltis & Douglas MacKay (eds.), Oxford Handbook of Research Ethics, Oxford University Press. 2021.
    Psychiatric research often poses special ethical concerns. This chapter first provides historical context, including scandals that stoked public concern about psychiatric research and led to the promulgation of canonical documents and bioethics scholarship, and then explores issues related to the decision-making capacity and safety of participants—including the use of placebos and washout periods, the design of suicide prevention studies, and research in emergency psychiatry. The chapter then de…Read more
  •  15
    Notes on substantance in orthodox theory: a reply to Badano
    Journal of Medical Ethics 45 (4): 275-276. 2019.
    Gabriele Badano offers three criticisms of my challenge to the orthodox family of theories of legitimacy in bioethics. First, I assumed an ‘oversimplified version of the orthodoxy’. Second, I failed to appreciate its domain of application. Third, I only addressed the ways in which orthodox theorists incorporate substance as an ‘afterthought’—and, even then, only by rehashing Gopal Sreenivasan’s argument. Here, I respond to each, taking up the first and third before ending with reflections on the…Read more
  •  14
    Moral expertise without moral elitism
    Bioethics. forthcoming.
    Skepticism about ethical expertise has grown common, raising concerns that bioethicists’ roles are inappropriate or depend on something other than expertise in ethics. While these roles may depend on skills other than those of expertise, overlooking the role of expertise in ethics distorts our conception of moral advising. This paper argues that motivations to reject ethical expertise often stem from concerns about elitism: either an intellectualist elitism, where some privileged elite have supp…Read more
  •  11
    Book Review: On What Matters, Volume 2, written by Derek Parfit (review)
    Journal of Moral Philosophy 11 (2): 241-244. 2014.
  •  7
    Religious pluralism and the ethics of healthcare
    Bioethics 37 (1): 42-51. 2022.
    Democratic societies that separate church and state face major challenges in accommodating religious convictions. This applies especially to determining healthcare policies. Building on our prior work on the demands and limits of religious accommodation in democratic societies, we propose a set of ethical standards that can guide societies in meeting this challenge. In applying and defending these standards, we explore three topics: vaccine resistance, abortion, and concerns about rights to heal…Read more