{"title":"Posthuman Ethics for AI.","authors":"R Braidotti","doi":"10.1007/s11673-025-10447-2","DOIUrl":"https://doi.org/10.1007/s11673-025-10447-2","url":null,"abstract":"<p><p>The impact of AI on liberal democratic social and political systems has emerged as the crucial issue of our times. So is the need to regulate general AI systems. The alliance of newly elected president Trump with the owners and CEOs of the technological sector of the U.S. economy-Elon Musk first and foremost-adds extra urgency to the issue. Digital or platform capitalism has engendered what is known as \"surveillance\" societies. The centralized and unchecked business model it relies on poses serious existential threats to our collective futures. There is widespread consensus today, not only in academia but also in progressive social circles, that we need both traditional and algorithmic sources of resistance to monopolies and the centralization of technological powers. We also need more experimentation with alternative ways of developing and governing the AI dimension of our lives.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"Please, Just Don't Leave Me Alone.\" A Cry for More Humanity in our Care.","authors":"Samuel R Falkson","doi":"10.1007/s11673-025-10450-7","DOIUrl":"https://doi.org/10.1007/s11673-025-10450-7","url":null,"abstract":"<p><p>In a world where physicians are experiencing unprecedented burn-out, our communities are progressively losing trust in the medical system, and healthcare costs continually increase to astronomical levels without improving outcomes, it seems clear that we need to make changes in how we care for our patients. Current healthcare conditions can evoke nostalgia for an idealized past, where physicians were valued members of their communities, making house calls, doing all they could to comprehensively support their neighbours in health and life. As a young physician who envisioned such a career where I could apply my years of hard work and studying towards helping those around me in their moments of greatest need, I often feel that the system we have built thwarts this ideal at every turn. Here I share a story from my intern year of training that marked me, demonstrating just how disconnected we are becoming from our patients. My story involves a clinical situation with which I believe many can relate, highlighting the dire need for us clinicians to care with more humanity.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is this Judaism? The Question of the Consistency of Israeli Policy and Actions in Gaza with Jewish Thought and Ethics : Part 1: Formulating the problem and methodological and hermeneutic considerations.","authors":"Paul A Komesaroff, Jeremiah Z Kenner","doi":"10.1007/s11673-025-10489-6","DOIUrl":"https://doi.org/10.1007/s11673-025-10489-6","url":null,"abstract":"<p><p>There has been much discussion about the tactics used by the Israeli Defence Forces (IDF) and government in the conflict in Gaza following October 7, 2023, which have caused, among other things, systematic destruction of hospitals and schools, the deaths of large numbers of civilians, including women and children, mass starvation, and denial of humanitarian aid. The Israeli government and IDF have sought to justify their actions using ethical arguments, many of which relate to their proclaimed role as the representatives of the Jewish state and of Jewish culture and history. Arguing from the extensive corpus of Jewish ethical thought, extending back thousands of years, this article poses a simple question: Are the above actions by the Israeli government and IDF in Gaza consistent with the ethical tradition of Judaism and the obligations that flow from it? To answer this question, key texts are analysed, especially the Hebrew Bible and the Talmud, and multiple arguments are examined, taking into account the complexities of context and diverse interpretive theories. The paper is presented in two parts, the first discussing the question and methodological issues and the second providing the data and conclusions. We conclude that the alleged acts of the Israeli government and IDF in Gaza are clearly and directly contrary to the Judaic tradition of ethics as it has developed over the millennia. The conduct of the war cannot truthfully be presented in any meaningful sense as representing, or indeed, consistent with, Jewish culture or ethics. These findings have potentially far-reaching consequences, including for the claimed status of Israel as a Jewish state, the relationship between criticism of the government of Israel and the scourge of antisemitism, and the identity of Jewish people both within and outside Israel.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Felix Gabathuler, Kristina Würth, Martina Hodel, Andrea Glässel, Nikola Biller-Andorno, Bettina Schwind
{"title":"Reflections on Epistemic Injustice to Advance Person-Centred Care Through the Experiences of Persons with Chronic Pain.","authors":"Felix Gabathuler, Kristina Würth, Martina Hodel, Andrea Glässel, Nikola Biller-Andorno, Bettina Schwind","doi":"10.1007/s11673-025-10457-0","DOIUrl":"https://doi.org/10.1007/s11673-025-10457-0","url":null,"abstract":"<p><strong>Rationale: </strong>Persons with chronic pain report that their voices are marginalized in healthcare, despite efforts to achieve person-centred care.</p><p><strong>Aims and objectives: </strong>This study aims to explore the healthcare experiences of persons with chronic pain through the lens of epistemic injustice to advance person-centred care.</p><p><strong>Method: </strong>A secondary analysis of cross-sectional interviews with twenty German-speaking Swiss participants, originally collected as part of the DIPEx Switzerland project, was conducted. Data were examined using thematic analysis.</p><p><strong>Results: </strong>Results revealed two overarching themes. Under Epistemic Challenges, participants felt dismissed, misunderstood, or relegated to passive roles by a system privileging quantifiable measures over subjective experiences. This overreliance on objective data fosters epistemic injustice by discounting patient testimonies and perpetuating systemic inadequacies. Under Epistemic Opportunities, participants reported more effective knowledge exchange when their expertise was acknowledged, empathy was shown, and professionals recognized their own limitations.</p><p><strong>Conclusions: </strong>Findings underscore the need to balance objective assessments with patients' subjective perspectives, recognizing persons with chronic pains as legitimate collaborators. By integrating their lived expertise, healthcare systems may mitigate epistemic injustices and provide more empathetic, effective care.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthcare Justice: Protecting Self-Respect, Not Opportunity.","authors":"R Ameresekere","doi":"10.1007/s11673-025-10432-9","DOIUrl":"https://doi.org/10.1007/s11673-025-10432-9","url":null,"abstract":"<p><p>Why is healthcare \"special\" to the extent that it should be distributed more equally than other social goods, as a matter of justice? Norman Daniels claims that healthcare is special because it protects the normal range of opportunities available to us, and therefore can be subsumed under a principle of justice which establishes that opportunity ought to be equally distributed. I argue that subsuming healthcare under such a principle leads to de facto discrimination against certain people in virtue of their healthcare needs. This is because-as a critical discussion of health and healthcare needs importantly illustrates-much of the healthcare that people need simply cannot or does not protect normal species function and therefore does not protect opportunity. And so, such healthcare needs go unfairly unmet on Daniels' view. Instead, I suggest that we ought to subsume healthcare under a principle of equally distributing the social bases of self-respect. Though the healthcare that many of us need cannot protect opportunity, it can still protect our sense of self-respect; as such, those who need such care are entitled to it as a matter of justice on the self-respect view. The self-respect view thus avoids de facto discrimination and ultimately meets healthcare needs more fairly. And because it does so by eschewing a controversial conception of health and healthcare, instead appealing to a conception that appears freestanding with respect to the doctrines that citizens might reasonably disagree about, it better satisfies the requirements of public justification.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cost-Effectiveness and the Distinction Between Quantitative and Qualitative Disability Discrimination.","authors":"Lasse Nielsen","doi":"10.1007/s11673-025-10431-w","DOIUrl":"https://doi.org/10.1007/s11673-025-10431-w","url":null,"abstract":"<p><p>Since standard measures of health effect ascribe negative value to disabilities, it is commonly believed that a cost-effective scheme for allocation of healthcare resources discriminates against people with disabilities. It is still a question for discussion, however, when and why such discrimination is justified. In this paper I account for the central normative substance of this disability discrimination problem, and I defend the claim that it is more justifiable to discriminate against disabled people based on lifespan considerations than on assessments of their reduced quality of life. I term this the asymmetry intuition. Based on some prior attempts to explain the asymmetry intuition, I offer the Reasonable Impartial Interest Argument as the best possible way to defend it. If my argument is sound, this moves us a step further towards a cost-effective priority setting that does not unjustly discriminate against people with disabilities.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Why We Should Recognize AI as an Inventor.","authors":"A S Bayındır, J Danaher","doi":"10.1007/s11673-025-10429-4","DOIUrl":"https://doi.org/10.1007/s11673-025-10429-4","url":null,"abstract":"<p><p>It is now possible for AI systems to generate novel inventions without meaningful human direction and control. Should such inventions be patented? The prevailing consensus, confirmed in recent test cases and official guidance, is that patent law only covers inventions by natural persons (i.e., humans). This, however, sometimes creates an odd situation in which AI-generated inventions cannot be patented, nor can the humans responsible for those systems gain patent rights indirectly through the operation of the law. In this article, we argue against this prevailing consensus. We present five reasons for thinking that AI-generated inventions should be patentable and that AI systems should be legally recognized as inventors. In making this argument, we do not claim that modern AI systems have acquired some significant legal or moral status that is equivalent to humans. Our argument is more practical in nature. We argue that failing to recognize AI inventorship will have negative repercussions for economic development and innovation, at a time when AI assistance is needed.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G Frez-Pulgar, Y Valdés-Rodríguez, V Negrier-Seguel, F Gutiérrez-Gutiérrez, M Caceres-Senn, L Glasserman-Morales, J Hochstetter-Diez
{"title":"Institutionalization of Bioethics in Higher Education Institutions: A Systematic Mapping.","authors":"G Frez-Pulgar, Y Valdés-Rodríguez, V Negrier-Seguel, F Gutiérrez-Gutiérrez, M Caceres-Senn, L Glasserman-Morales, J Hochstetter-Diez","doi":"10.1007/s11673-025-10442-7","DOIUrl":"https://doi.org/10.1007/s11673-025-10442-7","url":null,"abstract":"<p><p>Bioethics has become a crucial discipline in higher education. This study aims to understand the institutionalization of bioethics within this field and examine documented initiatives related to its integration. To achieve this, a systematic mapping was conducted using Petersen and Kitchenham's methodology, analysing 444 relevant articles. The results indicate a higher concentration of studies addressing the institutionalization of bioethics at the undergraduate level (40.5 per cent), with fewer publications focused on the postgraduate level (19.4 per cent). Most of the studies are concentrated in the health sciences (81.3 per cent), while the remainder are distributed among the social sciences, humanities, biological sciences, and engineering. The analysis revealed a significant lack of studies on comparative practices and the use of replicated experiences (2 per cent), as well as limited evidence on the institutionalization of bioethics research in higher education (10.3 per cent). These gaps underscore the need for further research in these areas. Additionally, the integration of active methodologies and educational technologies has enhanced bioethics programmes (21.4 per cent), fostering more interactive and engaged learning environments. This study highlights a critical gap in the implementation of bioethics based on empirically validated experiences. It proposes the development of an implementation model that adapts these experiences to different educational contexts. Cooperation between institutions and the creation of research networks are recommended as key strategies for sharing best practices, thereby facilitating the more effective and widespread integration of bioethics across various educational settings.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"It Is Not About AI, It's About Humans. Responsibility Gaps and Medical AI.","authors":"A Giubilini","doi":"10.1007/s11673-025-10423-w","DOIUrl":"10.1007/s11673-025-10423-w","url":null,"abstract":"<p><p>A lot of the language we use to refer to AI, including in healthcare, uses terminology that originally and literally applies to humans and human relationships. Such terminology includes both non-evaluative terms, like \"learning,\" \"memory,\" or \"intelligence,\" and evaluative terms, like \"trust\" or \"responsibility.\" In this article I focus on the latter type and the way it is applied specifically to the case of medical AI. Focusing on the discussion of \"responsibility gaps\" that, according to some, AI generates, I will suggest that such terminology is revealing of the nature of healthcare professional obligations and responsibility prior to and independently of the assessment of the use of AI tools in healthcare. The point I make is generalizable to AI as used and discussed more broadly: the language used to refer to AI often tells more about humans and human relationships than about AI itself and our relationship with it. In healthcare, whatever else AI will allow us to do, it can prompt us to reflect more thoroughly on professional responsibility and professional obligations.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7618118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Worlds Apart, Te Ao Māori and Western Worldviews in Aotearoa, New Zealand.","authors":"A Hikairo Spelman, B V Dieriks","doi":"10.1007/s11673-025-10439-2","DOIUrl":"10.1007/s11673-025-10439-2","url":null,"abstract":"<p><p>Even though the last war between Tangata Whenua and the Crown ended over 150 years ago, Tiriti obligations and the rights of Tangata Whenua remain largely unaddressed. Significant disparities persist, with limited discourse on effective solutions. The recently introduced Principles of the Treaty of Waitangi Bill highlights enduring challenges in honouring Te Tiriti o Waitangi. This manuscript examines Te Ao Māori (the Māori worldview) and Western worldviews in Aotearoa, exploring their profound cultural differences and implications for relationships between Tangata Whenua and Tangata Tiriti. We highlight the holistic, interconnected nature of Te Ao Māori, rooted in whakapapa, and contrast this with the rationalism and compartmentalization of Western traditions. To bridge these worldview differences, we propose a relationship framework grounded in Te Tiriti o Waitangi to promote equitable, respectful partnerships. This framework addresses power imbalances and advocates for a two-worldview methodology that honours the mana of both perspectives. By integrating these approaches, we identify pathways for building stronger, inclusive relationships. This pluriversal approach respects the integrity of both worldviews and offers a foundation for coexistence rooted in mutual respect.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}