•  90
    Doctor-family-patient relationship: The chinese paradigm of informed consent
    Journal of Medicine and Philosophy 29 (2). 2004.
    Bioethics is a subject far removed from the Chinese, even from many Chinese medical students and medical professionals. In-depth interviews with eighteen physicians, patients, and family members provided a deeper understanding of bioethical practices in contemporary China, especially with regard to the doctor-patient relationship (DPR) and informed consent. The Chinese model of doctor-family-patient relationship (DFPR), instead of DPR, is taken to reflect Chinese Confucian cultural commitments. …Read more
  •  51
    The VIP floors
    with Linying Hu and James Dwyer
    Hastings Center Report 35 (1): 16-17. 2005.
  •  42
    Ethical challenges in critical care medicine: A chinese perspective
    Journal of Medicine and Philosophy 23 (6). 1998.
    The major ethical challenges for critical care medicine in China include the high cost of patient care in the ICU, the effect of payment mechanisms on access to critical care, the fact that much more money is spent on patients who die than on ones who live, the extent to which an attempt to rescue and save a patient is made, and the great geographical disparity in distribution of critical care. The ethical problems surrounding critical care medicine bear much relation to the culture, public poli…Read more
  •  21
    Conflict of Interest in Scientific Research in China: A Socio-ethical Analysis of He Jiankui’s Human Genome-editing Experiment
    with Jing-Bao Nie, Guangkuan Xie, and Hua Chen
    Journal of Bioethical Inquiry 17 (2): 191-201. 2020.
    Extensive conflicts of interest at both individual and institutional levels are identifiable in scientific research and healthcare in China, as in many other parts of the world. A prominent new case from China is He Jiankui’s experiment that produced the world’s first gene-edited babies and that raises numerous ethical, political, socio-cultural, and transnational questions. Serious financial and other COI were involved in He’s genetic adventure. Using He’s infamous experiment as a case study, t…Read more
  •  17
    Cooley's argument that persons with pre‐dementia have a Kantian duty to die has led to much debate. Cooley gives two reasons for his claim, the first being that a person with pre‐dementia should end his/her life when he/she will inevitably and irreversibly lose rationality and be unable to live morally as a result. This paper argues that this reason derives from an unsubstantiated premise and general confusion regarding the condition for a Kantian duty to die. Rather, a close reading of Kant rev…Read more
  •  16
    Case Study: The VIP Floors
    with Linying Hu and James Dwyer
    Hastings Center Report 35 (1): 16. 2005.
  •  12
    As patient autonomy expands, a highly controversial issue has emerged. Should the advance directives of refusing life-saving treatments or requesting euthanasia of persons with dementia who express changed minds or are often in a happy state be fulfilled? There are two autonomy-related positions. The mainstream position in philosophical discussions supports the priority of ADs based on precedent autonomy. Buchanan and Brock, and Dworkin represent this view. The other position supports the priori…Read more
  •  6
    This chapter introduces the background to organ donation and transplantation in mainland China. First, it briefly describes China’s current healthcare system and the development of organ transplantation. Then it introduces some important legislation and landmark policies regarding organ donation in recent years. Finally, it presents the organ donation operation system and its relevant features in mainland China.
  •  6
    A Novel Approach Using Social Media to Solve Medical Ethical Dilemmas and Legal Risks in the Emergencies of COVID-19
    with Jing Wan, Yuqiong Huang, Amaneh Abdel Hafez A. Aljaafreh, Dandan Dong, Jun Lin, and Hongxiang Chen
    American Journal of Bioethics 20 (7): 12-14. 2020.
    Volume 20, Issue 7, July 2020, Page W12-W14.
  •  5
    This commentary focuses on two issues. First, reflecting on the distinction between public and private institutions in protecting individual rights is necessary. Second, the current regulatory appr...
  •  5
    This chapter makes further ethical commentaries in response to the findings as described in Chaps. 2 and 3. We contend that it is not the case that only one type of incentive can be justified to motivate organ donation in mainland China. In particular, we argue that while each of the three types of incentive (honorary, compensationalist, and familist) can work, some particular incentive measures can be ethically justified and be the most motivating in the context of mainland China. Based on our …Read more
  •  5
    The Duty to Care is Not Dead Yet
    with James Dwyer
    Asian Bioethics Review 15 (4): 505-515. 2023.
    The COVID-19 pandemic exposed social shortcomings and ethical failures, but it also revealed strengths and successes. In this perspective article, we examine and discuss one strength: the duty to care. We understand this duty in a broad sense, as more than a duty to treat individual patients who could infect health care workers. We understand it as a prima facie duty to work to provide care and promote health in the face of risks, obstacles, and inconveniences. Although at least one survey sugge…Read more
  •  4
    Why Not Jump out of Decision-Making Capacity?
    American Journal of Bioethics 22 (11): 100-102. 2022.
    The preferences of patients who lack DMC (Decision-Making-Capacity) should have some moral weight. However, I disagree with the author’s stronger claim, which argues that two other types of DMC (bu...
  •  3
    Medical Professionalism in China and the United States: A Transcultural Interpretation
    with Joseph D. Tucker, Linying Hu, Kirk L. Smith, and Jing-Bao Nie
    Journal of Clinical Ethics 26 (1): 48-60. 2015.
    As in other societies, medical professionalism in the Peoples’ Republic of China has been rapidly evolving. One of the major events in this process was the endorsement in 2005 of the document, “Medical Professionalism in the New Millennium: A Physician Charter,” by the Chinese Medical Doctor Association (hereafter, the Charter). More recently, a national survey, the first on such a large scale, was conducted on Chinese physicians’ attitudes toward the fundamental principles and core commitments …Read more
  •  2
    Deception is common in dementia care, although its moral legitimacy is questionable. This paper conceptually clarifies when does dementia care involve deception and argues that care ethics is an appropriate ethical framework to guide dementia care compared with the mainstream ethical theories that emphasize abilities. From a perspective of care ethics, this paper claims that morally defensible deception is context-specific, embodied as a caring process that needs to be identified through instant…Read more
  •  2
    A 78-year-old Chinese woman joined a clinical trial sponsored by a Pharmaceutical companies. Unfortunately a serious Serious Adverse Event occurred. The sponsor paid for the cost of the medical care arising from the SAE, but refused the family’s request for compensation. The family then sued the company and the hospital in Beijing. Although the SAE was related to a complication of lower extremity angiography and not the drug itself, it was a direct consequence of participating in the trial. Acco…Read more
  • The Teaching Of Medical Ethics In Beijing Medical University
    Eubios Journal of Asian and International Bioethics 7 (3): 71-71. 1997.
  • Artificial Insemination And Happiness
    Eubios Journal of Asian and International Bioethics 14 (2): 48-49. 2004.
    Based on a case that happened in 2001 in China, the author wants to show the ethical and legal issues arising from a woman's wish, which should be her basic right to have a child by assisted reproduction technology. This paper attempts to analyse if there is some relationship between bioethics and happiness, and to find if there is some reason that bioethics should provide help for those whoever need it. The case is about a woman whose husband was sentenced to death, she applied to court to allo…Read more
  • The First Euthanasia Court Case In China
    Eubios Journal of Asian and International Bioethics 6 (3): 61-62. 1996.