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Journal of Medical Ethics最新文献

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Gestation most certainly matters, but it need not involve an 'emotional relationship'. 妊娠当然重要，但不一定涉及 "情感关系"。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-01-23 DOI: 10.1136/jme-2024-110412
Heloise Robinson
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引用次数: 0
The Ethics of Ozempic and Wegovy.
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-01-23 DOI: 10.1136/jme-2024-110374
Nanette Ryan, Julian Savulescu
{"title":"The Ethics of Ozempic and Wegovy.","authors":"Nanette Ryan, Julian Savulescu","doi":"10.1136/jme-2024-110374","DOIUrl":"https://doi.org/10.1136/jme-2024-110374","url":null,"abstract":"<p><p>Semaglutide, sold under the brand names of Ozempic, Rybelsus and Wegovy, is one of the most popular drugs on the market. Manufactured by Novo Nordisk, semaglutide is the newest in a family of glucagon-like peptide-1 receptor agonists used most commonly to treat type II diabetes. To date, the results of semaglutide for the treatment of type II diabetes have been overwhelmingly positive. It is for the drug's effects on appetite suppression and weight loss, however, that have led its surge in popularity, with many hailing semaglutide as the new 'miracle drug for weight loss'. Despite its popularity, both the governmental and popular reception to the drug has largely been mixed. In this paper, we address a range of ethical concerns and argue that while many are legitimate, they do not provide conclusive reason not to prescribe semaglutide for weight loss.</p>","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What is fair? Ethical analysis of triage criteria and disability rights during the COVID-19 pandemic and the German legislation. 什么是公平?COVID-19大流行期间分诊标准和残疾人权利的伦理分析及德国立法。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-01-23 DOI: 10.1136/jme-2023-109326
Elena Ana Francesca Göttert
{"title":"What is fair? Ethical analysis of triage criteria and disability rights during the COVID-19 pandemic and the German legislation.","authors":"Elena Ana Francesca Göttert","doi":"10.1136/jme-2023-109326","DOIUrl":"10.1136/jme-2023-109326","url":null,"abstract":"<p><p>This essay discusses the ethical challenges and dilemmas in allocating scarce medical resources during the COVID-19 pandemic, using the German legislative process as a starting point. It is guided by the right to non-discrimination of people with disability and generally contrasts utilitarian and rights-based principles of allocation. Three approaches that were suggested in the German discussion, are presented, the lottery principle, the first come first served principle and the probability to survive principle. Arguments in favour and against each principle are discussed. The focus is on the utilitarian probability to survive principle, which was adopted in German legislation in 2022, and its discriminatory potential against people with disability. The essay suggests ways to mitigate the concerns of discrimination related to the probability to survive principle. It concludes that resolving the triage dilemma requires a balanced approach between utilitarian and rights-based concerns, which promotes both maximising the number of patients surviving and the right not to be discriminated against and be treated equally. It calls for a further debate on how many ethical values such as equity, fairness and non-discrimination we are willing to sacrifice for a higher number of survivors and when we are willing to sacrifice survivors to secure ethical values.</p>","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":"139-143"},"PeriodicalIF":3.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136397803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Moral parenthood: not gestational. 道德父母：不是妊娠。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-01-23 DOI: 10.1136/jme-2024-109904
Benjamin Lange
{"title":"Moral parenthood: not gestational.","authors":"Benjamin Lange","doi":"10.1136/jme-2024-109904","DOIUrl":"10.1136/jme-2024-109904","url":null,"abstract":"<p><p>Parenting our biological children is a centrally important matter, but how, if it all, can it be justified? According to a contemporary influential line of thinking, the acquisition by parents of a moral right to parent their biological children should be grounded by appeal to the value of the intimate emotional relationship that gestation facilitates between a newborn and a gestational procreator. I evaluate two arguments in defence of this proposal and argue that both are unconvincing.</p>","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":"87-91"},"PeriodicalIF":3.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141734368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ennui. 麻烦
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-01-23 DOI: 10.1136/jme-2023-109748
Brent Carr, Jorge Ruiz-Menjivar
{"title":"Ennui.","authors":"Brent Carr, Jorge Ruiz-Menjivar","doi":"10.1136/jme-2023-109748","DOIUrl":"10.1136/jme-2023-109748","url":null,"abstract":"","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":"144-145"},"PeriodicalIF":3.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perennial issues and current controversies: 50 years of the JME.
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-01-23 DOI: 10.1136/jme-2024-110676
Lucy Frith
{"title":"Perennial issues and current controversies: 50 years of the JME.","authors":"Lucy Frith","doi":"10.1136/jme-2024-110676","DOIUrl":"https://doi.org/10.1136/jme-2024-110676","url":null,"abstract":"","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":"51 2","pages":"77-78"},"PeriodicalIF":3.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143039614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient choice as inclusion criterion for first clinical trials of xenotransplantation. 患者选择作为异种移植首次临床试验的纳入标准。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-01-22 DOI: 10.1136/jme-2024-110673
Johannes Kögel, Michael Schmoeckel, Georg Marckmann
{"title":"Patient choice as inclusion criterion for first clinical trials of xenotransplantation.","authors":"Johannes Kögel, Michael Schmoeckel, Georg Marckmann","doi":"10.1136/jme-2024-110673","DOIUrl":"10.1136/jme-2024-110673","url":null,"abstract":"","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When the patient can't walk away. 当病人不能走开的时候。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-01-19 DOI: 10.1136/jme-2024-110615
Edwin Jesudason
{"title":"When the patient can't walk away.","authors":"Edwin Jesudason","doi":"10.1136/jme-2024-110615","DOIUrl":"https://doi.org/10.1136/jme-2024-110615","url":null,"abstract":"<p><p>When the clinician and patient are unable to reconcile differences over treatment, does this mean the latter lacks capacity to decide in such matters? Wellesley <i>et al</i> analyse the legal judgements in the case of Ms Sudiksha Thirumalesh where, on the particulars, the Court of Protection answered yes, only for the Court of Appeal to disagree. The authors highlight concerns about using isolated false belief as an indicator of incapacity and advise that such matters may be better resolved by greater discussion of the benefits and burdens of treatment, alongside consideration of their costs. Here, I suggest that a disability perspective is also helpful to such cases, recognising that this was a disagreement from which the patient couldn't walk away. Disability means that particular care is required when considering the burdens and benefits of treatment as these may vary widely in the eye of the beholder. Second, the costs of litigation are particularly high when a disabled person, with life-limiting illness, is left feeling they are using precious time and energy arguing for their existence. Third, any such legal judgments ought to make clear what reasonable adjustments have been offered to include the disabled person in proceedings. Fourth, and relatedly, such disputes should be attentive to the significant risk of epistemic injustice, where disabled patients find themselves less believed, in part because the 'able-bodied' have not shared their experiences. Together, these considerations (i) add to the call made by Wellesley <i>et al</i> for better discussions and (ii) suggest that early involvement of Rehabilitation Medicine, with expertise in disability and related ethics, could offer an important means to reduce the need for such litigation in the future.</p>","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Capacity for life force, communality, and the scope of cross-cultural bioethics: additional thoughts on African Life Force and the Permissibility of Euthanasia. 生命力的能力、社群性和跨文化生物伦理学的范围：关于非洲生命力和安乐死的可容许性的额外思考。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-01-19 DOI: 10.1136/jme-2024-110682
Kirk Lougheed
{"title":"Capacity for life force, communality, and the scope of cross-cultural bioethics: additional thoughts on African Life Force and the Permissibility of Euthanasia.","authors":"Kirk Lougheed","doi":"10.1136/jme-2024-110682","DOIUrl":"https://doi.org/10.1136/jme-2024-110682","url":null,"abstract":"","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A generational ban creates inequality between non-smokers. 代际禁令造成了不吸烟者之间的不平等。
IF 3.3 2区 哲学
Journal of Medical Ethics Pub Date : 2025-01-19 DOI: 10.1136/jme-2024-110602
Ben Saunders
{"title":"A generational ban creates inequality between non-smokers.","authors":"Ben Saunders","doi":"10.1136/jme-2024-110602","DOIUrl":"https://doi.org/10.1136/jme-2024-110602","url":null,"abstract":"","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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