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Canadian Medical Assistance in Dying: Provider Concentration, Policy Capture, and Need for Reform. 加拿大死亡医疗援助：提供者集中，政策捕获和改革的需要。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-05-01 Epub Date: 2025-01-10 DOI: 10.1080/15265161.2024.2441695
Christopher Lyon, Trudo Lemmens, Scott Y H Kim
{"title":"Canadian Medical Assistance in Dying: Provider Concentration, Policy Capture, and Need for Reform.","authors":"Christopher Lyon, Trudo Lemmens, Scott Y H Kim","doi":"10.1080/15265161.2024.2441695","DOIUrl":"10.1080/15265161.2024.2441695","url":null,"abstract":"<p><p>Canada's rapid rise in deaths from euthanasia and physician assisted suicide, termed Medical Assistance in Dying (MAID) in the country, now ranks it second only to the Netherlands in terms of MAiD deaths as percentage of overall deaths, with one province already hosting the highest rate of all jurisdictions in the world. Analyzing Health Canada's annual MAID reports, which show that up to 336 out of 1837 providers are likely responsible for the majority of MAID deaths in a given year, we discuss how the rapid increase likely reflects not a broad Canadian consensus but the capture of a policy-making and implementation process by a small group of activists and clinicians colonizing medicine to become an ideologically driven vehicle for expanding MAID access and delivery. As a remedy and to reprioritize patient safety and protection against premature death, a more transparent, relevant, and safeguarded compliance regime based on evidence-based, multi-perspective policy-making is needed.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"6-25"},"PeriodicalIF":17.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Which Benefits Can Justify Risks in Research? 哪些益处可以证明研究风险的合理性？
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-05-01 Epub Date: 2024-01-05 DOI: 10.1080/15265161.2023.2296404
Tessa I van Rijssel, Ghislaine J M W van Thiel, Helga Gardarsdottir, Johannes J M van Delden
{"title":"Which Benefits Can Justify Risks in Research?","authors":"Tessa I van Rijssel, Ghislaine J M W van Thiel, Helga Gardarsdottir, Johannes J M van Delden","doi":"10.1080/15265161.2023.2296404","DOIUrl":"10.1080/15265161.2023.2296404","url":null,"abstract":"<p><p>Research ethics committees (RECs) evaluate whether the risk-benefit ratio of a study is acceptable. Decentralized clinical trials (DCTs) are a novel approach for conducting clinical trials that potentially bring important benefits for research, including several collateral benefits. The position of collateral benefits in risk-benefit assessments is currently unclear. DCTs raise therefore questions about how these benefits should be assessed. This paper aims to reconsider the different types of research benefits, and their position in risk-benefit assessments. We first propose a categorization of research benefits, based on the types of benefits that can be distinguished from the literature and ethical guidelines. Secondly, we will reconsider the position of collateral benefits. We argue that these benefits are not fundamentally different from other benefits of research and can therefore be included in risk-benefit assessments of DCTs.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"65-75"},"PeriodicalIF":17.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139106889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Medicine and MAiD. 医药与女仆。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-05-01 Epub Date: 2025-05-08 DOI: 10.1080/15265161.2025.2488273
Brendan Leier, Cheryl Mack
{"title":"Medicine and MAiD.","authors":"Brendan Leier, Cheryl Mack","doi":"10.1080/15265161.2025.2488273","DOIUrl":"https://doi.org/10.1080/15265161.2025.2488273","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 5","pages":"51-53"},"PeriodicalIF":17.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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 Solution without a Problem. 没有问题的解决方案。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-05-01 Epub Date: 2025-05-08 DOI: 10.1080/15265161.2025.2488275
Shen Pan, Anurima Chattopadhyay, Holly A Taylor
{"title":"A Solution without a Problem.","authors":"Shen Pan, Anurima Chattopadhyay, Holly A Taylor","doi":"10.1080/15265161.2025.2488275","DOIUrl":"https://doi.org/10.1080/15265161.2025.2488275","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 5","pages":"76-77"},"PeriodicalIF":17.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
War, Bioethics, and Public Health. 战争、生物伦理学和公共卫生。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-05-01 Epub Date: 2024-07-22 DOI: 10.1080/15265161.2024.2377118
Nancy S Jecker, Caesar Atuire, Vardit Ravitsky, Kevin Behrens, Mohammed Ghaly
{"title":"War, Bioethics, and Public Health.","authors":"Nancy S Jecker, Caesar Atuire, Vardit Ravitsky, Kevin Behrens, Mohammed Ghaly","doi":"10.1080/15265161.2024.2377118","DOIUrl":"10.1080/15265161.2024.2377118","url":null,"abstract":"<p><p>This paper argues that bioethics as a field should broaden its scope to include the ethics of war, focusing on war's public health effects. The \"Introduction\" section describes the bioethics literature on war, which emphasizes clinical and research topics while omitting public health. The section, \"War as a public health crisis\" demonstrates the need for a public health ethics approach by framing war as a public health crisis. The section, \"Bioethics principles for war and public health\" proposes six bioethics principles for war that address its public health dimensions: health justice, accountability, dignified lives, public health sustainability, nonmaleficence, and public health maximization. The section, \"Justifying and applying bioethical principles\" shows how these principles inform ethical analysis, including just war theory and military ethics. The section, \"From principles to practice\" envisions ways in which bioethicists can promote these principles in practice through research, teaching, and service. The \"Conclusion\" section urges bioethicists to engage with war as a public health crisis, including calling attention to war's impact on civilians, especially women, children, and other vulnerable groups.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"106-120"},"PeriodicalIF":17.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Correction. 修正。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-05-01 Epub Date: 2025-04-17 DOI: 10.1080/15265161.2025.2493017
{"title":"Correction.","authors":"","doi":"10.1080/15265161.2025.2493017","DOIUrl":"https://doi.org/10.1080/15265161.2025.2493017","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 5","pages":"W8"},"PeriodicalIF":17.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
The Structural Inequality of Status Quo Clinical Communication. 临床沟通现状的结构性不平等。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-04-01 Epub Date: 2025-04-07 DOI: 10.1080/15265161.2025.2470670
Joelle Robertson-Preidler
{"title":"The Structural Inequality of Status Quo Clinical Communication.","authors":"Joelle Robertson-Preidler","doi":"10.1080/15265161.2025.2470670","DOIUrl":"10.1080/15265161.2025.2470670","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 4","pages":"68-71"},"PeriodicalIF":17.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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 All Is Said and Done: In Support of the Pragmatic Approach to Language in Bioethics. 当一切都说了和做了：支持生命伦理学中语言的语用方法。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-04-01 Epub Date: 2025-04-07 DOI: 10.1080/15265161.2025.2470686
Mira Raju
{"title":"When All Is Said and Done: In Support of the Pragmatic Approach to Language in Bioethics.","authors":"Mira Raju","doi":"10.1080/15265161.2025.2470686","DOIUrl":"10.1080/15265161.2025.2470686","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 4","pages":"80-82"},"PeriodicalIF":17.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Consent Is Dead, Long Live Ethical Oversight: Integrating Ethically Sourced Data into Demonstrated Consent Models. 同意已死，道德监督万岁：将道德来源的数据整合到演示的同意模型中。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-04-01 Epub Date: 2025-04-07 DOI: 10.1080/15265161.2025.2470657
Jean-Christophe Bélisle-Pipon, Vardit Ravitsky
{"title":"Consent Is Dead, Long Live Ethical Oversight: Integrating Ethically Sourced Data into Demonstrated Consent Models.","authors":"Jean-Christophe Bélisle-Pipon, Vardit Ravitsky","doi":"10.1080/15265161.2025.2470657","DOIUrl":"10.1080/15265161.2025.2470657","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 4","pages":"112-115"},"PeriodicalIF":17.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
In Search of Durable Models for Research Consent in Emerging Computing Environments. 在新兴计算环境中寻找持久的研究同意模型。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2025-04-01 Epub Date: 2025-04-07 DOI: 10.1080/15265161.2025.2470672
Vasiliki Rahimzadeh
{"title":"In Search of Durable Models for Research Consent in Emerging Computing Environments.","authors":"Vasiliki Rahimzadeh","doi":"10.1080/15265161.2025.2470672","DOIUrl":"10.1080/15265161.2025.2470672","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"25 4","pages":"132-135"},"PeriodicalIF":17.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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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