Supporting One Health for Pandemic Prevention: The Need for Ethical Innovation
AbstractBioethics is a field in which innovation is required to help prevent and respond to zoonotic diseases with the potential to cause epidemics and pandemics. Some of the developments necessary to fight pandemics, such as COVID-19 vaccines, require public debate on the benefits and risks of individual choice versus responsibility to society. While these debates are necessary, a more fundamental ethical innovation to rebalance human, animal, and environmental interests is also needed. One Health (OH) can be characterized as a strategy that recognizes and promotes the synergy between human, animal, and environmental heal...
Source: Journal of Bioethical Inquiry - June 2, 2023 Category: Medical Ethics Source Type: research
A Revised Approach to Advance Personal Planning: The Role of Theory in Achieving “The Good Result”
This article explores traditional views of advance care planning in the broader context of advance personal planning, which also accounts for legal and financial matters. Criticisms of existing processes are noted, while the significance of interprofessional collaboration is highlighted. Reframing the purpose of advance personal planning as planning for the rest of life, rather than the end-of-life, and adopting a more holistic perspective informed by theory may help individuals to view advance personal planning as a routine, preventative exercise that safeguards their autonomy and well-being. Both lawyers and healthcare p...
Source: Journal of Bioethical Inquiry - May 30, 2023 Category: Medical Ethics Source Type: research
Developing Organizational Diversity Statements Through Dialogical Clinical Ethics Support: The Role of the Clinical Ethicist
AbstractIn pluralist societies, stakeholders in healthcare may have different experiences of and moral perspectives on health, well-being, and good care. Increasing cultural, religious, sexual, and gender diversity among both patients and healthcare professionals requires healthcare organizations to address these differences. Addressing diversity, however, comes with inherent moral challenges; for example, regarding how to deal with healthcare disparities between minoritized and majoritized patients or how to accommodate different healthcare needs and values. Diversity statements are an important strategy for healthcare or...
Source: Journal of Bioethical Inquiry - May 26, 2023 Category: Medical Ethics Source Type: research
Lead Essay —Rural Bioethics
(Source: Journal of Bioethical Inquiry)
Source: Journal of Bioethical Inquiry - May 26, 2023 Category: Medical Ethics Source Type: research
Navigating the Ethical and Methodological Dimensions of a Farm Safety Photovoice Project
AbstractScholars have noted persistent high rates of agricultural health and safety incidents and the need to develop more effective interventions. Participatory research provides an avenue to broaden the prevailing research paradigms and approaches by allowing those most impacted to illuminate and work to solve those aspects of their lives. One such approach is photovoice, an emancipatory visual narrative approach. Yet, despite its broad appeal, photovoice can be hard to implement. In this article, we leverage our experience using photovoice for a farm children safety project to describe and reflect on the ethical and met...
Source: Journal of Bioethical Inquiry - May 23, 2023 Category: Medical Ethics Source Type: research
The Power in Rural Place Stigma
AbstractThe phenomenon and implications of stigma have been recognized across many contexts and in relation to many discrete issues or conditions. The notion of spatial stigma has been developed within stigma literature, although the importance and relevance of spatial stigma for rural places and rural people have been largely neglected. This is the case even within fields of inquiry like public and rural health, which are expansively tasked with addressing the socio-structural drivers of health inequalities. In this paper, we argue that developing a better understanding of rural place stigma is critical for addressing con...
Source: Journal of Bioethical Inquiry - May 9, 2023 Category: Medical Ethics Source Type: research
Health Disparities for Canada ’s Remote and Northern Residents: Can COVID-19 Help Level the Field?
AbstractThis paper reviews major structural drivers of place-based health disparities in the context of Canada, an industrialized nation with a strong public health system. Likelihood that the COVID-19 pandemic will facilitate rejuvenation of Canada ’s northern and remote areas through remote working, advances in online teaching and learning, and the increased use of telemedicine are also examined. The paper concludes by identifying some common themes to address healthcare disparities for northern and remote Canadian residents. (Source: Journal of Bioethical Inquiry)
Source: Journal of Bioethical Inquiry - April 24, 2023 Category: Medical Ethics Source Type: research
Approaches to Muslim Biomedical Ethics: A Classification and Critique
AbstractThis paper provides a perspective on where contemporary Muslim responses to biomedical-ethical issues stand to date. There are several ways in which Muslim responses to biomedical ethics can and have been studied in academia. The responses are commonly divided along denominational lines or under the schools of jurisprudence. All such efforts classify the responses along the lines of communities of interpretation rather than the methods of interpretation. This research is interested in the latter. Thus, our criterion for classification is the underlying methodology behind the responses. The proposed classification d...
Source: Journal of Bioethical Inquiry - April 19, 2023 Category: Medical Ethics Source Type: research
“The Danger of Words”: Language Games in Bioethics
(Source: Journal of Bioethical Inquiry)
Source: Journal of Bioethical Inquiry - April 19, 2023 Category: Medical Ethics Source Type: research
Potato Ethics: What Rural Communities Can Teach Us about Healthcare
AbstractIn this paper I offer the term “potato ethics” to describe a particular professional rural health sensibility. I contrast this attitude with the sensibility behind urban professional ethics, which often focus on the narrow doctor–patient treatment relationship. The phrase appropriates a Swedish metaphor, the image of the po tato as a humble side dish: plain, useful, versatile, and compatible with any main course. Potato ethics involves making oneself useful, being pragmatic, choosing to be like an invisible elf who prevents discontinuity rather than a more visible observer of formal rules and assigned tasks. ...
Source: Journal of Bioethical Inquiry - April 12, 2023 Category: Medical Ethics Source Type: research
New Zealand ’s Approaches to Regulating the Commodification of the Female Body
AbstractIn 2003 and 2004, Aotearoa New Zealand enacted two key laws that regulate two very different ways in which the female body may be commodified. The Prostitution Reform Act 2003 (PRA) decriminalized prostitution, removing legal barriers to the buying and selling of commercial sexual services. The Human Assisted Reproductive T echnology Act 2004 (HART Act), on the other hand, put a prohibition on commercial surrogacy agreements. This paper undertakes a comparative analysis of the ethical arguments underlying New Zealand’s legislative solutions to prostitution and commercial surrogacy. While the regulation of prost...
Source: Journal of Bioethical Inquiry - April 5, 2023 Category: Medical Ethics Source Type: research
Herman Boerhaave ’s Clinical Teaching: A Story of Partial Historiography
AbstractGerrit Lindeboom ’s biography,Herman Boerhaave: The Man and His Work, presents a heroic account of Herman Boerhaave ’s life and his many contributions to medicine and medical education. He is portrayed as an outstanding eighteenth century educator who introduced into Leiden’s Medical School a novel method of clinical teaching that was to be widely adopted and today remains at the centre of medical student ins truction. Lindeboom’s historiography induced a resurgence of interest in Boerhaave, a renewal of the myth concerning Boerhaave’s innovative teaching and the publication of many acclamatory articles a...
Source: Journal of Bioethical Inquiry - April 4, 2023 Category: Medical Ethics Source Type: research
What You ’re Rejecting When You’re Expecting
AbstractI defend twocollapsing orreductionist arguments against weak pro-natalism (WPN), the view that procreation is generally merely permissible. In particular, I argue that WPN collapses into strong pro-natalism (SPN), the view that procreation is generally obligatory. Because SPN conflicts with the dominant view that procreation is never obligatory, demonstrating that WPN collapses into or entails SPN establishes epistemic parity (at least as concerns reproductive liberty) between WPN and anti-natalism (AN), the view that procreation is always impermissible. First, I distinguish between two moral goods: the good of pro...
Source: Journal of Bioethical Inquiry - April 3, 2023 Category: Medical Ethics Source Type: research
The Ethics of Overlapping Relationships in Rural and Remote Healthcare. A Narrative Review
AbstractIt is presently unclear whether a distinct “rural ethics” of navigating professional boundaries exists, and if so, what theoretical approaches may assist practitioners to manage overlapping relationships. To be effective clinicians while concurrently partaking in community life, practitioners must develop and maintain safe, ethical, and sustainable therapeutic relationships in rural and remote healthcare. A narrative review was conducted identifying a significant body of qualitative and theoretical literature which explores the pervasiveness of dual relationships for practitioners working in rural and remote he...
Source: Journal of Bioethical Inquiry - March 28, 2023 Category: Medical Ethics Source Type: research
Patients ’ Values and Desire for Autonomy: An Empirical Study from Poland
AbstractThere is a growing body of literature concerning factors that can influence patients ’ perception, preferences, or expectations with regard to autonomy in making healthcare decisions. Although many factors responsible for the desire for autonomy in medical decision-making are already recognized, little is known about how the desire for autonomy is related to values, which refer to important goals of human actions. The present study was designed to determine the relationship between the desire for autonomy and basic personal values drawn on Schwartz’s value theory. We conducted survey in two age groups: younger ...
Source: Journal of Bioethical Inquiry - March 24, 2023 Category: Medical Ethics Source Type: research
