The social determinants of health by Marmot and Wilkinson are a list of social circumstances that impede or positively influence good health. Pointing out barriers to achieving health, the social determinants set the backdrop for justice-based bioethics. Access to good jobs in which one has agency or discretion and a living wage and access to…
Bioethics concerns justice, fairness, and the social determinants of health. One example of an area in which bioethics can contribute to promoting justice is in advocating for access to civil justice. While few people (and a decreasing number of people) wronged in a tort actually file a lawsuit, the ability to do so is a…
I don’t think so, but I do wonder whether the coins or tokens that yield healthcare access or access to items and services conducive to health can develop robust trading markets, increasing their value, and become a universal tool for accessing health care and improving health. As with an NFT, token, or coin, demand drives…
One strategy for improving public trust in science, the COVID-19 vaccine and possibly future COVID-19 vaccines or vaccines for emerging virus should be improving trustworthiness at all levels. The way bioethics and public health approach public trust often leaves out the most crucial element: improving trustworthiness and maintaining trustworthy institutions. Doctors and other healthcare professionals…
When ethics becomes too rules-based the thinking and making sense of complex situations can be obscured by techniques that declare some ethical decisions final and powered by precedent or guidelines. A stronger practicum that includes ethical tools designed to help people wrestle with complex dilemmas using rationality, logic, and compassion may lead to better ethical…
On December 13, 2021, the US Supreme Court denied injunctive relief in Dr. A v. Hochul. This post is meant to summarize the dissent, follow up on an earlier post, and track the arguments. (The Court also held oral arguments in two federal mandate cases on January 7, one of which applies to healthcare workers,…
Neuro-rights may protect people from certain harms due to neurotech advances. Neurotech has potential to improve medical treatments and revolutionize care, but there are foreseeable risks. Marcello Ienca defines neuro-rights “as the ethical, legal, social, or natural principles of freedom or entitlement related to a person’s cerebral and mental domain; that is, the fundamental normative…
In the bioethics realm, there are a pre-set language, basket of concerns, and principles to sort through ethical dilemmas. But generally, people are more authentic when they express themselves in their own terms. This post explores whether the chosen language is setting artificial parameters in bioethics. The four principles and the most noted concerns like…
Vaccine mandates without religious exemptions (or as enforceable against those claiming free exercise) are in uncertain legal terrain. Nineteen states mandate vaccines for healthcare workers, but vary as to religious exemptions. The medical value of mandates with and without exemptions depends on the number of people who successfully claim exemptions or stall in becoming vaccinated…
