Varieties of Community Uncertainty and Clinical Equipoise
Kennedy Inst Ethics J. 2023;33(1):1-19. doi: 10.1353/ken.2023.a899457.ABSTRACTThe judgments of conscientious and informed experts play a central role in two elements of clinical equipoise. The first, and most widely discussed, element involves ensuring that no participant in a randomized trial is allocated to a level of treatment that everyone agrees is substandard. The second, and less often discussed, element involves ensuring that trials are likely to generate social value by producing the information necessary to resolve a clinically meaningful uncertainty or disagreement about the relative merits of a set of intervent...
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Alex John London Patrick Bodilly Kane Jonathan Kimmelman Source Type: research

Screening Out Neurodiversity
Kennedy Inst Ethics J. 2023;33(1):21-54. doi: 10.1353/ken.2023.a899458.ABSTRACTAutistic adults suffer from an alarmingly high and increasing unemployment rate. Many companies use pre-employment personality screening tests. These filters likely have disparate impacts on neurodivergent individuals, exacerbating this social problem. This situation gives rise to a bind. On the one hand, the tests disproportionately harm a vulnerable group in society. On the other, employers think that personality test scores are predictors of job performance and have a right to use personality traits in their decisions. It is difficult to say ...
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Jada Wiggleton-Little Craig Callender Source Type: research

How Should Urban Climate Change Planning Advance Social Justice?
This article addresses the normative question: How should urban climate change planning advance social justice? It gathers empirical literature documenting the inclusivity and equity impacts of urban climate change planning and thematically analyses that literature for dimensions of social justice drawn from philosophical and urban justice theory. Study findings demonstrate that four characteristics of climate change planning in cities-underlying neoliberal ideology, unequal treatment, green gentrification, and exclusion from decisionmaking-comprise, create, or worsen social injustices across six dimensions. These characte...
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Bridget Pratt Source Type: research

Equality and a Complete Ban on the Sale of Cigarettes
This article argues that a complete ban is likely to be guilty of both, especially when one of its aims is to reduce unequal rates of smoking between groups. A complete ban on the sale of cigarettes thus exhibits a curious feature: in aiming to reduce inequality it threatens to be inegalitarian. This is characteristic of a wider class of public health policies that deserves further attention by egalitarians.PMID:38588129 | DOI:10.1353/ken.2023.a899460 (Source: Kennedy Institute of Ethics Journal)
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Nethanel Lipshitz Source Type: research

Editor's Note
Kennedy Inst Ethics J. 2023;33(3):ix-xi. doi: 10.1353/ken.2023.a917927.NO ABSTRACTPMID:38588132 | DOI:10.1353/ken.2023.a917927 (Source: Kennedy Institute of Ethics Journal)
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Quill Kukla Source Type: research

Minding Brain Injury, Consciousness, and Ethics: Discourse and Deliberations
Kennedy Inst Ethics J. 2023;33(3):227-248. doi: 10.1353/ken.2023.a917928.NO ABSTRACTPMID:38588134 | DOI:10.1353/ken.2023.a917928 (Source: Kennedy Institute of Ethics Journal)
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Joseph J Fins James Giordano Source Type: research

Social Robots to Fend Off Loneliness?
This article clarifies and critically evaluates this response. It sets forth a framework for loneliness, which characterizes one kind of loneliness as involving an affective experience of lacking human relations that provide certain social goods. Next, the article discusses social robots and critically reviews the literature on the ethics of using them in light of this loneliness characterization. Third, we present a normative argument connecting the philosophical critique of loneliness-as-absence with the design and deployment of social robots. Finally, we draw out the implications of our analysis for public health and fo...
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Zohar Lederman Nancy S Jecker Source Type: research

The First Smart Pill: Digital Revolution or Last Gasp?
Kennedy Inst Ethics J. 2023;33(3):277-319. doi: 10.1353/ken.2023.a917930.ABSTRACTAbilify MyCite was granted regulatory approval in 2017, becoming the world's first "smart pill" that could digitally track whether patients had taken their medication. The new technology was introduced as one that had gained the support of patients and ethicists alike, and could contribute to solving the widespread and costly problem of patient nonadherence. Here, we offer an in-depth exploration of this narrative, through an examination of the origins and development of Abilify, the drug that would later become MyCite. This history illuminate...
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Anna K Swartz Phoebe Friesen Source Type: research

Editor's Note, June 2023
Kennedy Inst Ethics J. 2023;33(2):vii-x. doi: 10.1353/ken.2023.a904079.NO ABSTRACTPMID:38588226 | DOI:10.1353/ken.2023.a904079 (Source: Kennedy Institute of Ethics Journal)
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Savannah Pearlman Mark Lance Source Type: research

A Socialist Analysis of the Mutual Aid Solidarity During the #EndSARS Protest in Multi-Religious Nigeria
This study describes the results of a social analysis of mutual aid solidarity during Nigeria's #EndSARSprotests against Special Anti-Robbery Squad (SARS) brutality in Nigeria. The results reveal that the protests achieved success with the assistance of mutual aid solidarity networks. Yet there is a dearth of literature exploring the reasons for this accomplishment. Nigeria is a country where everything done usually has a religious coloration and interpretation; however, the 2020 mutual aid solidarity in the #EndSARS protests proved otherwise. Using in-depth interviews, data were elicited from 20 youths, including particip...
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Favour Uroko Chinyere Nwaoga Ezichi Ituma Source Type: research

Solidarity Over Charity: Mutual Aid as a Moral Alternative to Effective Altruism
Kennedy Inst Ethics J. 2023;33(2):167-199. doi: 10.1353/ken.2023.a904082.ABSTRACTEffective Altruism is a popular social movement that encourages individuals to donate to organizations that effectively address humanity's most severe poverty. However, because Effective Altruists are committed to doing the most good in the most effective ways, they often argue that it is wrong to help those nearest to you. In this article, I target a major subset of Effective Altruists who consider it a moral obligation to do the most good possible. Call these Obligation-Oriented Effective Altruists (OOEAs), and their movement Obligation-Orie...
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Savannah Pearlman Source Type: research

Mutual Aid as Effective Altruism
Kennedy Inst Ethics J. 2023;33(2):201-226. doi: 10.1353/ken.2023.a904083.ABSTRACTEffective altruism has a strategy problem. Overreliance on a strategy of donating to the most effective charities keeps us on the firefighter's treadmill, continually pursuing the next-highest quantifiable marginal gain. But on its own, this is politically shortsighted. Without any long-term framework within which these individual rescues fit together to bring about the greatest overall impact, we are almost certainly leaving a lot of value on the table. Thus, effective altruists' preferred means undercut their professed aims. Alongside the ch...
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Ricky Mouser Source Type: research

Editor's Note, December 2022
Kennedy Inst Ethics J. 2022;32(4):vii-ix. doi: 10.1353/ken.2022.0026.NO ABSTRACTPMID:38588214 | DOI:10.1353/ken.2022.0026 (Source: Kennedy Institute of Ethics Journal)
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Source Type: research

Virtual Reality and Technologically Mediated Love
This article considers whether and to what extent philosophical arguments leveled against the value of enhanced love in the pharmacological case extend to cases where loving relationships are technologically mediated via VR rather than pharmacologically mediated. It will be argued that, while some worries about the pharmacological case do not extend over in a way that will be particularly problematic for VR, two (of the four arguments considered) are more prima facie serious. I conclude by suggesting why even these stronger argument strategies are not insurmountable and, thus, that there is reason to be cautiously optimist...
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Emma Gordon Source Type: research

Psychedelic Identity Shift: A Critical Approach to Set And Setting
Kennedy Inst Ethics J. 2022;32(4):359-399. doi: 10.1353/ken.2022.0022.ABSTRACTWhile the literature on psychedelic medicine emphasizes the importance of set and setting alongside the quality of subjective drug effects for therapeutic efficacy, few scholars have explored the therapeutic frameworks that are used alongside psychedelics in the lab or in the clinic. Based on a narrative analysis of the treatment manual and post-session experience reports from a pilot study of psilocybin-assisted treatment for tobacco smoking cessation, this article examines how therapeutic frameworks interact with the psychedelic substance in wa...
Source: Kennedy Institute of Ethics Journal - April 8, 2024 Category: Medical Ethics Authors: Ne şe Devenot Aidan Seale-Feldman Elyse Smith Tehseen Noorani Albert Garcia-Romeu Matthew W Johnson Source Type: research