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Equity needs to be (even) more central under the WHO Pandemic Agreement
Equity needs to be (even) more central under the WHO Pandemic Agreement
The World Health Organization (WHO) is currently in advanced stages of developing a ‘WHO convention, agreement, or other i...
Reconsidering reinterpretation: response to commentaries
Reconsidering reinterpretation: response to commentaries
The results of tests carried out using next-generation genomic sequencing (NGS) possess a peculiar and perhaps unique ‘dia...
Opt-out paradigms for deceased organ donation are ethically incoherent
Opt-out paradigms for deceased organ donation are ethically incoherent
AbstractThe Organ Donation Act 2019 has introduced an opt-out organ donor register in England, meaning that consent to the...
Teenager and the transplant: how the case of William Verden highlights action is needed to optimise equitable access to organs for patients with impaired decision-making
Teenager and the transplant: how the case of William Verden highlights action is needed to optimise equitable access to organs for patients with impaired decision-making
IntroductionThe case of William Verden, heard before the Court of Protection in February 2022,1 shone a rare public spotli...
Is there a duty to routinely reinterpret genomic variant classifications?
Is there a duty to routinely reinterpret genomic variant classifications?
IntroductionThe introduction of next generation DNA sequencing technologies into clinical practice has been transformative...
Downgrades: a potential source of moral tension
Downgrades: a potential source of moral tension
While Gabriel Watts and Ainsley Newson argue that diagnostic laboratories do not have a general duty to routinely reinterp...
Moral obligation to actively reinterpret VUS and the constraint of NGS technologies
Moral obligation to actively reinterpret VUS and the constraint of NGS technologies
Central to Watts and Newson’s argument in their seminal paper ‘Is there a duty to routinely reinterpret genomic variant cl...
Primary duty is to communicate moment-in-time nature of genetic variant interpretation
Primary duty is to communicate moment-in-time nature of genetic variant interpretation
In late 2021, tennis star Chris Evert learned new genetic information about her sister, who died from ovarian cancer in Ja...
Professionalism or prejudice? Modelling roles, risking microaggressions
Professionalism or prejudice? Modelling roles, risking microaggressions
We agree with McCullough, Coverdale and Chervenak1 that ‘medical educators and academic leaders are in a pivotal and power...
Promoting diagnostic equity: specifying genetic similarity rather than race or ethnicity
Promoting diagnostic equity: specifying genetic similarity rather than race or ethnicity
In their article on the limited duty to reinterpret genetic variants, Watts and Newson argue that clinical labs are not mo...
With great power comes great vulnerability: an ethical analysis of psychedelics therapeutic mechanisms proposed by the REBUS hypothesis
With great power comes great vulnerability: an ethical analysis of psychedelics therapeutic mechanisms proposed by the REBUS hypothesis
AbstractPsychedelics are experiencing a renaissance in mental healthcare. In recent years, more and more early phase trial...
Revisiting the comparison between healthcare strikes and just war
Revisiting the comparison between healthcare strikes and just war
AbstractIn the UK, healthcare workers are again considering whether to strike, and the moral status of strike action is be...
Machine learning models, trusted research environments and UK health data: ensuring a safe and beneficial future for AI development in healthcare
Machine learning models, trusted research environments and UK health data: ensuring a safe and beneficial future for AI development in healthcare
IntroductionThere is a broad structural shift taking place in the UK and beyond,i which ushers in the increasing digitisat...
Harnessing legal structures of virtue for planetary health
Harnessing legal structures of virtue for planetary health
AbstractHumans and other species depend on the planet’s well-being to survive and flourish. The health of the planet and i...
Whose models? Which representations? A response to Wagner
Whose models? Which representations? A response to Wagner
IntroductionIn Where the Ethical Action Is, 1 we argued that medical and ethical modes of thought are not different in kin...
Mapping out the arguments for and against patient non-attendance fees in healthcare: an analysis of public consultation documents
Mapping out the arguments for and against patient non-attendance fees in healthcare: an analysis of public consultation documents
IntroductionWhen patients miss their appointments without giving notice, resources that could have benefited others remain...
Abortion policies at the bedside: a response
Abortion policies at the bedside: a response
Hersey et al have outlined a proposed ethical framework for assessing abortion policies that locates the effect of governm...
Deception in medicine: acupuncturist cases
Deception in medicine: acupuncturist cases
Colgrove challenges Doug Hardman’s account of deception in medicine. Hardman contends physicians can unintentionally decei...
Higher-order desires, risk attitudes and respect for autonomy
Higher-order desires, risk attitudes and respect for autonomy
Nicholas Makins makes a valuable contribution to the literature on medical decision-making, highlighting the role that ris...
Should authorship on scientific publications be treated as a right?
Should authorship on scientific publications be treated as a right?
Disputes about authorship attribution and order are common in science.1–5 Although these disagreements are often resolved ...
What about the reasonableness of patients risk attitudes? A challenge to Makins antipaternalistic account
What about the reasonableness of patients risk attitudes? A challenge to Makins antipaternalistic account
Nicholas Makins proposes that doctors should take a deferential attitude towards their patients’ preferences when making d...
Alleviating the burden of malaria with gene drive technologies? A biocentric analysis of the moral permissibility of modifying malaria mosquitoes
Alleviating the burden of malaria with gene drive technologies? A biocentric analysis of the moral permissibility of modifying malaria mosquitoes
AbstractGene drive technologies (GDTs) have been proposed as a potential new way to alleviate the burden of malaria, yet h...
Autonomy requires more curiosity less deference to risk
Autonomy requires more curiosity less deference to risk
In ‘Patients, doctors and risk attitudes,’ Makins argues for ‘straightforwardly’ (Makins1 p1) extending antipaternalistic ...
Defending deference: authors response to commentaries
Defending deference: authors response to commentaries
In my feature article in this issue, ‘Doctors, patients and risk attitudes’, I argue that considerations of both autonomy ...
Involving parents in paediatric clinical ethics committee deliberations: a current controversy
Involving parents in paediatric clinical ethics committee deliberations: a current controversy
AbstractIn cases where the best interests of the child are disputed or finely balanced, Clinical Ethics Committees (CECs) ...
Patients, doctors and risk attitudes
Patients, doctors and risk attitudes
IntroductionHealthcare professionals make choices on behalf of their patients on a daily basis. Many of these decisions mu...
Reconsidering risk attitudes: why higher-order attitudes hinder medical decision-making
Reconsidering risk attitudes: why higher-order attitudes hinder medical decision-making
In his paper, ‘Patients, doctors and risk attitudes,’ Nicholas Makins1 argues that healthcare professionals should defer t...
Emotions and affects: the missing piece of the jigsaw puzzle of understanding risk attitudes in medical decision-making
Emotions and affects: the missing piece of the jigsaw puzzle of understanding risk attitudes in medical decision-making
Nicholas Makins argues persuasively that medical decisions should be made with consideration for patients’ higher order ri...
Deference, beneficence and the good life
Deference, beneficence and the good life
Makins’s analysis of the philosophical justification of decision-making understates and so misinterprets the importance of...
Fetal reduction, moral permissibility and the all or nothing problem
Fetal reduction, moral permissibility and the all or nothing problem
AbstractThere is an ongoing debate about whether multifetal pregnancy reduction from twins to singletons (2-to-1 MFPR) is ...
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