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1.
J Bioeth Inq ; 2020 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-32840823

RESUMO

The ethical experience and lessons of China's and the world's response to COVID-19 will be debated for many years to come. But one feature of the Chinese authoritarian response that should not be overlooked is its practice of silencing and humiliating the whistle-blowers who told the truth about the epidemic. In this article, we document the humiliation of Dr Li Wenliang (1986-2020), the most prominent whistle-blower in the Chinese COVID-19 epidemic. Engaging with the thought of Israeli philosopher Avishai Margalit, who argues that humiliation constitutes an injury to a person's self-respect, we discuss his contention that a decent society is one that abolishes conditions which constitute a justification for its dependents to consider themselves humiliated. We explore the ways that institutions humiliate whistle-blowers in Western countries as well as in China.

3.
J Bioeth Inq ; 16(1): 127-131, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30569377

RESUMO

Libertarians often portray the decision to use enhancement technologies purely as a matter of individual choice, affecting the person who uses them but no one else. Yet individual choices often add up to large social changes that profoundly affect the lives of other people, effectively pushing individual choices in a particular direction. It seems plausible that self-reinforcing loops such as those that have driven the adoption of technologies like cars and air-conditioners might also play a role in the adoption of enhancement technologies, effectively exerting pressure on people to use a technology that they might otherwise resist.


Assuntos
Melhoramento Biomédico , Tecnologia Biomédica/ética , Comportamento de Escolha , Atitude Frente a Saúde , Melhoramento Biomédico/ética , Humanos , Mudança Social
6.
Hastings Cent Rep ; 47(3): inside back cover, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28543415

RESUMO

For the past two years, I have taught a seminar on medical research scandals. The syllabus looks like a highlight reel of exploitation and abuse: children fed plutonium-laced breakfast cereal, prisoners dosed with the active ingredient in Agent Orange, mental patients given psychedelic drugs and massive electroconvulsive therapy before being sent into curare-induced paralysis and a coma. I designed the seminar to crush the idealism of future physicians by illuminating the dark patterns that research scandals typically follow. The most recent scandal we examined happened to be one of the most lurid.


Assuntos
Pesquisa Biomédica/normas , Má Conduta Científica/ética , Pesquisa Biomédica/ética , Humanos
7.
Account Res ; 24(2): 65-79, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-27753509

RESUMO

In the spring of 2015, 11 years after a mentally ill young man named Dan Markingson stabbed himself to death in an industry-sponsored drug study, officials at the University of Minnesota suspended recruitment of subjects into drug trials in its Department of Psychiatry. University officials agreed to act only after a scathing investigation by Minnesota Office of the Legislative Auditor found damning evidence of coerced recruitment, inadequate clinical care, superficial research oversight, a web of serious, disturbing conflicts of interest, and a pattern of misleading public statements by university officials aimed at deflecting scrutiny. In this article, I examine the larger institutional factors leading up to Markingson's suicide and prevented corrective action for so long.


Assuntos
Pesquisa Biomédica/ética , Pesquisa Biomédica/organização & administração , Experimentação Humana/ética , Psiquiatria/ética , Universidades/ética , Universidades/organização & administração , Antipsicóticos/uso terapêutico , Pesquisa Biomédica/normas , Experimentação Humana/normas , Humanos , Transtornos Mentais/tratamento farmacológico , Transtornos Mentais/psicologia , Suicídio/psicologia , Universidades/normas
9.
Narrat Inq Bioeth ; 6(1): 43-6, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27346822

RESUMO

As bioethicists have become medical insiders, they have had to struggle with a conflict between what their superiors expect of them and the demands of their conscience. Often they simply resign themselves to the conflict and work quietly within the system. But the machinery of the medical-industrial complex grinds up conscientious people because those people can see no remedies for injustice apart from the bureaucratic procedures prescribed by the machine itself. The answer to injustice is not a memorandum of understanding or a new strategic plan, but rather public resistance and solidarity.


Assuntos
Bioética , Conflito Psicológico , Eticistas/psicologia , Comitês de Ética em Pesquisa , Humanos , Princípios Morais , Política
12.
J Law Med Ethics ; 42(4): 492-500, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25565615

RESUMO

Pharmaceutical companies have long focused their marketing strategies on getting doctors to write more prescriptions. But they lose billions in potential sales when patients do not take their prescribed drugs. Getting patients to "adhere" to drug therapies that have unpleasant side effects and questionable efficacy requires more than mere ad campaigns urging patients to talk to their doctors. It requires changing patients' beliefs and attitudes about their medications through repeated contact from people patients trust. Since patients do not trust drug companies, these companies are delivering their marketing messages through nurses, pharmacists, and even other patients--leveraging patients' trust in these intermediaries to persuade them to consume more brand name drugs. Armed with the premise that better adherence improves patients' health, drug companies justify manipulating patients by reframing reasonable decisions to decline therapy as pathological, and promote brand loyalty in the guise of offering medical care.


Assuntos
Indústria Farmacêutica , Marketing de Serviços de Saúde , Adesão à Medicação , Humanos , Estados Unidos
14.
J Law Med Ethics ; 41(3): 673-9, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24088158

RESUMO

A growing number of doctors in the United States are joining online professional networks that cater exclusively to licensed physicians. The most popular are Sermo, with more than 135,000 members, and Doximity, with more than 100,000. Both companies claim to offer a valuable service by enabling doctors to "connect" in a secure online environment. But their business models raise ethical concerns. The sites generate revenue by selling access to their large networks of physician-users to clients that include global pharmaceutical companies, market research and consulting firms, and hedge funds and other investors. In exchange for a fee, these clients are offered a variety of tools to monitor, analyze, and solicit physicians' opinions. In Sermo's case, clients are also offered opportunities to conduct "awareness campaigns" on the site that are aimed at influencing physician sentiment about specific drugs and medical devices. In effect, these online networks have created an even more efficient means for the pharmaceutical industry to track physician sentiment, disseminate messages, and cultivate key opinion leaders. This paper argues that the dual nature of these sites (a) undermines their integrity and transparency as forums for the exchange of medical opinion and (b) presents an ethical conflict for the doctors who use them.


Assuntos
Conflito de Interesses/economia , Indústria Farmacêutica/economia , Internet/economia , Médicos/ética , Mídias Sociais/economia , Humanos , Médicos/economia
17.
J Med Philos ; 36(4): 364-74, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21903906

RESUMO

Many people feel uneasy about enhancement technologies, yet have a hard time explaining why. This unease is often less with the technologies themselves than about the desires and aspirations that they express. I suggest here that we can diagnose the source of that unease by looking at three themes that emerge in Taylor's writings about the making of the modern self: the importance of social recognition, the ethics of authenticity, and the rise of instrumental reason.


Assuntos
Melhoramento Biomédico/ética , Ego , Filosofia Médica , Humanos , Princípios Morais , Identificação Social
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